Sánchez-Barriga Juan Jesús
Dirección General Adjunta de Epidemiología, Secretaría de Salud, México.
Gac Med Mex. 2012 Jan-Feb;148(1):42-51.
To determinate the trend of mortality from cervical cancer nationwide, by federative entities and socioeconomic regions during the years 2000-2008.
The records of mortality associated to cervical cancer for the period 2000-2008 were obtained from the National Information System of the Secretariat of Health. This information is generated by the National Institute of Statistics Geography and Informatics through the death certificates issued all around the country. The codes of the international disease classification 10 that correspond to the basic cause of death from cervical cancer were identified. The rates of mortality nationwide, by federative entity and by socioeconomic region were calculated. Through Poisson regression analysis was compared mortality rates from cervical cancer of the socioeconomic regions and federative entities. The 7 socioeconomic regions were elaborated by the National Institute of Statistics, Geography and Informatics and include the 32 federative entities according to indicators that are related to well-being such as education, occupation, health, housing and employment.
The federative entities and socioeconomic region with the strongest association with mortality from cervical cancer in the period 2000-2008 were Colima (RR: 1.67, IC 95%: 1.11-2.25 for the year 2000; RR: 1.92, IC 95%: 1.29-2.85 for the year 2008); Veracruz (RR: 1.85,IC 95%: 1.51-2.27 for 2000; RR: 1.91, IC 95%: 1.55-2.35 for 2008); Yucatan (RR: 2.24, IC 95%: 1.74-2.88 for 2000; RR:1.90, IC 95%: 1.44-2.49 for 2008); and region 1 (RR: 1.41, IC 95%: 1.23-1.6 for 2001; RR: 1.38, IC 95%: 1.2-1.58 for 2007).In this region for the year 2000 and 2008 the RR was not statistically significant.
Mortality rates per 100,000 women standardized using the world population decreased from 13.3 to 8.6 in the period 2000-2008. The entities and region with the strongest force of association with mortality due to cervical cancer were Colima, Veracruz,Yucatan and region 1.
确定2000 - 2008年期间全国、各联邦实体及社会经济区域宫颈癌死亡率的变化趋势。
2000 - 2008年期间与宫颈癌相关的死亡记录来自卫生部国家信息系统。该信息由国家统计地理与信息研究所通过全国各地发放的死亡证明生成。确定了与宫颈癌基本死因相对应的国际疾病分类第10版编码。计算了全国、各联邦实体及社会经济区域的死亡率。通过泊松回归分析比较了社会经济区域和联邦实体的宫颈癌死亡率。7个社会经济区域由国家统计地理与信息研究所根据与福祉相关的指标(如教育、职业、健康、住房和就业)编制而成,包含32个联邦实体。
2000 - 2008年期间与宫颈癌死亡率关联最强的联邦实体和社会经济区域是科利马(2000年相对危险度:1.67,95%置信区间:1.11 - 2.25;2008年相对危险度:1.92,95%置信区间:1.29 - 2.85);韦拉克鲁斯(2000年相对危险度:1.85,95%置信区间:1.51 - 2.