Disparities in the spatio-temporal patterns of mortality from breast and cervical cancer in Argentina, 1996-2015

While breast cancer (BC) is the main cause by cancer in women among countries with several development levels, there is a noticeable gap of mortality due to cervix cancer (CC) between high- and low-income countries. In Argentina, BC and CC are the first and fifth cause of death by cancer among women...

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Autores principales: Pou, SA, Niclis, C, Tumas, N, Díaz, MP
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2019
Materias:
epidemiology
space-temporal analysis
breast cancer
uterine cancer
argentina
epidemiología
análisis espacio-temporal
cáncer mamario
cáncer de útero
Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/25836
Aporte de:
Revista de la Facultad de Ciencias Médicas de Córdoba de Universidad Nacional de Córdoba
id I10-R327-article-25836
record_format ojs
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-327
container_title_str Revista de la Facultad de Ciencias Médicas de Córdoba
language Español
format Artículo revista
topic epidemiology
space-temporal analysis
breast cancer
uterine cancer
argentina
epidemiología
análisis espacio-temporal
cáncer mamario
cáncer de útero
argentina
spellingShingle epidemiology
space-temporal analysis
breast cancer
uterine cancer
argentina
epidemiología
análisis espacio-temporal
cáncer mamario
cáncer de útero
argentina
Pou, SA
Niclis, C
Tumas, N
Díaz, MP
Disparities in the spatio-temporal patterns of mortality from breast and cervical cancer in Argentina, 1996-2015
topic_facet epidemiology
space-temporal analysis
breast cancer
uterine cancer
argentina
epidemiología
análisis espacio-temporal
cáncer mamario
cáncer de útero
argentina
author Pou, SA
Niclis, C
Tumas, N
Díaz, MP
author_facet Pou, SA
Niclis, C
Tumas, N
Díaz, MP
author_sort Pou, SA
title Disparities in the spatio-temporal patterns of mortality from breast and cervical cancer in Argentina, 1996-2015
title_short Disparities in the spatio-temporal patterns of mortality from breast and cervical cancer in Argentina, 1996-2015
title_full Disparities in the spatio-temporal patterns of mortality from breast and cervical cancer in Argentina, 1996-2015
title_fullStr Disparities in the spatio-temporal patterns of mortality from breast and cervical cancer in Argentina, 1996-2015
title_full_unstemmed Disparities in the spatio-temporal patterns of mortality from breast and cervical cancer in Argentina, 1996-2015
title_sort disparities in the spatio-temporal patterns of mortality from breast and cervical cancer in argentina, 1996-2015
description While breast cancer (BC) is the main cause by cancer in women among countries with several development levels, there is a noticeable gap of mortality due to cervix cancer (CC) between high- and low-income countries. In Argentina, BC and CC are the first and fifth cause of death by cancer among women, respectively. The objectives were to describe mortality trends by BC and CC in Argentina during 1996-2015 and characterize the pattern of spatial distribution related to these mortality causes (2013-2015). Mixed ecological study. A temporal trend and multigroup study (1996-2015; n=24 provinces) and a transversal multigroup design (2013-2015; n=511 counties) were carried out in Argentina. Mortality rates of BC and CC (1996 to 2015), age-standardized (SMR) by the direct method (world population as reference), were estimated using data from the Department of Health Information and Statistics of Argentina and census population estimates (INDEC). For each province, the average annual percentage change (AAPC) of the SMR (1996-2015) was estimated by using Joinpoint regression analysis. Using the 2013-2015 average rates by cancer type, a spatial analysis of hot spots (by Getis-Ord) was conducted, mapping geographic clusters at the county level. Significant decreases (p<0.05) in SMR for BC were observed between 1996-2015 in Buenos Aires, Córdoba, Santa Fe, San Juan and CABA (AAPC: 0.9 to 1.6%), and for CC in Entre Ríos, Formosa, Jujuy, Santa Cruz and Santiago del Estero (AAPC: 2.0 to 4.5%). The trend was increasing for CC in CABA (AAPC= 1.3%) and Tucumán (AAPC= 1.4%). For BC (2013-2015), the largest hot spots (high SMR) were located in Buenos Aires, while low SMR (cold spots) were concentrated in the northwest region. Conversely, the northern region of the country was identified as a hot spot for CC, with cold spots located in CABA and surroundings, and the border region between Córdoba and La Rioja. Although the 1996-2015 mortality trend for both cancers was generally favorable (decreasing), there are provincial disparities in Argentina. In recent years, mortality spatial patterns were opposite between CC and BC.
publisher Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2019
url https://revistas.unc.edu.ar/index.php/med/article/view/25836
