Urban-Rural Disparity in Helicobacter Pylori Infection–Related Upper Gastrointestinal Cancer in China and the Decreasing Trend in Parallel with Socioeconomic Development and Urbanization in an Endemic Area
Background: Globally China has the largest urban-rural disparity in socioeconomic development, and the urban-rural difference in <a title="Learn more about Upper Gastrointestinal Cancer" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/upper-gastrointestinal-cancer...
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Ubiquity Press
2017
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oai:doaj.org-article:e74a6f86ce384059b813cfaa6f9a193d2021-12-02T08:52:32ZUrban-Rural Disparity in Helicobacter Pylori Infection–Related Upper Gastrointestinal Cancer in China and the Decreasing Trend in Parallel with Socioeconomic Development and Urbanization in an Endemic Area2214-999610.1016/j.aogh.2017.09.004https://doaj.org/article/e74a6f86ce384059b813cfaa6f9a193d2017-11-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/157https://doaj.org/toc/2214-9996Background: Globally China has the largest urban-rural disparity in socioeconomic development, and the urban-rural difference in <a title="Learn more about Upper Gastrointestinal Cancer" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/upper-gastrointestinal-cancer">upper gastrointestinal cancer</a> (UGIC) is similar to the difference between developed and developing countries. Objectives: To describe urban-rural disparity in UGIC and to emphasize prevention by socioeconomic development and urbanization in China. Methods: Age-standardized incidence rates (ASRs) of cancers in 2012 were compared between urban Shijiazhuang city and rural Shexian County, and trends from 2000-2015 in Shexian County were analyzed. Findings: Compared with urban Shijiazhuang city, the ASR of gastroesophageal cancers in rural Shexian County was 5.3 times higher in men (234.1 vs 44.2/100,000, 'P' '<' '.'01) and 9.1 times higher in women (107.7 vs 11.8/100,000, 'P' '<' '.'01). This rural-urban disparity in UGIC is associated with differences in socioeconomic development in annual gross domestic product (GDP) per capita of US$2700 vs US$6965, in urbanization rate of 48% vs 100%, and in adult '<a title="Learn more about Helicobacter pylori" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/helicobacter-pylori">Helicobacter pylori</a>' infection prevalence of 75% vs 50%. From 2000-2015, the GDP per capita in Shexian County increased from US$860 to US$3000, urbanization rate increased from 22.4% to 54.8%, and prevalence of 'H pylori' infection among 3- to 10-year-old children decreased from 60% to 46.1% ('P' '<' '.'01). Meanwhile, the biennial ASR of esophagogastric cancer decreased 42% in men, from 313.5 to 182.1 per 100,000 ('P' '<' '.'01), and 57% in women, from 188.6 to 80.4 per 100,000 ('P' '=' '.'00). However, lung, colorectal, and <a title="Learn more about Gallbladder Cancer" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/gallbladder-cancer">gallbladder cancers</a> and <a title="Learn more about Leukemia" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/leukemia">leukemia</a> in both sexes and breast, ovary, <a title="Learn more about Thyroid Cancer" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/thyroid-cancer">thyroid, and kidney cancer</a> in women increased significantly. Despite this offset, ASR of all cancers combined decreased 25% in men (from 378.2 to 283.0/100,000, 'P' '=' '.'00) and 19% in women (from 238.5 to 193.6/100,000, 'P' '=' '.'00). Conclusions</h3>Urban-rural disparity in UGIC is related to inequity in socioeconomic development. Economic growth and urbanization is effective for prevention in endemic regions in China and should be a policy priority.Xiaoduo WenDenggui WenYi YangYuetong ChenGuiying WangBaoen ShanUbiquity Pressarticlesocioeconomic developmenturbanizationurban-rural disparity in cancersocial determinants of healthHelicobacter pylori infectiondisadvantaged populationInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 83, Iss 3-4, Pp 444-462 (2017) |
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DOAJ |
| collection |
DOAJ |
| language |
EN |
| topic |
socioeconomic development urbanization urban-rural disparity in cancer social determinants of health Helicobacter pylori infection disadvantaged population Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 |
| spellingShingle |
socioeconomic development urbanization urban-rural disparity in cancer social determinants of health Helicobacter pylori infection disadvantaged population Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Xiaoduo Wen Denggui Wen Yi Yang Yuetong Chen Guiying Wang Baoen Shan Urban-Rural Disparity in Helicobacter Pylori Infection–Related Upper Gastrointestinal Cancer in China and the Decreasing Trend in Parallel with Socioeconomic Development and Urbanization in an Endemic Area |
