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Original Research

The Incidence and Mortality of Colorectal Cancer and Its Relationship With the Human Development Index in Asia

Authors:

Mahshid Ghoncheh ,

Department of Epidemiology & Biostatistics, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
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Maryam Mohammadian,

Health Promotion Research Center, Department of Epidemiology and Biostatistics, School of Public Health, Zahedan University of Medical Sciences, Zahedan, Iran
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Abdollah Mohammadian-Hafshejani,

Faculty of Nursing and Midwifery, Dezful University of Medical Sciences, Dezful, Iran; Department of Epidemiology & Biostatistics, School of Public Health, Iran University of Medical Sciences, Tehran, Iran
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Hamid Salehiniya

Department of Epidemiology & Biostatistics, School of Public Health, Iran University of Medical Sciences, Tehran, Iran; Zabol University of Medical Sciences, Zabol, Iran
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Abstract

Background

Colorectal cancer is the second most common cancer in women and the third most common cancer among men, and its incidence is increasing in Asia. Awareness about the status of this cancer incidence and mortality is necessary for a better plan.

Objectives

The present study was done with the aim to investigate the incidence and mortality of colorectal cancer and its relationship with the Human Development Index (HDI) in Asia in 2012.

Methods

This study was an ecological study, which was conducted based on the GLOBOCAN project of the World Health Organization for Asian countries. We assessed the correlation between standardized incidence rates (SIR) and standardized mortality rates (SMR) of colorectal cancer with HDI and its components using SPSS software, version 18 (SPSS Inc., Chicago, IL).

Results

A total of 592,563 incidences of and 325,752 deaths from colorectal cancer were recorded in Asian countries in 2012. The 5 countries with the highest SIR were Republic of Korea (45 per 100,000), Israel (35.9 per 100,000), Singapore (33.7 per 100,000), Japan (32.2 per 100,000), and Jordan (25.6 per 100,000). The 5 countries with the highest SMR for colorectal cancer were Jordan (15.5 per 100,000), Kazakhstan (12.8 per 100,000), Democratic Republic of Korea (12 per 100,000), Brunei (12 per 100,000), and Japan (11.9 per 100,000). Correlation between HDI and SIR was 0.709 overall (P ≤ .001)— 0.667 in men (P ≤ .001) and 0.759 in women (P ≤ .001). Also, correlation between HDI and SMR overall was 0.517 (P ≤ .001)— 0.447 in men (P = .002) and 0.593 in women (P ≤ .001).

Conclusions

Cancer incidence and mortality are higher in countries with more development. A positive and statistically significant correlation was found between standardized incidence and mortality rate of colorectal cancer and the Human Development Index and its components.
How to Cite: Ghoncheh, M., Mohammadian, M., Mohammadian-Hafshejani, A. and Salehiniya, H., 2017. The Incidence and Mortality of Colorectal Cancer and Its Relationship With the Human Development Index in Asia. Annals of Global Health, 82(5), pp.726–737. DOI: http://doi.org/10.1016/j.aogh.2016.10.004
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Published on 08 Mar 2017.
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