Socio-demographic disparities in global trends of lip and oral cavity neoplasms from 1990 to 2021

Abstract Oral cancer, the 13th most common globally, is primarily squamous cell carcinoma linked to tobacco, alcohol, and HPV. Despite advances in care, it remains a major health concern due to high mortality and its impact on quality of life. This study analyzed socio-demographic disparities in ora...

Full description

Saved in:
Bibliographic Details
Main Authors: Amr Sayed Ghanem, Ágnes Tóth, Attila Csaba Nagy
Format: Article
Language:English
Published: Nature Portfolio 2025-02-01
Series:Scientific Reports
Subjects:
Online Access:https://doi.org/10.1038/s41598-025-88684-z
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1823862353671749632
author Amr Sayed Ghanem
Ágnes Tóth
Attila Csaba Nagy
author_facet Amr Sayed Ghanem
Ágnes Tóth
Attila Csaba Nagy
author_sort Amr Sayed Ghanem
collection DOAJ
description Abstract Oral cancer, the 13th most common globally, is primarily squamous cell carcinoma linked to tobacco, alcohol, and HPV. Despite advances in care, it remains a major health concern due to high mortality and its impact on quality of life. This study analyzed socio-demographic disparities in oral cancer burden using data from 1990 to 2021. We analyzed annual incidence, mortality, and DALYs across 204 countries, using age-standardized rates and the Socio-demographic Index (SDI) to assess development-related impacts. Statistical methods included Kruskal–Wallis tests, linear regression, joinpoint regression for trends, and Exponential Smoothing for forecasts (2022–2030), with analyses conducted in STATA and Python, and p < 0.05 as significant. Incidence was highest in high SDI countries, while mortality and DALYs were highest in low and middle SDI countries (p < 0.001). From 1990 to 2021, incidence increased (AAPC: 0.5–1.0%), while mortality (APC: − 0.5%) and DALYs (APC: − 0.6%) declined in low SDI regions. Significant disparities across SDI categories (p < 0.001) showed incidence rising with socio-demographic development (R2 = 0.102, p < 0.001), with high-middle SDI regions bearing the highest mortality and DALYs. These findings highlight the need for awareness, prevention, early detection, and accessible care, especially in lower SDI regions.
format Article
id doaj-art-ed5392cf26354c8f996bbb47b05cc53b
institution Kabale University
issn 2045-2322
language English
publishDate 2025-02-01
publisher Nature Portfolio
record_format Article
series Scientific Reports
spelling doaj-art-ed5392cf26354c8f996bbb47b05cc53b2025-02-09T12:33:50ZengNature PortfolioScientific Reports2045-23222025-02-0115111210.1038/s41598-025-88684-zSocio-demographic disparities in global trends of lip and oral cavity neoplasms from 1990 to 2021Amr Sayed Ghanem0Ágnes Tóth1Attila Csaba Nagy2Department of Health Informatics, Faculty of Health Sciences, University of DebrecenDepartment of Integrative Health Sciences, Faculty of Health Sciences, University of DebrecenDepartment of Health Informatics, Faculty of Health Sciences, University of DebrecenAbstract Oral cancer, the 13th most common globally, is primarily squamous cell carcinoma linked to tobacco, alcohol, and HPV. Despite advances in care, it remains a major health concern due to high mortality and its impact on quality of life. This study analyzed socio-demographic disparities in oral cancer burden using data from 1990 to 2021. We analyzed annual incidence, mortality, and DALYs across 204 countries, using age-standardized rates and the Socio-demographic Index (SDI) to assess development-related impacts. Statistical methods included Kruskal–Wallis tests, linear regression, joinpoint regression for trends, and Exponential Smoothing for forecasts (2022–2030), with analyses conducted in STATA and Python, and p < 0.05 as significant. Incidence was highest in high SDI countries, while mortality and DALYs were highest in low and middle SDI countries (p < 0.001). From 1990 to 2021, incidence increased (AAPC: 0.5–1.0%), while mortality (APC: − 0.5%) and DALYs (APC: − 0.6%) declined in low SDI regions. Significant disparities across SDI categories (p < 0.001) showed incidence rising with socio-demographic development (R2 = 0.102, p < 0.001), with high-middle SDI regions bearing the highest mortality and DALYs. These findings highlight the need for awareness, prevention, early detection, and accessible care, especially in lower SDI regions.https://doi.org/10.1038/s41598-025-88684-zDisease burdenGlobal burden of diseaseInequalitiesSociodemographicOral cavityCancer
spellingShingle Amr Sayed Ghanem
Ágnes Tóth
Attila Csaba Nagy
Socio-demographic disparities in global trends of lip and oral cavity neoplasms from 1990 to 2021
Scientific Reports
Disease burden
Global burden of disease
Inequalities
Sociodemographic
Oral cavity
Cancer
title Socio-demographic disparities in global trends of lip and oral cavity neoplasms from 1990 to 2021
title_full Socio-demographic disparities in global trends of lip and oral cavity neoplasms from 1990 to 2021
title_fullStr Socio-demographic disparities in global trends of lip and oral cavity neoplasms from 1990 to 2021
title_full_unstemmed Socio-demographic disparities in global trends of lip and oral cavity neoplasms from 1990 to 2021
title_short Socio-demographic disparities in global trends of lip and oral cavity neoplasms from 1990 to 2021
title_sort socio demographic disparities in global trends of lip and oral cavity neoplasms from 1990 to 2021
topic Disease burden
Global burden of disease
Inequalities
Sociodemographic
Oral cavity
Cancer
url https://doi.org/10.1038/s41598-025-88684-z
work_keys_str_mv AT amrsayedghanem sociodemographicdisparitiesinglobaltrendsoflipandoralcavityneoplasmsfrom1990to2021
AT agnestoth sociodemographicdisparitiesinglobaltrendsoflipandoralcavityneoplasmsfrom1990to2021
AT attilacsabanagy sociodemographicdisparitiesinglobaltrendsoflipandoralcavityneoplasmsfrom1990to2021