基于医疗保健支出的白血病结果的性别差异,使用GLOBOCAN 2020的估计
Maedeh Amini1, Rajesh Sharma2, Chinmay Jani3,4
1Basic and Molecular Epidemiology of Gastrointestinal Disorders Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran. maedeh.amini92@yahoo.com.
Archives of public health = Archives belges de sante publique
|August 22, 2023
概括
白血病死亡率与发病率 (MIR) 在人类发展指数 (HDI) 和卫生支出较高的国家较低. 白血病发病结果中的性别差异表明社会,行为和生物因素的影响.
科学领域:
- 在瘤学瘤学.
- 流行病学 流行病学
- 卫生经济学 卫生经济学
背景情况:
- 白血病是全球癌症负担的一个重要因素.
- 评估白血病结果的改善对于公共卫生至关重要.
- 了解影响白血病死亡率的因素至关重要.
研究的目的:
- 为了检查白血病死亡率与发病率 (MIR) 的性别变化.
- 调查白血病MIR与医疗支出之间的关联.
- 分析不同国家的白血病结果的趋势.
主要方法:
- 利用了GLOBOCAN 2020的白血病发病率和死亡率数据.
- 根据数据质量,包括56个国家.
- 雇佣斯皮尔曼的等级相关性来评估与人力发展指数 (HDI),人均当前卫生支出 (CHE) 和CHE作为GDP的百分比 (CHE/GDP) 的关联.
主要成果:
- 2020年,全球白血病发病率为474,519例,死亡率为311,594例.
- 在全球范围内,男性的白血病发病率和死亡率高于女性.
- 人类发育指数和医疗支出较高的国家通常显示白血病MIR较低;埃及的MIR最高 (0.79),美国最低 (0.29).
- 在人均MIR (δMIR) 和人均HDI/CHE变化之间发现了显著的负相关性,所有指标都趋向于男性的负相关性.
结论:
- 白血病MIR通常在高HDI和强的医疗支出的国家更有利.
- 在白血病结果中观察到的性别差异可能源于社会,物质,行为和生物因素的组合.
- 对这些因素的进一步研究可以为减少白血病差异提供有针对性的干预措施.
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