Accepted for/Published in: JMIR Public Health and Surveillance
Date Submitted: Jul 7, 2020
Date Accepted: Mar 19, 2021
Burden of cervical cancer in the Eastern Mediterranean Region: Retrospective data analysis from the Global Burden of Disease Study during 2000 and 2017 in 22 countries
ABSTRACT
Background:
Cervical cancer is a growing problem, especially in resource-limited settings. The Eastern Mediterranean Region (EMR) consists of 22 countries in the Middle East, North Africa, the Horn of Africa and Central Asia with some of the greatest inequalities within countries and between countries in the world.
Objective:
The objective of this study is to assess the burden of cervical cancer mortality and Disability Adjusted Life Years (DALYs) in countries of the EMR using a pooled data analysis approach.
Methods:
We used a register-based ecological approach at country level. This included linking three publicly available databases from i) Global Burden of Disease (GBD) study 2000 and 2017; ii) Categorization of EMR countries according to the World Bank national income GDP per capita and iii) the age specific population data from the Population Statistics Division of the United Nations (20-29, 30-49 and >50). Then we organized the mortality and DALYs numbers and rates per country, GDP income level and globally.
Results:
Although the number of deaths due to cervical cancer has increased in 2017 (8,537) comparing to 2000 (6,326) in the EMR, mortality rate due to this disease has decreased between 2000 (2.7 per 100,000) and 2017 (2.5 per 100,000). Cervical cancer mortality and DALYs rates in EMR were lower than the global rates whereas the number of deaths and DALYs were higher than Global ones.
Conclusions:
We found an increase in the burden of cervical cancer in EMR. Yet this is a preventable disease due to the HPV vaccination and early screening. Therefore, we recommend identifying the effective interventions to reduce the burden of this growing disease.
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