Department of Epidemiology, 'Mario Negri' Institute for Pharmacological Research, Milan, Italy.
Eur J Cancer Prev. 2011 Sep;20(5):355-63. doi: 10.1097/CEJ.0b013e32834653c9.
The objective of this study was to provide information on recent trends in cancer mortality in Mexico. We analyzed data provided by the World Health Organization, using joinpoint analysis to detect changes in trends between 1981 and 2007. For most cancers, mortality was upward but started to decline in the late 1980's/early 1990's for both sexes. Overall cancer mortality was 75.53/100 000 men, world standard, and 69.2/100 000 women in 2005-2007. Mortality from uterine cancer declined by approximately 2.5% per year in the 1990s, and by approximately 5% per year in the last decade, but its rates remained exceedingly high (9.7/100 000 in 2005-2007). Other major declines over recent years were those of stomach cancer (approximately 2.5% per year, with rates of 6.6/100 000 in men and 4.9/100 000 in women in 2005-2007) and lung cancer (2-2.5% per year, 11.0/100 000 in men and 4.5/100 000 in women in 2005-2007). Mortality leveled off only since the early 1990s for breast and prostate, and since the late 1990s for colorectal cancer. Death rates from cancer in Mexico remained low on a worldwide scale and showed favorable trends over more recent calendar years. Mortality from (cervix) uterine cancer still represents a major public health priority in this country.
本研究旨在提供墨西哥癌症死亡率近期趋势的信息。我们分析了世界卫生组织提供的数据,使用连接点分析来检测 1981 年至 2007 年期间趋势的变化。对于大多数癌症,男性和女性的死亡率都呈上升趋势,但在 20 世纪 80 年代末/90 年代初开始下降。2005-2007 年,男性总体癌症死亡率为每 10 万人 75.53 例,世界标准为每 10 万人 69.2 例。子宫癌死亡率在 20 世纪 90 年代每年下降约 2.5%,在过去十年中每年下降约 5%,但其发病率仍然极高(2005-2007 年为每 10 万人 9.7 例)。近年来其他主要下降的癌症有胃癌(每年约 2.5%,2005-2007 年男性发病率为每 10 万人 6.6 例,女性发病率为每 10 万人 4.9 例)和肺癌(每年 2-2.5%,2005-2007 年男性发病率为每 10 万人 11.0 例,女性发病率为每 10 万人 4.5 例)。乳腺癌和前列腺癌自 20 世纪 90 年代初以来死亡率持平,结直肠癌自 20 世纪 90 年代末以来死亡率持平。墨西哥的癌症死亡率在全球范围内仍然较低,并在最近几年呈现出有利的趋势。(子宫颈)子宫癌的死亡率仍然是该国主要的公共卫生重点。