| description |
Background: Globally China has the largest urban-rural disparity in socioeconomic development, and the urban-rural difference in <a title="Learn more about Upper Gastrointestinal Cancer" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/upper-gastrointestinal-cancer">upper gastrointestinal cancer</a> (UGIC) is similar to the difference between developed and developing countries. Objectives: To describe urban-rural disparity in UGIC and to emphasize prevention by socioeconomic development and urbanization in China. Methods: Age-standardized incidence rates (ASRs) of cancers in 2012 were compared between urban Shijiazhuang city and rural Shexian County, and trends from 2000-2015 in Shexian County were analyzed. Findings: Compared with urban Shijiazhuang city, the ASR of gastroesophageal cancers in rural Shexian County was 5.3 times higher in men (234.1 vs 44.2/100,000, 'P' '<' '.'01) and 9.1 times higher in women (107.7 vs 11.8/100,000, 'P' '<' '.'01). This rural-urban disparity in UGIC is associated with differences in socioeconomic development in annual gross domestic product (GDP) per capita of US$2700 vs US$6965, in urbanization rate of 48% vs 100%, and in adult '<a title="Learn more about Helicobacter pylori" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/helicobacter-pylori">Helicobacter pylori</a>' infection prevalence of 75% vs 50%. From 2000-2015, the GDP per capita in Shexian County increased from US$860 to US$3000, urbanization rate increased from 22.4% to 54.8%, and prevalence of 'H pylori' infection among 3- to 10-year-old children decreased from 60% to 46.1% ('P' '<' '.'01). Meanwhile, the biennial ASR of esophagogastric cancer decreased 42% in men, from 313.5 to 182.1 per 100,000 ('P' '<' '.'01), and 57% in women, from 188.6 to 80.4 per 100,000 ('P' '=' '.'00). However, lung, colorectal, and <a title="Learn more about Gallbladder Cancer" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/gallbladder-cancer">gallbladder cancers</a> and <a title="Learn more about Leukemia" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/leukemia">leukemia</a> in both sexes and breast, ovary, <a title="Learn more about Thyroid Cancer" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/thyroid-cancer">thyroid, and kidney cancer</a> in women increased significantly. Despite this offset, ASR of all cancers combined decreased 25% in men (from 378.2 to 283.0/100,000, 'P' '=' '.'00) and 19% in women (from 238.5 to 193.6/100,000, 'P' '=' '.'00). Conclusions</h3>Urban-rural disparity in UGIC is related to inequity in socioeconomic development. Economic growth and urbanization is effective for prevention in endemic regions in China and should be a policy priority. |
| format |
article |
| author |
Xiaoduo Wen Denggui Wen Yi Yang Yuetong Chen Guiying Wang Baoen Shan |
| author_facet |
Xiaoduo Wen Denggui Wen Yi Yang Yuetong Chen Guiying Wang Baoen Shan |
| author_sort |
Xiaoduo Wen |
| title |
Urban-Rural Disparity in Helicobacter Pylori Infection–Related Upper Gastrointestinal Cancer in China and the Decreasing Trend in Parallel with Socioeconomic Development and Urbanization in an Endemic Area |
| title_short |
Urban-Rural Disparity in Helicobacter Pylori Infection–Related Upper Gastrointestinal Cancer in China and the Decreasing Trend in Parallel with Socioeconomic Development and Urbanization in an Endemic Area |
| title_full |
Urban-Rural Disparity in Helicobacter Pylori Infection–Related Upper Gastrointestinal Cancer in China and the Decreasing Trend in Parallel with Socioeconomic Development and Urbanization in an Endemic Area |
| title_fullStr |
Urban-Rural Disparity in Helicobacter Pylori Infection–Related Upper Gastrointestinal Cancer in China and the Decreasing Trend in Parallel with Socioeconomic Development and Urbanization in an Endemic Area |
| title_full_unstemmed |
Urban-Rural Disparity in Helicobacter Pylori Infection–Related Upper Gastrointestinal Cancer in China and the Decreasing Trend in Parallel with Socioeconomic Development and Urbanization in an Endemic Area |
| title_sort |
urban-rural disparity in helicobacter pylori infection–related upper gastrointestinal cancer in china and the decreasing trend in parallel with socioeconomic development and urbanization in an endemic area |
| publisher |
Ubiquity Press |
| publishDate |
2017 |
| url |
https://doaj.org/article/e74a6f86ce384059b813cfaa6f9a193d |
| work_keys_str_mv |
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