Sex disparities of vaccine-preventable cancer mortality in Latin America.
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| Název: | Sex disparities of vaccine-preventable cancer mortality in Latin America. |
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| Autoři: | Irene Parellada C; Outcomes Research, MSD Brazil, São Paulo, Brazil., Siddiqui AH; Adelphi Values PROVE™, Bollington, UK., Oliver E; Adelphi Values PROVE™, Bollington, UK., Hughes R; Adelphi Values PROVE™, Bollington, UK., Meiwald A; Adelphi Values PROVE™, Bollington, UK., Orengo JC; Outcomes Research, MSD (IA) LLC, Guaynabo, Puerto Rico., Eiden A; Outcomes Research, Merck & Co., Inc., Rahway, New Jersey, USA., Bencina G; Outcomes Research, Value & Implementation, MSD Spain, Madrid, Spain. |
| Zdroj: | Journal of medical economics [J Med Econ] 2025 Dec; Vol. 28 (1), pp. 2071-2081. Date of Electronic Publication: 2025 Nov 26. |
| Způsob vydávání: | Journal Article |
| Jazyk: | English |
| Informace o časopise: | Publisher: Taylor & Francis Country of Publication: England NLM ID: 9892255 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1941-837X (Electronic) Linking ISSN: 13696998 NLM ISO Abbreviation: J Med Econ Subsets: MEDLINE |
| Imprint Name(s): | Publication: 2015- : Abingdon, Oxford : Taylor & Francis Original Publication: Richmond, Surrey : Brookwood Medical, 1998- |
| Výrazy ze slovníku MeSH: | Papillomavirus Vaccines*/administration & dosage , Papillomavirus Vaccines*/economics , Papillomavirus Infections*/prevention & control , Papillomavirus Infections*/mortality , Neoplasms*/mortality , Neoplasms*/prevention & control, Humans ; Latin America/epidemiology ; Male ; Female ; Adult ; Sex Factors ; Middle Aged ; Uterine Cervical Neoplasms/mortality ; Uterine Cervical Neoplasms/prevention & control ; Hepatitis B/prevention & control ; Hepatitis B/complications ; Hepatitis B Vaccines/administration & dosage ; Aged |
| Abstrakt: | Objective: This analysis estimated productivity losses and assessed sex disparities due to vaccine-preventable cancer deaths from hepatitis B virus (HBV) and human papillomavirus (HPV) in Latin America. Methods: The number of deaths and years of life lost (YLL) for 19 Latin American countries were sourced from the Institute for Health Metrics and Evaluation Global Burden of Disease (2019) for cervical, oral cavity, laryngeal, oropharyngeal, and HBV-related hepatic cancers. Attributable fractions were applied to estimate HPV-related mortality. The value of YLL (VYLL) was estimated using country-specific GDP per capita and discounted at 3%. Sensitivity and scenario analyses were conducted. Results: In 2019, 38,786 vaccine-preventable cancer deaths resulted in over 1.1 million YLL and $5.9 billion VYLL across Latin America. Cervical cancer accounted for 81.6% of deaths and $4.9 billion in VYLL, with females representing 87.0% of the total VYLL. For males, hepatic cancer was the highest VYLL at $295 million and oral cavity the lowest ($94 million). AYLL was higher in females (30 years) than males (27 years). Conclusions: HBV- and HPV-related cancers impose a significant economic and mortality burden in Latin America, with marked sex disparities. Cervical cancer remains the dominant contributor among females, while males are disproportionately affected by head and neck and hepatic cancers. These findings underscore the need for sex-specific public health strategies, including expanded vaccination, improved screening, and timely treatment access across the region. |
| Contributed Indexing: | Keywords: HPV-associated cancers; I14; I18; Latin America; cancer mortality; hepatocellular carcinoma; prevention; vaccination |
| Substance Nomenclature: | 0 (Papillomavirus Vaccines) 0 (Hepatitis B Vaccines) |
| Entry Date(s): | Date Created: 20251126 Date Completed: 20251126 Latest Revision: 20251126 |
| Update Code: | 20251126 |
| DOI: | 10.1080/13696998.2025.2587413 |
| PMID: | 41295897 |
| Databáze: | MEDLINE |
| Abstrakt: | Objective: This analysis estimated productivity losses and assessed sex disparities due to vaccine-preventable cancer deaths from hepatitis B virus (HBV) and human papillomavirus (HPV) in Latin America.<br />Methods: The number of deaths and years of life lost (YLL) for 19 Latin American countries were sourced from the Institute for Health Metrics and Evaluation Global Burden of Disease (2019) for cervical, oral cavity, laryngeal, oropharyngeal, and HBV-related hepatic cancers. Attributable fractions were applied to estimate HPV-related mortality. The value of YLL (VYLL) was estimated using country-specific GDP per capita and discounted at 3%. Sensitivity and scenario analyses were conducted.<br />Results: In 2019, 38,786 vaccine-preventable cancer deaths resulted in over 1.1 million YLL and $5.9 billion VYLL across Latin America. Cervical cancer accounted for 81.6% of deaths and $4.9 billion in VYLL, with females representing 87.0% of the total VYLL. For males, hepatic cancer was the highest VYLL at $295 million and oral cavity the lowest ($94 million). AYLL was higher in females (30 years) than males (27 years).<br />Conclusions: HBV- and HPV-related cancers impose a significant economic and mortality burden in Latin America, with marked sex disparities. Cervical cancer remains the dominant contributor among females, while males are disproportionately affected by head and neck and hepatic cancers. These findings underscore the need for sex-specific public health strategies, including expanded vaccination, improved screening, and timely treatment access across the region. |
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| ISSN: | 1941-837X |
| DOI: | 10.1080/13696998.2025.2587413 |
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