Study of socio-economic inequalities in the incidence of colorectal cancer in 1396: A comparative investigation of Iranian provinces

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AHADINEZHAD BAHMAN; Mohtashamzadeh Bahareh; Maleki Aisa; SAFDARI MAHDI; Pakseresht Zeynab; KHOSRAVIZADEH OMID

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Journal: Koomesh Year:2023 | Volume:25 | Issue:2 (94) Page(s): 152-159

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Title

Study of socio-economic inequalities in the incidence of colorectal cancer in 1396: A comparative investigation of Iranian provinces

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Keywords

Colorectal Neoplasms

Socioeconomic Factors

Iran

Abstract

Introduction: By 2020, colorectal cancer accounted for 10% of global cancer incidence and 9. 4% of cancer deaths. Apart from biomedical characteristics, socio-economic status can also play a role in inequality in the outcomes of this disease. In this account, this study aims to analyze the regional socio-economic disparities in the incidence of colorectal cancer in Iran. Materials and Methods: This cross-sectional study was executed using provincial data from 2018. The required information was extracted from the report of the statistical yearbook, the report of the Statistics Center, and the national report of the National Cancer Registration Program of the Ministry of Health of Iran. Using STATA 14, concentration indices were estimated and concentration curves were extracted. Results: Only the concentration index of health insurance coverage percentage and employment percentage was negative. The effect of health insurance coverage on inequality in cancer incidence (CI=-0. 364) was also statistically significant (P<0. 05). The results showed that per capita income has caused the most inequality (CI=0. 632) in the incidence of colorectal cancer (P<0. 05). While the effect of provincial employment percentage on incidence inequality was the lowest (CI=-0. 064) and was not statistically significant. After per capita income, the per capita expenditure concentration index (CI=0. 564) was in second place in terms of inequality (P <0. 05). The literacy rate with CI=0. 484 was in the next rank of inequality (P<0. 05). Conclusion: Socioeconomic characteristics of the provinces have an important role in the inequality of colorectal cancer. Policymakers can improve early detection of the disease in the country's provinces by covering screening services with medical insurance, providing screening credit cards, payment exemptions for the lower deciles, and social marketing.

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APA: Copy

AHADINEZHAD, BAHMAN, Mohtashamzadeh, Bahareh, Maleki, Aisa, SAFDARI, MAHDI, Pakseresht, Zeynab, & KHOSRAVIZADEH, OMID. (2023). Study of socio-economic inequalities in the incidence of colorectal cancer in 1396: A comparative investigation of Iranian provinces. KOOMESH, 25(2 (94) ), 152-159. SID. https://sid.ir/paper/1134556/en

Vancouver: Copy

AHADINEZHAD BAHMAN, Mohtashamzadeh Bahareh, Maleki Aisa, SAFDARI MAHDI, Pakseresht Zeynab, KHOSRAVIZADEH OMID. Study of socio-economic inequalities in the incidence of colorectal cancer in 1396: A comparative investigation of Iranian provinces. KOOMESH[Internet]. 2023;25(2 (94) ):152-159. Available from: https://sid.ir/paper/1134556/en

IEEE: Copy

BAHMAN AHADINEZHAD, Bahareh Mohtashamzadeh, Aisa Maleki, MAHDI SAFDARI, Zeynab Pakseresht, and OMID KHOSRAVIZADEH, “Study of socio-economic inequalities in the incidence of colorectal cancer in 1396: A comparative investigation of Iranian provinces,” KOOMESH, vol. 25, no. 2 (94) , pp. 152–159, 2023, [Online]. Available: https://sid.ir/paper/1134556/en

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