The Study on Cervical Cancer Burden in 127 Countries and Its Socioeconomic Influence Factors
Tingting Xu, Xueling Yang, Xiaoning He, Jing Wu
Abstract
OBJECTIVES: To explore the relationship between cervical cancer burden and HDI and other socioeconomic influence factors in 127 countries. METHODS: Dividing 127 countries into low-, medium-, high-, ultrahigh-HDI groups, and using statistical method to compare the prevalence trend of cervical cancer in different HDI country groups. Then selecting mortality-to-incidence ratio (MIR) to measure the cancer burden as the dependent variable, HDI and other socioeconomic factors selected from 2020 Human Development Report as independent variables, and using multi-regression model to analyze the correlation between variables. RESULTS: Countries with higher HDI were found to have lower prevalence and mortality of cervical cancer, and vice versa. Besides that, air and water pollution, government-coordinated spending, and the intimate partner of 15-49-year-old women and girls have positive correlation impact on cervical cancer burden. DISCUSSION: The cancer prevention and control policies in countries with high HDI have achieved relatively ideal implementation effects. Countries with relatively backward social and economic development level, cancer prevention and control policies had little effect, such as lower HPV vaccination coverage, poor regional health resource allocation, and week public education awareness. Therefore, cervical cancer control plan must be integrated into national strategies and implemented in people-oriented comprehensive health services.