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International Journal for Equity in Health
Published in: International Journal for Equity in Health 1/2014

Open Access 01-12-2014 | Research

Age-period-cohort analysis on the cancer mortality in rural China: 1990–2010

Authors: Peigang Wang, Chunling Xu, Chuanhua Yu

Published in: International Journal for Equity in Health | Issue 1/2014

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Abstract

Background

Cancer has become a global health problem. China still suffers continuous increasing cancer mortality. To study the trend of cancer mortality in rural China, this paper established an Age-Period-Cohort model to discuss the age effect, period effect and cohort effect on cancer mortality in rural China.

Methods

The data were collected from the “China Health Statistical Yearbook” from 1990 to 2010. Collected data were analyzed by Age-Period-Cohort model and Intrinsic Estimation method.

Results

The age effect on the total cancer mortality represented a V trend. Compared with Group 0–4, Group 5–9 showed 71.87% lower cancer mortality risk. Compared with Group 5–9, Group 75–79 showed 38 times higher cancer mortality risk. The period effect on the total cancer mortality risk weakened firstly but then increased. It increased by 35.70% from 1990 to 2010, showing an annual average growth of 1.79%. The cohort effect on the total cancer mortality risk weakened by totally 84.94% from 1906–1910 to 2005–2010. Three “deterioration periods” and three “improvement periods” were witnessed during this period. The malignant cancer mortality varied similarly with the total cancer mortality, while benign cancer mortality and other cancer mortality represented different variation laws.

