[墨西哥按边缘化程度划分的儿童和青少年癌症死亡率趋势（1990 - 2009年）]
[Trends of cancer mortality rates in children and adolescents by level of marginalization in Mexico (1990-2009)].
作者信息
Escamilla-Santiago Ricardo Antonio, Narro-Robles José, Fajardo-Gutiérrez Arturo, Rascón-Pacheco Ramón Alberto, López-Cervantes Malaquías
机构信息
Facultad de Medicina, Universidad Nacional Autónoma de México, México.
出版信息
Salud Publica Mex. 2012 Nov-Dec;54(6):587-94. doi: 10.1590/s0036-36342012000600007.
OBJECTIVE
To determine childhood and adolescent cancer mortality by the level of marginalization in Mexico.
MATERIALS AND METHODS
We used 1990-2009 death certificates estimating age-standardized rates. We calculated the Average Annual Percent Change (AAPC) using the Joinpoint Regression program available at the National Cancer Institute to assess tendency.
RESULTS
Cancer mortality rates increased. AAPC were 0.87% male and 0.96% female children, and for adolescents were: males 1.22% and females 0.63%. The neoplasm pattern in infants was leukemia -central nervous system- lymphomas; and in adolescents it was leukemia -bone and articulation- lymphomas. The increase in cancer mortality corresponded to the high and highest marginated areas of each state.
CONCLUSION
The increase in highly marginated areas may be partly explained by well-documented local registration of deaths. Further studies focusing on survival are required in order to better assess the effectiveness of cancer detection and medical treatment in our country.
目的
按墨西哥的边缘化程度确定儿童和青少年癌症死亡率。
材料与方法
我们使用了1990 - 2009年的死亡证明来估算年龄标准化率。我们使用美国国家癌症研究所提供的Joinpoint回归程序计算平均年度百分比变化（AAPC）以评估趋势。
结果
癌症死亡率上升。儿童中男性的AAPC为0.87%，女性为0.96%；青少年中男性为1.22%，女性为0.63%。婴儿的肿瘤模式为白血病 - 中枢神经系统 - 淋巴瘤；青少年则为白血病 - 骨骼和关节 - 淋巴瘤。癌症死亡率的上升与各州的高边缘化和最高边缘化地区相对应。
结论
高边缘化地区死亡率的上升部分原因可能是当地死亡登记记录完善。为了更好地评估我国癌症检测和医疗治疗的有效性，需要进一步开展侧重于生存率的研究。
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