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JCR 2016
جستجوی مقالات
چهارشنبه 19 آذر 1404
Iranian Journal of Public Health
، جلد ۵۱، شماره ۲، صفحات ۴۳۸-۴۴۹
عنوان فارسی
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عنوان انگلیسی
The Impact of Cancer Incidence on Catastrophic Health Ex-penditure in Iran with a Bayesian Spatio-Temporal Analysis
چکیده انگلیسی مقاله
Background: We investigated the impact of cancer incidence on CHE in Iran by considering spatial variation across provinces as well as temporal trends. Methods: Data from Household Income-Expenditure Survey were merged with cancer incidence rates during 2011-2016. We developed a Bayesian hierarchical model to explore the spatial and temporal patterns of CHE and its associated factors at provincial level. We used a Besag-York-Mollie2 prior and a random walk prior for spatial and temporal random effects respectively. All statistical analysis was carried out in R software. Results: All-type cancer incidence (OR per SD (95% CrI) = 1.16 (1.02, 1.32)), unemployment rate (1.08 (1.01, 1.15)) and income equity (0.88 (0.81, 0.97)) have important association with CHE. Percentage of urbanization and percentage of poverty were not statistically significant. Conclusion: The results suggest the development of new policies to protect cancer patients against financial hardship, narrow the gap in income inequality and solve the problem of high unemployment rate to reduce the level of CHE at provincial level.
کلیدواژههای انگلیسی مقاله
نویسندگان مقاله
| Nazanin Fekri
Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| Mahboubeh Parsaeian
Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| Abolghasem Pourreza
Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| Ben Swallow
School of Mathematics and Statistics, University of Glasgow, Glasgow, UK
| Aminreza Amini
Department of Biostatistics, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| Abbas Rahimi Foroushani
Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
نشانی اینترنتی
https://ijph.tums.ac.ir/index.php/ijph/article/view/21637
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