Evidence map›Paper›PMID 40999424›Full record

ArticleBMC women's health2025

Global socioeconomic inequalities in breast, cervical, ovarian, and uterine cancers incidence, mortality, disability-adjusted life year's rates: a relative concentration index analysis.

Amir Mohammad Salehi, Fatemeh Shahbazi, Reza Garavand, Sima Kamkari, Ensiyeh Jenabi

Abstract read
In one paragraph

Article in BMC women's health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Amir Mohammad SalehiStudent Research Committee, Hamadan University of Medical Science, Hamadan, Iran.ORCID 0000-0002-1724-6432
Fatemeh ShahbaziDepartment of Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran. shahbazif2017@gmail.com.ORCID 0000-0003-2320-4885
Reza GaravandStudent Research Committee, Hamadan University of Medical Science, Hamadan, Iran.ORCID 0009-0003-7608-348X
Sima KamkariClinical Research Development Unit of Fatemieh Hospital, Hamadan University of Medical Sciences, Hamadan, Iran.ORCID 0000-0001-9205-5153
Ensiyeh JenabiMother and Child Care Research Center, Hamadan University of Medical Sciences, Hamadan, Iran.ORCID 0000-0002-4536-0814

Funding

National Institute for Medical Research Development 4020662
6 · The paper itself

Abstract

backgroundsThis study examined the impact of the Human Development Index (HDI) on the incidence, mortality, and disability-adjusted life-year (DALY) rates of breast and gynecologic cancers in women worldwide.

methodsWe obtained the 2021 cancer rates by country from the Global Burden of Disease website. Using relative concentration indices and concentration curves, we measured socioeconomic inequality in the mortality, incidence, and DALY rates of these four cancers. We also grouped countries based on their socioeconomic status as measured by the Human Development Index.

resultsThe incidence, mortality, and DALY rates of uterine and ovarian cancer show higher values in countries with higher levels of HDI (all concentration indices were significantly higher than zero). On the other hand, the incidence, mortality and DALY rates of cervical cancer were more concentrated in countries with lower levels of HDI (all concentration indices were significantly less than zero). No socioeconomic inequality was observed in breast cancer mortality (RCI = 0, 95% confidence interval (CI) = -0.03 to 0.04), there was no significant inequality in breast cancer DALY rates (RCI = 0.02, 95% CI: -0.02 to 0.06), and only breast cancer incidence was significantly concentrated in countries with a high HDI (RCI = 0.09, 95% CI: 0.06 to 0.13).

conclusionOur study showed that socioeconomic inequalities exist in the distribution of mortality and morbidity from breast and gynecological cancers. Health care policies and facilities to reduce socioeconomic inequalities should focus on areas of high burden.

Indexed as

Breast NeoplasmsDisability-Adjusted Life YearsGlobal HealthHealth Status DisparitiesOvarian NeoplasmsUterine Cervical NeoplasmsUterine NeoplasmsFemaleGlobal Burden of DiseaseHumansIncidenceSocial ClassSocioeconomic FactorsBreast cancerCervical cancerHuman development indexInequalityOvarian cancerUterine cancer

Identifiers

PMID40999424
PMCPMC12465726

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.