Breast Cancer in Iran: levels, Variations and Correlates

Background and Objectives: As the most common neoplasm among females and the second most common cancer globally, breast cancer imposes enormous costs on health systems. This study aims to estimate levels of breast cancer in Iran and provinces, and examine correlates of incidence of breast cancer, fo...

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Main Authors: Kambiz Abachizadeh, Abdorreza Moradi-Kouchi, Ali Ghanbari-Motlagh, Ahmad Kousha, Reza Shekarriz-Foumani, Amir Erfani
Format: Article
Language:fas
Published: Shahid Beheshti University of Medical Sciences 2018-04-01
Series:Salāmat-i ijtimā̒ī
Subjects:
Online Access:http://journals.sbmu.ac.ir/en-ch/article/view/21174
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author Kambiz Abachizadeh
Abdorreza Moradi-Kouchi
Ali Ghanbari-Motlagh
Ahmad Kousha
Reza Shekarriz-Foumani
Amir Erfani
author_facet Kambiz Abachizadeh
Abdorreza Moradi-Kouchi
Ali Ghanbari-Motlagh
Ahmad Kousha
Reza Shekarriz-Foumani
Amir Erfani
author_sort Kambiz Abachizadeh
collection DOAJ
description Background and Objectives: As the most common neoplasm among females and the second most common cancer globally, breast cancer imposes enormous costs on health systems. This study aims to estimate levels of breast cancer in Iran and provinces, and examine correlates of incidence of breast cancer, focusing on place of residence, using the most recent nationally available data. Material and Methods: This study is based on a total of 8333 breast cancer cases (259 males and 8074 females) registered by Iran Cancer Registration System during a Persian year (March 21th 2009 through March 20th 2010). Complementary demographic data about the study population was obtained from the 2011 National Census, conducted by Iranian Statistical Center. The Age-Standardized Rate (ASR) of breast cancer was estimated for the overall population, the capital city of provinces, large metropolitan areas, and four categories of provinces located in the north, south, east, west, and center of Iran. Results: Only 3.1% of total 8333 breast cancer patients were men. The mean (SD) age of female and male participants were, respectively, 50.5(12.7) and 56.5 (15.4). The rate of breast cancer for the country was estimated at 33.1 cancers per 100,000 population, and the estimated rates for men and women was are respectively 24.6 and 0.82 per 100,000 population. The incidence of breast cancer in Iran varies from 15 cancers per 100,000 population in urban areas to 34.6 cancers in large metropolitan areas. Also, the estimated rate of breast cancers ranged from 18.1, 19.1 and 19.7 cancers in the west, north, and east of the country, respectively, to 29.3 and 29.7 cancers per 100,000 population in southern and central provinces of Iran. With rising the level of urbanization of provinces, the estimated rate of breast cancer increased (r=0.71, P<0.001). Conclusion: Given the strong correlation between the incidence of breast cancer and urbanization, especial preventative and screening health programs need to be designed and implemented in urban areas to detect suspected cases of breast cancer.
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spelling doaj.art-159290b16e1146049b3c89487ff3ea552022-12-21T23:28:08ZfasShahid Beheshti University of Medical SciencesSalāmat-i ijtimā̒ī2383-30332423-47022018-04-0151112110401Breast Cancer in Iran: levels, Variations and CorrelatesKambiz Abachizadeh0Abdorreza Moradi-Kouchi1Ali Ghanbari-Motlagh2Ahmad Kousha3Reza Shekarriz-Foumani4Amir Erfani5Associate Professor of Community Medicine, Social Determinants of Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, IranMedical Doctor, Tehran, IranAssistant Professor of Oncology, Cancer Research Center, Shahid Beheshti University of Medical Sciences, Tehran, IranAssociate Professor of Community Medicine, Social Determinants of Health Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.Assistant Professor of Community Medicine, Social Determinants of Health Center, Shahid Beheshti University of Medical Sciences, Tehran, IranProfessor of Sociology, Department of Sociology & Anthropology, Nipissing University, Ontario, CanadaBackground and Objectives: As the most common neoplasm among females and the second most common cancer globally, breast cancer imposes enormous costs on health systems. This study aims to estimate levels of breast cancer in Iran and provinces, and examine correlates of incidence of breast cancer, focusing on place of residence, using the most recent nationally available data. Material and Methods: This study is based on a total of 8333 breast cancer cases (259 males and 8074 females) registered by Iran Cancer Registration System during a Persian year (March 21th 2009 through March 20th 2010). Complementary demographic data about the study population was obtained from the 2011 National Census, conducted by Iranian Statistical Center. The Age-Standardized Rate (ASR) of breast cancer was estimated for the overall population, the capital city of provinces, large metropolitan areas, and four categories of provinces located in the north, south, east, west, and center of Iran. Results: Only 3.1% of total 8333 breast cancer patients were men. The mean (SD) age of female and male participants were, respectively, 50.5(12.7) and 56.5 (15.4). The rate of breast cancer for the country was estimated at 33.1 cancers per 100,000 population, and the estimated rates for men and women was are respectively 24.6 and 0.82 per 100,000 population. The incidence of breast cancer in Iran varies from 15 cancers per 100,000 population in urban areas to 34.6 cancers in large metropolitan areas. Also, the estimated rate of breast cancers ranged from 18.1, 19.1 and 19.7 cancers in the west, north, and east of the country, respectively, to 29.3 and 29.7 cancers per 100,000 population in southern and central provinces of Iran. With rising the level of urbanization of provinces, the estimated rate of breast cancer increased (r=0.71, P<0.001). Conclusion: Given the strong correlation between the incidence of breast cancer and urbanization, especial preventative and screening health programs need to be designed and implemented in urban areas to detect suspected cases of breast cancer.http://journals.sbmu.ac.ir/en-ch/article/view/21174Breast neoplasms, Incidence, Iran, Registration, Urbanization
spellingShingle Kambiz Abachizadeh
Abdorreza Moradi-Kouchi
Ali Ghanbari-Motlagh
Ahmad Kousha
Reza Shekarriz-Foumani
Amir Erfani
Breast Cancer in Iran: levels, Variations and Correlates
Salāmat-i ijtimā̒ī
Breast neoplasms, Incidence, Iran, Registration, Urbanization
title Breast Cancer in Iran: levels, Variations and Correlates
title_full Breast Cancer in Iran: levels, Variations and Correlates
title_fullStr Breast Cancer in Iran: levels, Variations and Correlates
title_full_unstemmed Breast Cancer in Iran: levels, Variations and Correlates
title_short Breast Cancer in Iran: levels, Variations and Correlates
title_sort breast cancer in iran levels variations and correlates
topic Breast neoplasms, Incidence, Iran, Registration, Urbanization
url http://journals.sbmu.ac.ir/en-ch/article/view/21174
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AT ahmadkousha breastcanceriniranlevelsvariationsandcorrelates
AT rezashekarrizfoumani breastcanceriniranlevelsvariationsandcorrelates
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