Examining associations between oral cancer mortality and economic development of 13 European countries: an ecological and correlational study
Abstract Background Cancer is a significant public health issue all over the world. The diagnosis, treatment and follow-up of cancer patients are a huge health, economic and social burden for societies. The link between the state of health of a country and its economic performance has been proven by...
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2025-01-01
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| Online Access: | https://doi.org/10.1186/s12903-024-05134-4 |
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| author | Klára Boruzs Eszter Barbara Bán Viktor Dombrádi Gábor Bányai Gergő József Szőllősi Klára Bíró |
| author_facet | Klára Boruzs Eszter Barbara Bán Viktor Dombrádi Gábor Bányai Gergő József Szőllősi Klára Bíró |
| author_sort | Klára Boruzs |
| collection | DOAJ |
| description | Abstract Background Cancer is a significant public health issue all over the world. The diagnosis, treatment and follow-up of cancer patients are a huge health, economic and social burden for societies. The link between the state of health of a country and its economic performance has been proven by numerous studies. The aim of this study was to examine the age-standardized death rate of oral cancer in relation to the economic development of 13 European countries. Methods Aggregated data were collected from the European Health for All (HFA-DB) database until 2019 and analysed using second degree polynomial functions and correlation analyses, followed by time-series analysis involving vector autoregressive models. Results We found that in 10 of the 13 surveyed countries, the age-standardized death rate of oral cancer initially increased with GDP growth and then showed a downward trend above a certain level of economic development. Austria had a weak but significant positive effect with the second lag of GDP, Hungary had a significant negative effect with the first lag of GDP, and Italy had a significant negative effect with the second lag of GDP. In most cases, both the first and second lags of GDP changes were not statistically significant, indicating that short-term fluctuations in GDP do not directly influence changes in oral cancer mortality rates. Overall, while there are clear long-term associations between GDP and oral cancer mortality rates, the immediate causal effects of GDP changes on mortality rates are limited, suggesting that other factors and longer-term dynamics could play a more crucial role in this relationship. Conclusions An increase in a country’s economic development alone does not guarantee a decrease in the number of oral cancer patients. Therefore, in order to reduce the number of cases of oral cancer, strengthening education and prevention are essential. |
| format | Article |
| id | doaj-art-4a98084a253b4da29adbd8e17cb76be0 |
| institution | Kabale University |
| issn | 1472-6831 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Oral Health |
| spelling | doaj-art-4a98084a253b4da29adbd8e17cb76be02025-01-12T12:42:16ZengBMCBMC Oral Health1472-68312025-01-0125111110.1186/s12903-024-05134-4Examining associations between oral cancer mortality and economic development of 13 European countries: an ecological and correlational studyKlára Boruzs0Eszter Barbara Bán1Viktor Dombrádi2Gábor Bányai3Gergő József Szőllősi4Klára Bíró5Institute of Health Economics and Management, Faculty of Economicsand Business, University of DebrecenOro-Maxillofacial Surgery and Stomatology Clinic, Health Care Service Units, Clinics University of Debrecen Clinical Center, University of DebrecenInstitute of Health Economics and Management, Faculty of Economicsand Business, University of DebrecenInstitute of Health Economics and Management, Faculty of Economicsand Business, University of DebrecenCoordination Center for Research in Social Sciences, Faculty of Economics and Business, University of DebrecenInstitute of Health Economics and Management, Faculty of Economicsand Business, University of DebrecenAbstract Background Cancer is a significant public health issue all over the world. The diagnosis, treatment and follow-up of cancer patients are a huge health, economic and social burden for societies. The link between the state of health of a country and its economic performance has been proven by numerous studies. The aim of this study was to examine the age-standardized death rate of oral cancer in relation to the economic development of 13 European countries. Methods Aggregated data were collected from the European Health for All (HFA-DB) database until 2019 and analysed using second degree polynomial functions and correlation analyses, followed by time-series analysis involving vector autoregressive models. Results We found that in 10 of the 13 surveyed countries, the age-standardized death rate of oral cancer initially increased with GDP growth and then showed a downward trend above a certain level of economic development. Austria had a weak but significant positive effect with the second lag of GDP, Hungary had a significant negative effect with the first lag of GDP, and Italy had a significant negative effect with the second lag of GDP. In most cases, both the first and second lags of GDP changes were not statistically significant, indicating that short-term fluctuations in GDP do not directly influence changes in oral cancer mortality rates. Overall, while there are clear long-term associations between GDP and oral cancer mortality rates, the immediate causal effects of GDP changes on mortality rates are limited, suggesting that other factors and longer-term dynamics could play a more crucial role in this relationship. Conclusions An increase in a country’s economic development alone does not guarantee a decrease in the number of oral cancer patients. Therefore, in order to reduce the number of cases of oral cancer, strengthening education and prevention are essential.https://doi.org/10.1186/s12903-024-05134-4Oral healthOral cancerGDPEconomic developmentOral cancer prevalence |
| spellingShingle | Klára Boruzs Eszter Barbara Bán Viktor Dombrádi Gábor Bányai Gergő József Szőllősi Klára Bíró Examining associations between oral cancer mortality and economic development of 13 European countries: an ecological and correlational study BMC Oral Health Oral health Oral cancer GDP Economic development Oral cancer prevalence |
| title | Examining associations between oral cancer mortality and economic development of 13 European countries: an ecological and correlational study |
| title_full | Examining associations between oral cancer mortality and economic development of 13 European countries: an ecological and correlational study |
| title_fullStr | Examining associations between oral cancer mortality and economic development of 13 European countries: an ecological and correlational study |
| title_full_unstemmed | Examining associations between oral cancer mortality and economic development of 13 European countries: an ecological and correlational study |
| title_short | Examining associations between oral cancer mortality and economic development of 13 European countries: an ecological and correlational study |
| title_sort | examining associations between oral cancer mortality and economic development of 13 european countries an ecological and correlational study |
| topic | Oral health Oral cancer GDP Economic development Oral cancer prevalence |
| url | https://doi.org/10.1186/s12903-024-05134-4 |
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