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Temporal Trends in Geographical Variation in Breast Cancer Mortality in China, 1973-2005: An Analysis of Nationwide Surveys on Cause of Death

文献类型：期刊论文

作者Xia, Changfa1,2; Kahn, Clare3; Wang, Jinfeng4; Liao, Yilan4; Chen, Wanqing1,2; Yu, Xue Qin3,5
刊名INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
出版日期2016-10-01
卷号13期号:10页码:16
关键词breast cancer mortality temporal geographical China
ISSN号1660-4601
DOI10.3390/ijerph13100963
通讯作者Chen, Wanqing(chenwq@cicams.ac.cn) ; Yu, Xue Qin(xueqiny@nswcc.org.au)
英文摘要To describe geographical variation in breast cancer mortality over time, we analysed breast cancer mortality data from three retrospective national surveys on causes of death in recent decades in China. We first calculated the age-standardized mortality rate (ASMR) for each of the 31 provinces in mainland China stratified by survey period (1973-1975, 1990-1992 and 2004-2005). To test whether the geographical variation in breast cancer mortality changed over time, we then estimated the rate ratio (RR) for the aggregated data for seven regions and three economic zones using generalized linear models. Finally, we examined the correlation between mortality rate and several macro-economic measures at the provincial level. We found that the overall ASMR increased from 2.98 per 100,000 in 1973-1975 to 3.08 per 100,000 in 1990-1992, and to 3.85 per 100,000 in 2004-2005. Geographical variation in breast cancer mortality also increased significantly over time at the regional level (p = 0.002) but not at the economic zone (p = 0.089) level, with RR being generally lower for Western China (Northwest and Southwest) and higher in Northeast China over the three survey periods. These temporal and spatial trends in breast cancer mortality were found to be correlated with per capita gross domestic product, number of hospitals and health centres' beds per 10,000 population and number of practicing doctors per 10,000 population, and average number of live births for women aged 15-64. It may be necessary to target public health policies in China to address the widening geographic variation in breast cancer mortality, and to take steps to ensure that the ease of access and the quality of cancer care across the country is improved for all residents.
WOS关键词SECULAR TRENDS ; UNITED-STATES ; ASSOCIATION ; AUSTRALIA ; SURVIVAL ; RISK
资助项目Ministry of Science and Technology[2014FY121100]
WOS研究方向Environmental Sciences & Ecology ; Public, Environmental & Occupational Health
语种英语
WOS记录号WOS:000389570100030
出版者MDPI AG
资助机构Ministry of Science and Technology
源URL[http://ir.igsnrr.ac.cn/handle/311030/65608]  
专题中国科学院地理科学与资源研究所
通讯作者Chen, Wanqing; Yu, Xue Qin
作者单位1.Chinese Acad Med Sci, Natl Canc Ctr, Natl Off Canc Prevent & Control, Canc Hosp, Beijing 100021, Peoples R China
2.Peking Union Med Coll, Beijing 100021, Peoples R China
3.Canc Council New South Wales, Sydney, NSW 2011, Australia
4.Chinese Acad Sci, Inst Geog Sci & Nat Resources Res, State Key Lab Resources & Environm Informat Syst, Beijing 100101, Peoples R China
5.Univ Sydney, Sydney Sch Publ Hlth, Sydney, NSW 2006, Australia
推荐引用方式
GB/T 7714		 Xia, Changfa,Kahn, Clare,Wang, Jinfeng,et al. Temporal Trends in Geographical Variation in Breast Cancer Mortality in China, 1973-2005: An Analysis of Nationwide Surveys on Cause of Death[J]. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH,2016,13(10):16.
APA Xia, Changfa,Kahn, Clare,Wang, Jinfeng,Liao, Yilan,Chen, Wanqing,&Yu, Xue Qin.(2016).Temporal Trends in Geographical Variation in Breast Cancer Mortality in China, 1973-2005: An Analysis of Nationwide Surveys on Cause of Death.INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH,13(10),16.
MLA Xia, Changfa,et al."Temporal Trends in Geographical Variation in Breast Cancer Mortality in China, 1973-2005: An Analysis of Nationwide Surveys on Cause of Death".INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 13.10(2016):16.

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来源：地理科学与资源研究所

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