Incidence and Mortality of Breast Cancer and their Relationship to Development in Asia.

Mahshid Ghoncheh,Abdollah Mohammadian-Hafshejani,Hamid Salehiniya

doi:10.7314/apjcp.2015.16.14.6081

Mahshid Ghoncheh, Abdollah Mohammadian-Hafshejani + Show 1 more

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https://doi.org/10.7314/apjcp.2015.16.14.6081

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Abstract

This study aimed to investigate the incidence and mortality of breast cancer, and its relationship with human development index (HDI) and its components in Asia in 2012. This study was an ecologic study in Asia for assessment of the correlation between age-specific incidence rate (ASIR) and age-specific mortality rate (ASMR) with HDI and its details that include: life expectancy at birth, mean years of schooling and gross national income (GNI) per capita. Data about SIR and SMR for every Asian country for the year 2012 were obtained from the global cancer project. We used a bivariate method for assessment of the correlation between SIR and SMR and HDI and its individual components. Statistical significance was assumed if P<0.05. All reported P-values are two-sided. Statistical analyses were performed using SPSS (Version 15.0, SPSS Inc.). In 2012, 639,824 cases of breast cancer were recorded in Asian countries. Countries with the highest standardized incidence rate (ASIR) (per 100,000) were Israel (80.5), Lebanon (78.7), Armenia (74.1) and the highest standard mortality rate (ASMR) was observed in Pakistan (25.2), Armenia (24.2), and Lebanon (24). There was a positive correlation between the ASIR of breast cancer and HDI (r = 0.556, p <0.001), whereas there was a negative correlation between the ASMR of breast cancer and HDI (r = -0.051). Breast cancer incidence in countries with higher development is greater, while mortality is greatest in countries with less development. There was a positive and significant relationship between the ASIR of breast cancer and HDI and its components. Also there was a negative but non significant relationship between the ASMR of breast cancer and HDI.

Highlights

Cancer is one of the most important health problems in the world
Materials and Methods: This study was an ecologic study in Asia for assessment of the correlation between age-specific incidence rate (ASIR) and age-specific mortality rate (ASMR) with Human Development Index (HDI) and its details that include: life expectancy at birth, mean years of schooling and gross national income (GNI) per capita
There was a positive correlation between the ASIR of breast cancer and HDI (r = 0.556, p

Summary

Introduction

Cancer is one of the most important health problems in the world. In developed countries, 55 % of the burden of diseases is associated with cancer (Ferlay et al, 2010a). The incidence of cancer is rapidly increasing in the developing world (Youlden et al, 2014). More than 1.3 million patients suffering from the cancer are diagnosed each year in the world (Grayson, 2012). More than 508,000 women in the world have lost their lives due to breast cancer in 2011. The incidence of breast cancer varies from 89.7 per 100,000 in East Africa to 19.4 per 100,000 people in West Europe (WHO, 2015a). Breast cancer is the most common malignancies in Asian women (Grayson, 2012). This is increasing in Asian countries with a sharp slope (Keyghobadi et al, 2015). The incidence rate is lower in Asian countries than in Europe and the United States, the death rate from breast cancer is considerable in Asia (Jemal et al, 2011).

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