中山醫學大學機構典藏 CSMUIR:Item 310902500/23467
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    题名: Trends of Testicular Cancer Mortality-to-Incidence Ratios in Relation to Health Expenditure: An Ecological Study of 54 Countries
    作者: Wang, SC;Chang, NW;Chen, WJ;Yang, MH;Chen, SL;Sung, WW
    关键词: testicular neoplasms;mortality;incidence;health expenditures
    日期: 2021
    上传时间: 2022-08-05T09:37:47Z (UTC)
    出版者: MDPI
    摘要: Favorable testicular cancer mortality-to-incidence ratios (MIRs) are associated with health care disparities, including health care expenditures, but the trends of testicular MIR and health care disparity remain unclear. We evaluated changes in MIR as the difference between 2012 and 2018, termed delta MIR (delta MIR). Health care expenditures and the human development index (HDI) were obtained from the World Health Organization and the Human Development Report Office of the United Nations Development Programme. The association between the variables was analyzed by Spearman's rank correlation coefficient. A total of 54 countries were included in the criteria of data quality reports and missing data. By continent, the most favorable MIR was in Oceania (0.03) while it was 0.36 in Africa. In these areas, the incidence rates were positively correlated to health care expenditure, but the mortality rates showed a reversed correlation. The MIR ranged from 0.01 to 0.34 and the delta MIR ranged from -0.05 to 0.34. The favorable MIRs are correlated to high health care expenditure and HDI (all p < 0.001). Interestingly, favorable delta MIRs tend to be seen in countries with relatively low health care expenditure and HDI (all p < 0.001). In conclusion, favorable testicular cancer MIRs are associated with high HDI and health care expenditure, but the improvement in MIR between 2012 and 2018 (delta MIR) is negatively correlated with HDI and health care expenditure.
    URI: http://dx.doi.org/10.3390/ijerph18041546
    https://www.webofscience.com/wos/woscc/full-record/WOS:000623568300001
    https://ir.csmu.edu.tw:8080/handle/310902500/23467
    關聯: INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH ,2021,v18,issue 4
    显示于类别:[中山醫學大學研究成果] 期刊論文

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