Relationship between the Human Development Index and its Components with Oral Cancer in Latin America.

Autor: Herrera-Serna BY; Oral Health Department, Autonomous University of Manizales, Antigua Estación del Ferrocarril, Manizales, Caldas 17100, Colombia., Lara-Carrillo E; School of Dentistry, National Autonomous University of Mexico, Av. Paseo Tollocan, Toluca de Lerdo, Mexico 50130, Mexico., Toral-Rizo VH; School of Dentistry, National Autonomous University of Mexico, Av. Paseo Tollocan, Toluca de Lerdo, Mexico 50130, Mexico., Cristina do Amaral R; Department of Dentistry, Campus Prof. João Cardoso Nascimento Rua Cláudio Batista, Federal University of Sergipe, Cidade Nova, Aracaju 49060-108, Brazil., Aguilera-Eguía RA; Department of Public Health, School of Medicine, Kinesiology Career, Catholic University of the Santisima Concepcion, Av. Alonso de Ribera 2850, Concepción 4090541, Chile.
Jazyk: angličtina
Zdroj: Journal of epidemiology and global health [J Epidemiol Glob Health] 2019 Dec; Vol. 9 (4), pp. 223-232.
DOI: 10.2991/jegh.k.191105.001
Abstrakt: To evaluate the relationship between the Human Development Index (HDI) and its components with oral cancer (OC) in Latin America. Ecological study in 20 Latin American countries in 2010 and 2017, which evaluated the relationship between the Age-Standardized Rates (ASRs) of incidence and mortality from oral cancer and the following indicators: HDI, with its components (income, education, and health indexes); and the Gini and Theil-L indexes. Among the countries with the highest HDI, men from Brazil and Cuba had the highest incidence and mortality ASRs per 100,000 inhabitants (ASR incidence >7.5 and mortality >4.5). Among those with the lowest HDI, Haiti was the most affected country (ASR incidence >4.1 and mortality >3.0). The highest male:female ratio was in Paraguay in both years (incidence >3.5 and mortality >4.0). Mortality from oral cancer is negatively related to the global HDI in both years, with regression coefficients (95% confidence interval) being -5.78 (-11.77, 0.20) in 2010 and -5.97 (-11.38, -0.56) in 2017; and separate (independent) from the income [-4.57 (-9.92, 0.77) in 2010 and -4.84 (-9.52, -0.17) in 2017] and health indexes [-5.81 (-11.10, -0.52) and -6.52 (-11.32, -1.72) in 2017] ( p < 0.05) in the countries with lower HDI. Oral cancer incidence and mortality rates vary both among and within Latin American countries according to sex, with a greater burden on men. The HDI is negatively related to mortality from oral cancer in the countries of medium and low HDI.
Competing Interests: The authors declare they have no conflicts of interest.
(© 2019 Atlantis Press International B.V.)
Databáze: MEDLINE
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