西班牙妇女肺癌死亡率趋势:出生队列在不同区域模式中的作用

IF 1.6 Q2 DEMOGRAPHY JOURNAL OF POPULATION RESEARCH Pub Date : 2023-11-29 DOI:10.1007/s12546-023-09323-w
Octavio Bramajo
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引用次数: 0

摘要

西班牙妇女吸烟人数在过去50年中有所增加,一些作者认为这是一种现代流行病。然而,由于健康不平等(以及吸烟及其后果的决定因素)是区域性的,各队列的死亡风险可能在区域一级有所不同。我们应用年龄-时期-队列模型来确定出生队列对西班牙女性肺癌死亡率的影响。我们发现,在1980-2019年期间,所有地区的肺癌死亡率都呈强劲的线性增长。1935年至1955年出生的人群在国家和国家以下各级的相对死亡风险较高。然而,我们随后发现不同地区的队列模式存在差异,一些地区最年轻队列的死亡率略有改善(或停滞不前),而其他地区的死亡率则持续上升。这表明,西班牙女性肺癌死亡率的不平等不仅是基于代际的,而且代际风险也因地域而异。年轻人群死亡率有所改善的地区包括马德里、纳瓦拉和巴斯克地区,这些地区是西班牙最富有的地区之一。虽然是推测性的,但这可能意味着区域一级的改善可能与导致采取健康行为的结构条件有关的因素有关。
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Lung cancer mortality trends among women across Spain: the role of birth cohorts in diverging regional patterns

Smoking among Spanish women has increased during the last 50 years and is considered by some authors a modern epidemic. However, mortality risk by cohorts may differ at a regional level, given that health inequalities (and the determinants of smoking and its consequences) are regionally patterned. We applied an Age-Period-Cohort model to identify birth cohort effects on female lung cancer mortality in Spain. We found a strong linear increase in lung cancer mortality during the 1980–2019 period in all regions. Cohorts born between 1935 and 1955 presented a higher relative risk of death at a national and subnational level. However, we found diverging cohort patterns across regions afterward, with some regions presenting a slight mortality improvement (or stagnation) in their youngest cohorts, while in other regions mortality kept increasing. This suggests that inequalities in lung cancer mortality in Spain among women are not only generationally based, but that generational risks also vary across space. Some of the regions that presented improvements in mortality among its younger cohorts are Madrid, Navarra, and the Basque Country, which are some of the wealthiest in the Country. While speculative, this could imply that improvements at a regional level might be associated with factors related to structural conditions that result in the adoption of healthy behaviors.

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来源期刊
CiteScore
2.30
自引率
0.00%
发文量
18
期刊介绍: The Journal of Population Research is a peer-reviewed, international journal which publishes papers on demography and population-related issues. Coverage is not restricted geographically. The Journal publishes substantive empirical analyses, theoretical works, applied research and contributions to methodology. Submissions may take the form of original research papers, perspectives, review articles and shorter technical research notes. Special issues emanating from conferences and other meetings are also considered.
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