Nasopharyngeal cancer disease burden and equity study in China in 1990 and 2017

HOU Baojie; YUAN Ping

doi:10.16462/j.cnki.zhjbkz.2024.03.012

Volume 28 Issue 3

Mar. 2024

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HOU Baojie, YUAN Ping. Nasopharyngeal cancer disease burden and equity study in China in 1990 and 2017[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2024, 28(3): 323-328. doi: 10.16462/j.cnki.zhjbkz.2024.03.012

Citation:

HOU Baojie, YUAN Ping. Nasopharyngeal cancer disease burden and equity study in China in 1990 and 2017[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2024, 28(3): 323-328. doi: 10.16462/j.cnki.zhjbkz.2024.03.012

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Nasopharyngeal cancer disease burden and equity study in China in 1990 and 2017

doi: 10.16462/j.cnki.zhjbkz.2024.03.012

HOU Baojie,
YUAN Ping^,

Department of Epidemiology and Health Statistics, West China School of Public Health, Sichuan University, West China Fourth Hospital of Sichuan University, Chengdu 610041, China

Funds:

Chinese Nutrition Society-Yum China Dietary Health Foundation 0040405502260

More Information

Corresponding author: YUAN Ping, E-mail: yuanp1117@126.com
Received Date: 2023-06-07
Rev Recd Date: 2023-10-26

Available Online: 2024-04-08

Publish Date: 2024-03-10

Abstract

Abstract

Objective To analyze the disease burden and equity of nasopharyngeal carcinoma (NPC) in China and provide a scientific basis for prevention and treatment. Methods Using the 2017 Global Burden of Disease Study, the spatial distribution of the disease burden of NPC was analyzed using spatial autocorrelation in province-level division units, and the equity of the disease burden of NPC was analyzed by slope index (SI) and concentration index (CI). Results In 1990 and 2017, the high-high concentration areas were mainly in the south, while the low-low concentration areas were mainly in the north, showing the distribution characteristics of high disease burden in the south and low disease burden in the north. Compared to 1990, the disability adjusted life year (DALY) of NPC decreased by 11.20% overall, and standardized DALY rate decreased by 24.80% in 2017. However, the disease burden of NPC has increased in several regions such as Macau, Shaanxi and Xinjiang. In 1990, the SI of DALY and standardized DALY rate were -34.71 and -6.00, respectively. The CI were -0.08 and 0.14. In 2017, the SI were 9.74 and 12.46, and the CI were 0.07 and 0.04. Conclusions Compared to 1990, the disease burden of NPC in China has decreased in 2017. However, there is a significant imbalance in its distribution, and there are health inequalities. In some regions, the disease burden has actually increased. Therefore, it is crucial to prioritize areas with high disease burden and those experiencing a rise in disease burden. This will help address the unfairness associated with the disease burden of NPC.
- Nasopharyngeal carcinoma,
- Spatial autocorrelation,
- Fairness

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References(16)

References

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