Influence of Social Determinants of Health on Overall Survivals among People Died of Cancer

Zhongting YANG; Xingmei DU; Qingyun YE; Benyan LI; Mingfang QIN; Feng JIAO; Ying CHEN; Rui DENG; Yuan HUANG

doi:10.12259/j.issn.2095-610X.S20220727

Volume 43 Issue 7

Jul. 2022

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Article Navigation > Journal of Kunming Medical University > 2022 > 43(7): 97-104

Zhongting YANG, Xingmei DU, Qingyun YE, Benyan LI, Mingfang QIN, Feng JIAO, Ying CHEN, Rui DENG, Yuan HUANG. Influence of Social Determinants of Health on Overall Survivals among People Died of Cancer[J]. Journal of Kunming Medical University, 2022, 43(7): 97-104. doi: 10.12259/j.issn.2095-610X.S20220727

Citation:

Zhongting YANG, Xingmei DU, Qingyun YE, Benyan LI, Mingfang QIN, Feng JIAO, Ying CHEN, Rui DENG, Yuan HUANG. Influence of Social Determinants of Health on Overall Survivals among People Died of Cancer[J]. Journal of Kunming Medical University, 2022, 43(7): 97-104. doi: 10.12259/j.issn.2095-610X.S20220727

Citation:

Zhongting YANG, Xingmei DU, Qingyun YE, Benyan LI, Mingfang QIN, Feng JIAO, Ying CHEN, Rui DENG, Yuan HUANG. Influence of Social Determinants of Health on Overall Survivals among People Died of Cancer[J]. Journal of Kunming Medical University, 2022, 43(7): 97-104. doi: 10.12259/j.issn.2095-610X.S20220727

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Influence of Social Determinants of Health on Overall Survivals among People Died of Cancer

doi: 10.12259/j.issn.2095-610X.S20220727

1.
School of Public Health，Kunming Medical University，Kunming Yunnan 650500
2.
Yunnan Institute for Endemic Disease Control and Prevention，Dali Yunnan 671000，China

Received Date: 2022-04-22
Available Online: 2022-06-25
Publish Date: 2022-07-14

Abstract

Abstract

Objective To analyze the differences in overall survival （OS） among people died of cancer in Yunnan from the perspective of social determinants of health, and provide evidence to the strategic plan for cancer prevention and control. Methods Death registry data on cancer in Yunnan from 2015 to 2019 were analyzed using Stata 15.1. Adjusted OS was predicted by multivariate linear regression after controlling the confounding variables. The impacts of social determinants of health （such as age, sex, residential area, ethnicity, educational level, occupation, and marital status） on OS among people died of cancer were estimated, and subgroup analyses were conducted for 17 kinds of malignant tumors. Results Totally 128,356 people with the information OS after a cancer diagnosis were recorded in Yunnan from 2015 to 2019, with an average OS of （17.28±23.33） months. The average OS due to cancer was shorter among people under 65 years old, male, living in rural area, belonging an ethnic minority group, with junior high school education or below, being peasant, or unmarried, compared with their counterparts （P < 0.001）. However, people living in severely impoverished counties and belonging to an “Zhiguo ethnicity” separately have longer OS after a cancer diagnosis than those living in other poor counties and belonging other ethnic minority groups （P < 0.001）. The effects of age, sex, residential area, ethnicity, educational level, occupation, or marital status on OS remained after controlling the confounding factors （P < 0.001）, but varied among different cancers. Conclusions The cancer survivals in the most vulnerable areas and people have been improved in Yunnan. However large differences exist in the OS among different people with cancer. Strategic plan for cancer prevention and control is needed in future to promote health equity.
- Cancer,
- Overall survival,
- Social determinants of health,
- Health equity

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References(26)