Conclusions

Although the total cancer mortality risk is increasing at an accelerated rate, cancer mortality risk in recent born year is decreasing, indicating very important impact of social change on the cancer mortality in rural China.
Appendix
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Literature
1.
World Health Organization: Global action against cancer - now!. World Health Organ. 2005, 2-7.
2.
Ferlay J, Shin HR, Bray F, Forman D, Mathers C, Parkin DM: Estimates of worldwide burden of cancer in 2008: GLOBOCAN 2008. Int J Cancer. 2010, 127: 2893-2917. 10.1002/ijc.25516.PubMedCrossRef
3.
Mathers CD, Loncar D: Projections of global mortality and burden of disease from 2002 to 2030. PLoS Med. 2006, 3: 2011-2030.CrossRef
4.
Jemal A, Center MM, DeSantis C, Ward EM: Global patterns of cancer incidence and mortality rates and trends. Cancer Epidemiol Biomarkers Prev. 2010, 19: 1893-1907. 10.1158/1055-9965.EPI-10-0437.PubMedCrossRef
5.
Jemal A, Bray F, Center MM, Ferlay J, Ward E, David F: Global cancer statistics. CA Cancer J Clin. 2011, 61: 69-90. 10.3322/caac.20107.PubMedCrossRef
6.
Duan J, Chen W, Zhang S: International comparison of malignant tumor mortality. Chin J Soc Med. 2009, 26: 377-378.
7.
Guo P, Huang Z, Yu P, Li K: Trends in cancer mortality in China: an update. Ann Oncol. 2012, 23: 2755-2762. 10.1093/annonc/mds069.PubMedCrossRef
8.
Wang Y, Wei L, Liu J, Wang Q: Comparison and analysis of the incidence and mortality rate of cancer in developed and developing countries. Chin J Clin Oncol. 2012, 39: 679-681.
9.
He J, Chen W: Chinese Cancer Registry Annual Report, 2012. 2012, Beijing: Military Medical Science Press
10.
National cancer registration center: Cancer registration report in China, 2012. Cancer Frontier. 2013, 2: 5-
11.
Dai M, Ren J, Li N, Li Q, Yang L, Chen Y: Estimation and prediction on cancer related incidence and mortality in China, 2008. Chin J Epidemiol. 2012, 33: 57-21.
12.
Zeng H, Zheng R, Zhang S, Zhao P, He J, Chen W: Trend analysis of cancer mortality in China between 1989 and 2008. Chin J Oncol. 2012, 34: 525-531.
13.
Guo P, Li K: Trends in esophageal cancer mortality in China during 1987–2009: age, period and birth cohort analyses. Cancer Epidemiol. 2012, 36: 99-105. 10.1016/j.canep.2011.12.003.PubMedCrossRef
14.
Chen J, Zhang S: Liver cancer epidemic in China: past, present and future. Semin Cancer Biol. 2011, 21: 59-69. 10.1016/j.semcancer.2010.11.002.PubMedCrossRef
15.
Ke L: Mortality and incidence trends from esophagus cancer in selected geographic areas of China circa 1970–90. Int J Cancer. 2002, 102: 271-274. 10.1002/ijc.10706.PubMedCrossRef
16.
Xu H, He Y, Zhu J: Liver cancer mortality trends during the last 30 years in Hebei province: comparison results from provincial death surveys conducted in the 1970′s, 1980′s, 1990′s and 2004–2005. Asian Pac J Cancer Prev. 2012, 13: 1895-1899. 10.7314/APJCP.2012.13.5.1895.PubMedCrossRef
17.
Chen W, Zhang S, Zou X: Evaluation on the incidence, mortality and tendency of lung cancer in China. Thoracic Cancer. 2010, 1: 35-40. 10.1111/j.1759-7714.2010.00011.x.CrossRef
18.
Su S, Huang J, Ho C, Liaw Y: Evidence for cervical cancer mortality with screening program in Taiwan, 1981–2010: age-period-cohort model. BMC Public Health. 2013, 13: 1-7. 10.1186/1471-2458-13-1.CrossRef
19.
Sun X, Mu R, Zhou Y, Dai X, Zhang S, Huangpu X, Sun J, Li L, Lu F, Qiao Y: Analysis of mortality rate of stomach cancer and its trend in twenty years in China. Chin J Oncol. 2004, 26: 4-9.
20.
Zhang S, Chen W, Kong L, Li L, Lu F, Li G, Meng J, Zhao P: An analysis of cancer incidence and mortality from 30 cancer registries in China, 1998–2002. Bull Chin Cancer. 2006, 15: 430-447.
21.
Li H, Diao Y, Ma J, Xu A, Li H, Ma Q, Yin C, Cui J, Cui Y: Time trends on the prevalence of cancer during 1970–2005 in Shandong province. Chin J Epidemiol. 2009, 30: 592-595.
22.
Yang L, Parkin DM, Li L, Chen Y: Time trends in cancer mortality in China: 1987–1999. Int J Cancer. 2013, 106: 771-783.CrossRef
23.
Yang L, Parkin DM, Li LD, Chen Y, Bray F: Estimation and projection of the national profile of cancer mortality in China: 1991–2005. Br J Cancer. 2004, 90: 2157-2166.PubMedCentralPubMed
24.
Ferlay F, Steliarova-Foucher E, Lortet-Tieulent J, Rosso S, Coebergh JWW, Comber H, Forman D, Bray F: Cancer incidence and mortality patterns in Europe: estimates for 40 countries in 2012. Eur J Cancer. 2013, 49: 1374-1403. 10.1016/j.ejca.2012.12.027.PubMedCrossRef
25.
Yang Y, Schulhofer-Wohl S, Fu W, Land K: The intrinsic estimator for age-period-cohort analysis: what it is and how to use it. Am J Sociol. 2008, 113: 1697-1736. 10.1086/587154.CrossRef
26.
Jemal A, Thun MJ, Ries LAG, Howe L, Weir HK, Center MM, Ward E, Wu XC, Eheman C, Anderson R, Ajani UA, Kohler B, Edwards BK: Annual report to the nation on the status of cancer, 1975–2005, featuring trends in lung cancer, tobacco use, and tobacco control. J Natl Cancer Inst. 2008, 100: 1672-1694. 10.1093/jnci/djn389.PubMedCentralPubMedCrossRef
27.
Lu F: Prospect and review of cancer prevention and control in China. Bull Chin Cancer. 2001, 10: 1-2.
28.
Hou Y, Arduous: The construction of medical health during the Republic of China. Financial Report of the 21st Century. 2007,  :  -
29.
Xia X: Scientific outlook on development and urban–rural health resources development: review on health development strategies in China since 1949. Health Econ Res. 2009, 266: 5-7.
30.
Xu G: The retrospect and prospect of cancer prevention and control in China. Chin J Clin Oncol. 2001, 28: 85-88.
Metadata
Title
Age-period-cohort analysis on the cancer mortality in rural China: 1990–2010
Authors
Peigang Wang
Chunling Xu
Chuanhua Yu
Publication date
01-12-2014
Publisher
BioMed Central
Published in
International Journal for Equity in Health / Issue 1/2014
Electronic ISSN: 1475-9276
DOI
https://doi.org/10.1186/1475-9276-13-1

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