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. 2019 Feb;34(2):281-284.
doi: 10.1007/s11606-018-4732-z. Epub 2018 Nov 27.

Rising Mortality Rate of Cervical Cancer in Younger Women in Urban China

Min Wei  1   2 , Wei Zhou  2 , Yongyi Bi  2 , Hong Wang  2 , Yu Liu  3 , Zhi-Jiang Zhang  4
Affiliations

Rising Mortality Rate of Cervical Cancer in Younger Women in Urban China

Min Wei et al. J Gen Intern Med. 2019 Feb.

Abstract

Background: In recent decades, much effort has been made in China to reduce the burden of cervical cancer.

Objective: Our study's purpose was to examine trends of cervical cancer mortality in each 5-year age group for urban and rural Chinese women, respectively.

Designs: Retrospective analysis of cervical cancer mortality from 1987 to 2015 from the World Health Organization Cancer Mortality Database and China Health Statistical Yearbooks.

Participants: Chinese women.

Main measures: Trends were examined using annual percent change (APC) and average annual percent change (AAPC) via Joinpoint regression models for each 5-year age group in urban and rural areas, respectively.

Results: In urban China, mortality rate of cervical cancer increased significantly among urban women aged 25-54 years (AAPC 2.12~5.49%), in contrast to a decline trend among urban women older than 60 years (AAPC - 3.61~- 5.35%). In rural China, cervical cancer rates declined in all age groups, but the magnitude was smaller in women aged 30-54 years (AAPC - 0.59~- 2.20%) compared to women older than 55 years (AAPC - 3.06~- 4.33%).

Conclusion: Mortality rate of cervical cancer is rising at an alarming rate in younger women in urban China. Timely intervention is required for these vulnerable populations.

Keywords: age-specific mortality; cervical cancer; disparity; trend.

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Conflict of interest statement

The authors declare that they do not have a conflict of interest.

Figures

Figure 1
Figure 1
Annual changes in cervical cancer mortality rates for Chinese women from 1987 to 2015, stratified on each 5-year age group and urban/rural area.
See this image and copyright information in PMC

Comment in

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