Socioeconomic indicators and economic investments influence oral cancer mortality in Latin America.

Publisher: BioMed Central Country of Publication: England NLM ID: 100968562 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2458 (Electronic) Linking ISSN: 14712458 NLM ISO Abbreviation: BMC Public Health Subsets: MEDLINE

Original Publication: London : BioMed Central, [2001-

Mouth Neoplasms*/epidemiology; Cross-Sectional Studies ; Female ; Gross Domestic Product ; Humans ; Latin America/epidemiology ; Male ; Middle Aged ; Mortality ; Socioeconomic Factors

Background: It is necessary to recognize the influence of socioeconomic factors on oral cancer indicators in Latin American countries. This study aimed to analyze the influence of socioeconomic indicators and economical investments on oral cancer mortality rates in Latin American countries.
Methods: This cross-sectional study considered the age-standardized mortality rate (ASR) of oral cancer within the period 2000-2015. The oral cancer mortality rate (for both sexes and age groups 40-59 and 60 years old or more), socioeconomic aspects (Gini Inequality Index, unemployment rate and Gross Domestic Product (GDP) per capita) and investments in different sectors (%GDP invested in health per capita and by the government, %GDP invested in education by the government and %GDP invested in research and development) were considered. Tweedie multivariate regression was used to estimate the effect of independent variables on the mortality rate of oral cancer, considering p < 0.05.
Results: This study showed that being male and aged 60 or over (PR = 14.7) was associated with higher mortality rate for oral cancer. In addition, greater inequality (PR = 1.05), higher health expenditure per capita (PR =1.09) and greater investment in research and development (PR = 1.81) were associated with a higher mortality rate from oral cancer.
Conclusion: Socioeconomic factors and economical investments influence the mortality rate of oral cancer in Latin American countries. This emphasizes oral cancer is a socioeconomic-mediated disease.

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Keywords: Latin America; Mortality; Oral cancer; Socioeconomic factors

Date Created: 20210219 Date Completed: 20210520 Latest Revision: 20231110

20240829

PMC7890605

10.1186/s12889-021-10419-2

33602161