| Abstract [eng] |
Substantiation: Despite declining morbidity and mortality rates, gastric cancer is identified as one of the diseases causing the greatest burden in Lithuania. Many risk factors for gastric cancer are associated with socioeconomic inequalities. It is important to assess the prevalence of this disease in groups of people with different educational backgrounds and to plan strategies to improve the indicators accordingly. The aim of the study: To describe the incidence of gastric cancer, mortality from it and survival among the Lithuanian population with different education. Tasks of the study: 1. To evaluate the differences in the incidence of gastric cancer among the Lithuanian population with different education. 2. To describe the differences in mortality from gastric cancer in Lithuania by education. 3. To determine the differences in survival from gastric cancer among people with different education in Lithuania. Methodology: data from the Lithuanian Cancer Registry, Lithuanian Department of Statistics, were used to assess morbidity, mortality and survival after gastric cancer. Standardized gastric cancer morbidity and mortality rates were calculated using a global population standard. Morbidity and mortality trends were assessed using the Joinpoint regression analysis program. The study analyzed the perennial dynamics of the disease, the distribution of morbidity, mortality and survival in groups of individuals with different education. Research results: Assessing the gastric cancer incidence standardized according to the world standard, statistically significant reductions in the incidence of on average -0.75 % were observed in a low education group and -1.86 percent reduction in a higher education group. There was a statistically insignificant increase in morbidity of on average 0.71%, observed among secondary education. Mortality from gastric cancer increased 1.3-fold in the low-educated group (AAP = 4.04 %), increased 1.3-fold in the secondary-educated group (AAP = 3.62 %), and decreased 0.75-fold in the highly educated group group (AAP = -3.48%). Survival rates for gastric cancer are highest in the low-educated population. Conclusions: The highest morbidity and mortality rates and the lowest survival rates were observed in the highly educated group. This can be attributed to the prevalence of risk factors. Keywords: gastric cancer, epidemiology, education, survival, morbidity, mortality. |
