世界呼吸器腫瘍死亡率と経済レベルとの相関研究 (2000年−2019年)
Mingjie Wang1,2, Zhiyuan Chen3
1Department of Emergency Medicine, Qilu Hospital of Shandong University, Jinan, China.
Frontiers in public health
|September 4, 2025
まとめ
世界の肺がん死亡率は 経済成長と驚くほど密接な関係があり 裕福な国々では 死亡率が高くなります この研究は,すべての所得層に合わせた予防戦略の必要性を強調しています.
科学分野:
- 世界保健疫学
- 癌 の 経済 的 影響
- 呼吸器腫瘍学
背景:
- 肺がんは世界的な健康問題です
- 肺がんの死亡率の社会経済的要因を理解することは 効果的な公衆衛生介入に不可欠です
- 以前の研究では様々なリスク要因が調査されましたが,国家経済レベルとの関係についてはさらなる調査が必要です.
研究 の 目的:
- 全世界の気管支柱肺がんの死亡率と国の経済レベルとの相関を調査する.
- 肺がんによる死亡率に関連する地域経済負担を評価する.
- 世界的な医療資源の配分と癌対策戦略の情報提供
主な方法:
- 2000年から2019年までの世界保健機関 (WHO) の死亡率データ (ICD-10コードC33-C34) の分析.
- 空間時間的な傾向を評価するために,年齢標準化された死亡率 (ASMR) の計算.
- 性別と所得の関連性を調べるために,非パラメトリック (ウィルコクソンランク和) と相関 (スピアマン部分ランク) の分析を行います.
主要な成果:
- 呼吸器がんの世界的なASMRは2000年から2019年の間に減少傾向を示した.
- 国民所得レベルと呼吸器がんの死亡率 (スピアーマンのρ=0.422,p<0.001) の間には,有意な正の相関関係が見られた.
- 男性のASMRは女性より一貫して高かった (Wilcoxonランクサムテスト,
<0. 001).
結論:
- 全世界の肺がん死亡率は 国民経済レベルと好意的に関連しています 特に高所得国や中所得国ではそうです
- 男性の死亡率は女性よりかなり高い.
- 経済発展は 逆説的に呼吸器がんの死亡率を増加させ 収入に合わせたバランスの取れた 予防戦略が必要になります
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