Bonfill X, Rivero E, Moreno C, Rué M
Service of Clinical Epidemiology and Information, Consorci Hospitalari del Parc Tauli, Barcelona, Spain.
Eur J Cancer Prev. 1995 Dec;4(6):453-8. doi: 10.1097/00008469-199512000-00003.
Comparisons of cancer mortality in Catalonia and Spain have shown an intermediate position of these areas in relation to the rest of Europe. This study compares the overall cancer mortality in Catalonia and Spain in the periods 1975-77 and 1987-89 in relation to other European countries selected on the basis of geographical proximity and availability of information. Adjusted and truncated cancer mortality rates and relative changes in these rates have been assessed for both sexes. The mortality rate for males in Catalonia, Spain, Italy, Portugal and France has increased from 1975-77 to 1987-89 with relative increments of 13.5%, 13.7%, 10.1%, 9.6% and 4.3% respectively, whereas in Switzerland and England and Wales this rate has decreased. The mortality rate for females showed a slight drop between the two periods in all the studied countries except England and Wales and Portugal. By age groups, in males, the 0-44 year interval in Catalonia, Spain, France and Portugal, in descending order, showed the highest rates. The marked contrast of the evolution of the cancer mortality rate in Catalonia, Spain, Italy, France and Portugal, compared with Switzerland and England and Wales, and especially the considerable increase of the mortality in young people in Catalonia, indicates the extremely urgent need for all countries to adopt the measures to control cancer that have already shown themselves to be effective elsewhere.
加泰罗尼亚和西班牙癌症死亡率的比较显示，这些地区在欧洲其他地区中处于中间位置。本研究比较了1975 - 77年和1987 - 89年期间加泰罗尼亚和西班牙与其他基于地理 proximity 和信息可得性而选定的欧洲国家的总体癌症死亡率。对两性的调整和截断癌症死亡率以及这些率的相对变化进行了评估。从1975 - 77年到1987 - 89年，加泰罗尼亚、西班牙、意大利、葡萄牙和法国男性的死亡率有所上升，相对增幅分别为13.5%、13.7%、10.1%、9.6%和4.3%，而在瑞士以及英格兰和威尔士，这一比率有所下降。除英格兰和威尔士以及葡萄牙外，所有研究国家女性的死亡率在这两个时期之间略有下降。按年龄组划分，在男性中，加泰罗尼亚、西班牙、法国和葡萄牙的0 - 44岁年龄段，按降序排列，死亡率最高。加泰罗尼亚、西班牙、意大利、法国和葡萄牙的癌症死亡率演变情况与瑞士以及英格兰和威尔士形成鲜明对比，尤其是加泰罗尼亚年轻人死亡率的大幅上升，表明所有国家迫切需要采取在其他地方已证明有效的控制癌症的措施。
