Spatio-temporal trend of female breast cancer mortality in Shandong Province from 1970 to 2013.
10.3760/cma.j.cn112150-20210630-00623
- VernacularTitle:1970—2013年山东省女性乳腺癌死亡时空变化趋势分析
- Author:
Jie CHU
1
;
Zi Long LU
1
;
Jing LIU
2
;
Zhen Tao FU
1
;
Ting LIU
3
;
Jing DONG
1
;
Jie REN
1
;
Xian Xian CHEN
1
;
Xiao Lei GUO
1
;
Ai Qiang XU
4
Author Information
1. Department of Non-communicable Disease Control and Prevention, Shandong Center for Disease Control and Prevention, Jinan 250014, China.
2. College of Public Health, Shandong University, Jinan 250012, China.
3. Department of Health Education and Promotion, Shandong Center for Disease Control and Prevention, Jinan 250014, China.
4. Research Institute of Preventive Medicine of Shandong University, Jinan 250014, China.
- Publication Type:Journal Article
- MeSH:
Breast Neoplasms/epidemiology*;
Female;
Humans;
Middle Aged;
Rural Population;
Spatial Analysis
- From:
Chinese Journal of Preventive Medicine
2022;56(5):609-613
- CountryChina
- Language:Chinese
-
Abstract:
The mortality of female breast cancer in Shandong Province has increased since the 1970. The differential decomposition analysis found that the slight decline in the crude mortality of breast cancer among women was entirely due to non-demographic factors during the 1970-1990, and the significant increase in the crude mortality was due to a combination of demographic and non-demographic factors since the 1990. The contribution rate of demographic factor has gradually increased from 53.5% in 2004-2005 to 59.5% in 2011-2013, while that of non-demographic factor has decreased from 46.5% to 40.5%. The women aged 45-64 years old were the major population of female breast cancer deaths, accounting for 40%-60% of total breast cancer deaths in different times, and then the mortality in female aged 55-64 years old increased rapidly, with increases of 52.12%, 115.19% and 29.01% in 2011-2013 over the 1970-1974, 1990-1992 and 2004-2005, respectively (Z=-7.342,P<0.001). Compared with 1970-1974, the age-standardized mortality rate of rural women increased by 41.86% in 2011-2013 (Z=-17.933, P<0.001), and that of urban women increased by 18.62% in 2011-2013 (Z=-25.642, P<0.001). The age-standardized mortality rate of breast cancer in urban women was higher than that in rural women in different times (all P<0.05). The spatial scan analysis found that eastern Shandong Province was found to be a sustained high-risk area for death, and other high-risk areas were transferred from north to southwest of Shandong between 1970 and 2013.
