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Salud Pública de México
Print version ISSN 0036-3634
Abstract
TORRES-SANCHEZ, Luisa E et al. Prostate cancer mortality according to marginalization status in Mexican states from 1980 to 2013. Salud pública Méx [online]. 2016, vol.58, n.2, pp.179-186. ISSN 0036-3634.
Objective:
To assess prostate cancer (PC) mortality in Mexico from 1980 to 2013, according to the state marginalization level.
Materials and methods:
Using age-adjusted rates in men ≥ 40 years old, we estimated trends and age-cohort-period effects of PC mortality from 1980-2013 according to state marginalization status by using a joinpoint regression model and a Poisson regression model proposed by Holford.
Results:
The PC mortality risk has increased nationwide at a constant rate (2% annually) during the past 13 years. The highest annual increase was observed among states with very high (4.4%) and high (7.7%) marginalization rates. In contrast, states with very low levels of marginalization showed a significant reduction of 1.5% per year. The main changes were observed in the 1945-1950 birth year cohorts.
Conclusions:
Differences in PC mortality across regions of Mexico may reflect differences in the timing of the diagnosis and treatment of PC.
Keywords : prostate cancer; mortality rate; social marginalization; Mexico.