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Health inequality: a longitudinal study on geographic variations in lung cancer incidence and mortality in Taiwan
BACKGROUND: This study is aimed toward an analysis of the variations in lung cancer incidence and mortality, adjusted by population factors (age, gender, and year), between administrative areas. METHODS: This is a retrospective study, using 2005–2014 data in each administrative area from the Taiwan...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7301436/ https://www.ncbi.nlm.nih.gov/pubmed/32552808 http://dx.doi.org/10.1186/s12889-020-09044-2 |
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author | Hsu, Jason C. Tseng, Yu-Chi Chang, Sheng-Mao Lee, Yang-Cheng Lin, Peng-Chan Chu, Hone-Jay |
author_facet | Hsu, Jason C. Tseng, Yu-Chi Chang, Sheng-Mao Lee, Yang-Cheng Lin, Peng-Chan Chu, Hone-Jay |
author_sort | Hsu, Jason C. |
collection | PubMed |
description | BACKGROUND: This study is aimed toward an analysis of the variations in lung cancer incidence and mortality, adjusted by population factors (age, gender, and year), between administrative areas. METHODS: This is a retrospective study, using 2005–2014 data in each administrative area from the Taiwan Cancer Registry database organized by the Health Promotion Administration. The yearly age-standardized (overall) and crude (stratified by gender and age) incidence/mortality (and their growth rates) for each administrative area were collected and calculated. We used a mixed model to analyze the repeated measurements of yearly incidence and mortality rates and used general linear regression to analyze their growth rates. RESULTS: It was found that male and elderly populations had significantly higher lung cancer incidence and mortality in Taiwan. After adjusting for gender, age, and calendar year, there were no significant variations in incidence among the administrative areas, while the mortality in Yilan County was significantly higher than that in Taipei City (the capital city of Taiwan). On the other hand, the incidence in the female and younger population and mortality growth rates were higher. The incidence growth rate in Keelung City was significantly lower than that in Taipei City, while there were no significant variations in mortality growth rate among administrative areas. CONCLUSIONS: This study found an inequality in the lung cancer burden among cities in Taiwan, which can serve as the basis for future resource allocations for lung cancer prevention and treatment in Taiwan. |
format | Online Article Text |
id | pubmed-7301436 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-73014362020-06-18 Health inequality: a longitudinal study on geographic variations in lung cancer incidence and mortality in Taiwan Hsu, Jason C. Tseng, Yu-Chi Chang, Sheng-Mao Lee, Yang-Cheng Lin, Peng-Chan Chu, Hone-Jay BMC Public Health Research Article BACKGROUND: This study is aimed toward an analysis of the variations in lung cancer incidence and mortality, adjusted by population factors (age, gender, and year), between administrative areas. METHODS: This is a retrospective study, using 2005–2014 data in each administrative area from the Taiwan Cancer Registry database organized by the Health Promotion Administration. The yearly age-standardized (overall) and crude (stratified by gender and age) incidence/mortality (and their growth rates) for each administrative area were collected and calculated. We used a mixed model to analyze the repeated measurements of yearly incidence and mortality rates and used general linear regression to analyze their growth rates. RESULTS: It was found that male and elderly populations had significantly higher lung cancer incidence and mortality in Taiwan. After adjusting for gender, age, and calendar year, there were no significant variations in incidence among the administrative areas, while the mortality in Yilan County was significantly higher than that in Taipei City (the capital city of Taiwan). On the other hand, the incidence in the female and younger population and mortality growth rates were higher. The incidence growth rate in Keelung City was significantly lower than that in Taipei City, while there were no significant variations in mortality growth rate among administrative areas. CONCLUSIONS: This study found an inequality in the lung cancer burden among cities in Taiwan, which can serve as the basis for future resource allocations for lung cancer prevention and treatment in Taiwan. BioMed Central 2020-06-17 /pmc/articles/PMC7301436/ /pubmed/32552808 http://dx.doi.org/10.1186/s12889-020-09044-2 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Hsu, Jason C. Tseng, Yu-Chi Chang, Sheng-Mao Lee, Yang-Cheng Lin, Peng-Chan Chu, Hone-Jay Health inequality: a longitudinal study on geographic variations in lung cancer incidence and mortality in Taiwan |
title | Health inequality: a longitudinal study on geographic variations in lung cancer incidence and mortality in Taiwan |
title_full | Health inequality: a longitudinal study on geographic variations in lung cancer incidence and mortality in Taiwan |
title_fullStr | Health inequality: a longitudinal study on geographic variations in lung cancer incidence and mortality in Taiwan |
title_full_unstemmed | Health inequality: a longitudinal study on geographic variations in lung cancer incidence and mortality in Taiwan |
title_short | Health inequality: a longitudinal study on geographic variations in lung cancer incidence and mortality in Taiwan |
title_sort | health inequality: a longitudinal study on geographic variations in lung cancer incidence and mortality in taiwan |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7301436/ https://www.ncbi.nlm.nih.gov/pubmed/32552808 http://dx.doi.org/10.1186/s12889-020-09044-2 |
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