About: 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

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About: 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 Goto Sponge NotDistinct Permalink

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Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
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
Creator	Yang, Yi Chen, Yuetong Shan, Baoen Wang, Guiying Wen, Denggui Wen, Xiaoduo
source	Elsevier; Medline; PMC
abstract	BACKGROUND: Globally China has the largest urban-rural disparity in socioeconomic development, and the urban-rural difference in upper gastrointestinal cancer (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 Helicobacter pylori 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 gallbladder cancers and leukemia in both sexes and breast, ovary, thyroid, and kidney cancer 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: 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.
has issue date	2017-11-21(xsd:dateTime)
bibo:doi	10.1016/j.aogh.2017.09.004
bibo:pmid	29221517
has license	no-cc
sha1sum (hex)	0eb47b7ae70c3436d61e56125e4b06e435075a81
schema:url	https://doi.org/10.1016/j.aogh.2017.09.004
resource representing a document's 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
has PubMed Central identifier	PMC7185469
has PubMed identifier	29221517
schema:publication	Ann Glob Health
resource representing a document's body	covid:0eb47b7ae70c3436d61e56125e4b06e435075a81#body_text
is schema:about of	named entity 'PARALLEL' named entity 'ENDEMIC' named entity 'DEVELOPMENT' named entity 'RURAL' named entity 'GASTROINTESTINAL CANCER' named entity 'CHINA' named entity 'UPPER GASTROINTESTINAL' named entity 'HELICOBACTER PYLORI INFECTION' named entity 'URBANIZATION' named entity 'GASTROINTESTINAL CANCER' named entity 'DECREASING' named entity 'LARGEST' named entity 'RELATED' named entity 'URBAN' named entity 'AREA' named entity 'TREND' named entity 'DISPARITY' named entity 'SOCIOECONOMIC' named entity 'RURAL' named entity 'DEVELOPMENT' named entity 'DEVELOPING COUNTRIES' named entity 'SOCIOECONOMIC' named entity 'UPPER GASTROINTESTINAL' named entity 'SIMILAR' named entity 'DIFFERENCE' named entity 'CHINA' named entity 'DISPARITY' named entity 'URBAN' covid:arg/0eb47b7ae70c3436d61e56125e4b06e435075a81 named entity 'gastrointestinal cancer' named entity 'Helicobacter Pylori' named entity 'Gastrointestinal Cancer' named entity 'Infection' named entity 'social determinants of health' named entity '25.0' named entity 'IARC' named entity 'stomach cancer' named entity 'ovarian cancer' named entity 'Shijiazhuang' named entity 'urbanization' named entity 'Taihang Mountain' named entity 'colorectal cancer' named entity 'pancreas' named entity 'lung cancer' named entity 'ABPC' named entity 'Shexian' named entity 'infection' named entity 'Shexian' named entity 'infection' named entity 'GDP per capita' named entity 'breast cancer' named entity 'Shijiazhuang' named entity 'water and sanitation' named entity 'DNA fingerprint' named entity 'China' named entity 'Shijiazhuang' named entity 'urbanization rate' named entity '17.1' named entity 'China' named entity 'population aging' named entity 'colorectal cancer' named entity 'animal waste' named entity 'milk' named entity 'antibiotic' named entity 'Shijiazhuang' named entity 'Shexian' named entity 'Taihang Mountain' named entity 'urban population' named entity 'urbanization' named entity 'China' named entity 'carcinogen' named entity '5.5' named entity '11.6' named entity '107.7' named entity 'CO2' named entity 'socioeconomic'

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