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spelling I10-R327-article-258362024-08-27T18:26:28Z Disparities in the spatio-temporal patterns of mortality from breast and cervical cancer in Argentina, 1996-2015 Disparidades en los patrones espacio-temporales de mortalidad por cáncer de mama y cérvix en Argentina, 1996-2015 Pou, SA Niclis, C Tumas, N Díaz, MP epidemiology space-temporal analysis breast cancer uterine cancer argentina epidemiología análisis espacio-temporal cáncer mamario cáncer de útero argentina While breast cancer (BC) is the main cause by cancer in women among countries with several development levels, there is a noticeable gap of mortality due to cervix cancer (CC) between high- and low-income countries. In Argentina, BC and CC are the first and fifth cause of death by cancer among women, respectively. The objectives were to describe mortality trends by BC and CC in Argentina during 1996-2015 and characterize the pattern of spatial distribution related to these mortality causes (2013-2015). Mixed ecological study. A temporal trend and multigroup study (1996-2015; n=24 provinces) and a transversal multigroup design (2013-2015; n=511 counties) were carried out in Argentina. Mortality rates of BC and CC (1996 to 2015), age-standardized (SMR) by the direct method (world population as reference), were estimated using data from the Department of Health Information and Statistics of Argentina and census population estimates (INDEC). For each province, the average annual percentage change (AAPC) of the SMR (1996-2015) was estimated by using Joinpoint regression analysis. Using the 2013-2015 average rates by cancer type, a spatial analysis of hot spots (by Getis-Ord) was conducted, mapping geographic clusters at the county level. Significant decreases (p<0.05) in SMR for BC were observed between 1996-2015 in Buenos Aires, Córdoba, Santa Fe, San Juan and CABA (AAPC: 0.9 to 1.6%), and for CC in Entre Ríos, Formosa, Jujuy, Santa Cruz and Santiago del Estero (AAPC: 2.0 to 4.5%). The trend was increasing for CC in CABA (AAPC= 1.3%) and Tucumán (AAPC= 1.4%). For BC (2013-2015), the largest hot spots (high SMR) were located in Buenos Aires, while low SMR (cold spots) were concentrated in the northwest region. Conversely, the northern region of the country was identified as a hot spot for CC, with cold spots located in CABA and surroundings, and the border region between Córdoba and La Rioja. Although the 1996-2015 mortality trend for both cancers was generally favorable (decreasing), there are provincial disparities in Argentina. In recent years, mortality spatial patterns were opposite between CC and BC. Mientras el cáncer de mama (CM) es primera causa de muerte por cáncer femenino en países con diferentes niveles de desarrollo, la brecha de mortalidad en cáncer de cérvix (CC) es notoria entre países de altos y bajos ingresos. En Argentina, los CM y CC representan la primera y quinta causa de muerte por cáncer en mujeres, respectivamente. Los objetivos fueron describir las tendencias de mortalidad por CM y CC en Argentina durante 1996-2015 y caracterizar el patrón de distribución espacial por estas causas (2013-2015). Estudio ecológico mixto: de tendencia temporal y multigrupal (1996-2015; escala provincial, n=24) y multigrupal transversal (2013-2015; escala departamental, n=511) en Argentina. Se estimaron tasas de mortalidad (1996 a 2015) de CM y CC, estandarizadas por edad (TME) por método directo (población mundial como referencia), empleando datos de la Dirección de Estadísticas e Información de Salud de Argentina y estimaciones poblacionales censales (INDEC). Para cada provincia, se estimó el porcentaje promedio de cambio anual (PCA) de las TME (1996-2015), mediante análisis de regresión Joinpoint. Usando el promedio de tasas 2013-2015 por cada cáncer, se condujo un análisis espacial de puntos calientes (de Getis-Ord), construyéndose mapas a escala departamental para identificar agrupamientos geográficos significativos. Se observaron descensos significativos (p<0,05), 1996-2015, para las TME por CM en Buenos Aires, Córdoba, Santa Fe, San Juan y CABA (PCA: 0,9 a 1,6%), y para las TME por CC en Entre Ríos, Formosa, Jujuy, Santa Cruz y Santiago del Estero (PCA: 2,0 a 4,5%). La tendencia fue creciente para CC en CABA (PCA= 1,3%) y Tucumán (PCA= 1,4%). Para CM (2013-2015), los puntos calientes (altas TME) más extensos se localizaron en Buenos Aires, mientras que en la región noroeste se concentraron TME bajas (puntos fríos). Contrariamente, para CC se identificó como punto caliente la región norte del país, existiendo puntos fríos en: CABA y alrededores, y en la región limítrofe Córdoba-La Rioja. Si bien la tendencia 1996-2015 de mortalidad por ambos cánceres fue en general favorable (decreciente), existen disparidades provinciales en Argentina. En años recientes, al comparar CC y CM, los patrones de concentración espacial resultaron opuestos. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2019-10-18 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/25836 Revista de la Facultad de Ciencias Médicas de Córdoba.; 2019: Suplemento JIC XX Revista de la Facultad de Ciencias Médicas de Córdoba; 2019: Suplemento JIC XX Revista da Faculdade de Ciências Médicas de Córdoba; 2019: Suplemento JIC XX 1853-0605 0014-6722 10.31053/1853.0605.v76.nSuplemento spa https://revistas.unc.edu.ar/index.php/med/article/view/25836/27676 Derechos de autor 2019 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0

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