References

[1]	唐梦莎,胡鸿,王国平,等. 心理干预对中国恶性肿瘤患者生活质量影响的Mata分析[J]. 中国卫生事业管理,2014,31(5):376-379.
[2]	Bray F,Ferlay J,Soerjomataram I,et al. Global cancer statistics 2018:Globocan estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J]. CA Cancer J Clin,2018,68(6):394-424. doi: 10.3322/caac.21492
[3]	IARC. China Source: Globocan 2020 [EB/OL]. （2021-03-01）[2022-05-25]. https://gco.iarc.fr/today/data/factsheets/populations/160-china-fact-sheets.pdf.
[4]	闫贻忠,李述刚,刘佳铭,等. 2009年中国肿瘤疾病负担和城乡差异分析[J]. 中华肿瘤防治杂志,2016,23(5):279-282.
[5]	Fitzmaurice C,Allen C,Barber R M,et al. Global,regional and national cancer incidence,mortality,years of life lost,years lived with disability,and disability-adiusted life-years for 32 cancer groups,1990 to 2015:A systematic analysis for the global burden of disease study[J]. Jama Oncolo,2017(34):524-528.
[6]	Zeng H,Zheng R,Guo Y,et al. Cancer survival in China,2003-2005:a population-basedstudy[J]. Int J Cancer,2015,136(8):1921-1930. doi: 10.1002/ijc.29227
[7]	中华人民共和国国家卫生健康委员会宣传司. 国家卫生健康委员会2021年4月27日例行新闻发布会文字实录[EB/OL]. （2021-04-29）[2021-06-11]. http://www.nhc.gov.cn/.
[8]	北京协和医院世界卫生组织国际分类家族合作中心. 疾病和有关健康问题的国际统计分类（ICD-10）[M]. 2版. 北京: 人民卫生出版社, 2008: 307-321.
[9]	中国疾病预防控制中心慢性病非传染性疾病预防控制中心. 人口死因监测工作指导手册[M]. 北京: 中国人口出版社, 2017: 120-152.
[10]	World Health Organization. The social determinants of health[EB/OL]. （2020-10-20）[2021-6-13]. https://www.who.int/social_determinants/themes/zh.
[11]	国家乡村振兴局. 全国832个贫困县名单[EB/OL]. （2014-12-23）[2021-06-08]. http://www.cpad.gov.cn/ art/2014/12/23/art_343_981.html.
[12]	陈辞. 云南深度贫困地区精准扶贫和精准脱贫:多维约束、机制创新及对策建议[J]. 创造,2019,27(1):37-43.
[13]	刘怀,李燕娴,王勇,等. 肿瘤临床试验总生存时间的替代终点研究进展[J]. 肿瘤药学,2017,7(2):129-134. doi: 10.3969/j.issn.2095-1264.2017.02.01
[14]	Zeng H,Chen W,Zheng R,et al. Changing cancer survival in China during 2003-15:a pooled analysis of 17 population-based cancer registries[J]. Lancet Glob Health,2018,6(5):e555-e567. doi: 10.1016/S2214-109X(18)30127-X
[15]	岳文,宫献升,李兆军,等. 高密市2004-2012年恶性肿瘤死亡变化趋势分析[J]. 中华肿瘤防治杂志,2014,21(23):1856-1861.
[16]	孙可欣,郑荣寿,张思维,等. 2015年中国分地区恶性肿瘤发病和死亡分析[J]. 中国肿瘤,2019,28(1):1-11.
[17]	World Cancer Research Fund. Cancer Trend-Cancer survival statistics[EB/OL]. （2020-07-01）[2022-1-4]. https://www.wcrf.org/dietandcancer/cancer-survival-statistics/.
[18]	Sun D,Li H,Cao M,et al. Cancer burden in China:trends,risk factors and prevention[J]. Cancer Biol Med,2020,17(4):879-895. doi: 10.20892/j.issn.2095-3941.2020.0387
[19]	袁平,周衍,江惠娟,等. 福建省住院病例恶性肿瘤发病年龄变化分析[J]. 中国预防医学杂志,2020,21(8):864-867.
[20]	刘本刚,张帆,王建军,等. 消化系统恶性肿瘤患者的生存时间以及相关因素的研究[J]. 实用预防医学,2016,23(9):1107-1109. doi: 10.3969/j.issn.1006-3110.2016.09.026
[21]	Siemerink,Hospers,Mulder,et al. Disparities in survival of stomach cancer among different socioeconomic groups in North-East Netherlands[J]. Cancer Epidemiol,2011,35(5):413-416. doi: 10.1016/j.canep.2011.02.015
[22]	Gorey,Luginaah,Holowaty,et al. Mediation of the effects of living in extremely poor neighborhoods by health insurance:breast cancer care and survival in California,1996 to 2011[J]. Int J Equity Health,2013,12:6. doi: 10.1186/1475-9276-12-6
[23]	刘梅,李灵清,普世传. 2018年云南省居民健康素养水平及影响因素分析[J]. 中国公共卫生,2020,36(8):1242-1246.
[24]	陈敏霞,花莲英,寇琳,等. 配偶同步正念减压疗法对妇科恶性肿瘤患者情感及心理痛苦的影响[J]. 护理实践与研究,2018,15(5):74-76. doi: 10.3969/j.issn.1672-9676.2018.05.032
[25]	马文峰. “直过民族”如期实现小康对策[J]. 云南社会科学,2017(6):64-68.
[26]	云南省乡村振兴局. “直过民族”[EB/OL]. （2021-01-28）[2021-6-13]. http://ynfp.yn.gov.cn/.

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