Escandón-Romero C, Benítez-Martínez M G, Navarrete-Espinoza J, Vázquez-Martínez J L, Martínez-Montañez O G, Escobedo-de la Peña J
Servicio de Salud Pública (JSSP), Instituto Mexicano del Seguro Social IMSS.
Salud Publica Mex. 1992 Nov-Dec;34(6):607-14.
In order to study the secular trend and age and geographic distribution of cervical cancer at the Mexican Institute for Social Security, an ecologic study was carried on. During the last 10 years cervical cancer has been the second most common neoplasia, being the leading one in women. For those between 30 and 44 years old it is the third cause of death, and one of the first ten in all age groups until 64. Mortality has shown a stable trend for the last 15 years, in a range from 3.3 to 4.5 deaths per 100,000 inhabitants. Mortality rates increase with age. There is a fine-fold increase in the risk of death for women 40 to 49 years old (CI 95% 4.2-6.4%) and a tenfold increase for those over 80, (CI 95% 7.3-12.6) when taking those under 40 years old as a reference group. In 1989, the cervical cancer incidence was 9.7 cases for each 100,000 person-years. Morbidity and mortality are unequally distributed along the country. There is a need for the development of research in order to know better the occurrence of this disease as well as how known risk factors affect it.
为了研究墨西哥社会保障机构中宫颈癌的长期趋势、年龄及地理分布情况，我们开展了一项生态学研究。在过去10年里，宫颈癌一直是第二大常见肿瘤，在女性肿瘤中位居首位。对于30至44岁的女性而言，它是第三大死因，在64岁及以下的所有年龄组中则位列前十。过去15年里，死亡率呈稳定趋势，每10万居民中有3.3至4.5人死亡。死亡率随年龄增长而上升。以40岁以下女性为参照组，40至49岁女性的死亡风险增加了四倍（95%置信区间为4.2 - 6.4%），80岁以上女性的死亡风险增加了十倍（95%置信区间为7.3 - 12.6）。1989年，宫颈癌发病率为每10万人年9.7例。发病率和死亡率在全国分布不均。有必要开展研究，以便更好地了解这种疾病的发生情况以及已知风险因素对其的影响。
