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Economics

机译：经济学

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To characterize health burden and determine the associated level of equality of laryngeal carcinoma (LC) burden at a global level. One hundred eighty-four countries were organized by socioeconomic status using the Human Development Index. Disability-adjusted life years (DALYs), were calculated and compared between each HD1 category for the period from 1990 to 2015. Equality of LC burden was then evaluated with concentration indices. We found that Global LC burden, as measured by age-standardized DALYs, has improved significantly over the 25-year period studied. This burden has declined for very high, high, and medium HDI countries, whereas it has remained unchanged for low HDI countries. The majority of LC global burden was found in high socioeconomic countries before 2010 and has shifted toward low socioeconomic countries. Over the last 25 years, Central and Eastern Europe continue to have the largest disease burden in the world. This is the first analysis that we are aware of investigating health disparities of LC at a global level. The global burden of the disease has declined, which is a trend corresponding with significantly reduced smoking behaviors in developed countries. Although the global inequality gap decreased between 2010 and 2015, there remain reasons for concern. Smoking continues to trend upward in low socioeconomic countries, which could increase LC burden in low socioeconomic countries.
机译：在全球范围内表征健康负担并确定相关的喉癌（LC）负担平等程度。使用人类发展指数按社会经济地位组织了184个国家。计算并比较了1990年至2015年期间各个HD1类别的残疾调整生命年（DALYs）。然后，通过集中指数评估LC负担的均等性。我们发现，以年龄标准化的DALYs衡量的全球LC负担在研究的25年期间已显着改善。对于HDI高，中和高的国家，这种负担有所减轻，而对于HDI较低的国家，这种负担却保持不变。 LC的大部分全球负担是在2010年之前在社会经济高度发达的国家发现的，并且已经转移到社会经济较低的国家。在过去的25年中，中欧和东欧仍然是世界上最大的疾病负担。这是我们意识到要在全球范围内调查LC的健康差异的第一项分析。该疾病的全球负担有所减少，这是与发达国家吸烟行为显着减少相对应的趋势。尽管2010年至2015年之间全球不平等差距有所缩小，但仍有令人担忧的原因。低社会经济国家的吸烟继续呈上升趋势，这可能会增加低社会经济国家的LC负担。

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    《Michigan Academician》 |2019年第1期|40-45|共6页
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