Cancer Mortality Trends in Spain (2000–2016): Differences between Immigrant and Native Populations
Abstract
:1. Introduction
2. Materials and Methods
2.1. Data Source
2.2. Analytical Methodology
3. Results
4. Discussion
4.1. Main Findings
4.2. Methodological Strengths and Limitations
5. Conclusions
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
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Men | ||||||||||||||||||||||||
Origin | SP1 = 2000-01 | SP2 = 2002-04 | SP3 = 2005-07 | SP4 = 2008-10 | SP5 = 2011-13 | SP6 = 2014-16 | ||||||||||||||||||
Deaths | ASR | 95%CI | Deaths | ASR | 95%CI | ∆% SP2 vs. SP1 | Deaths | ASR | 95%CI | ∆% SP3 vs. SP2 | Deaths | ASR | 95%CI | ∆% SP4 vs. SP3 | Deaths | ASR | 95%CI | ∆% SP5 vs. SP4 | ∆% SP6 vs. SP5 | Deaths | ASR | 95%CI | ∆% SP6 vs. SP1 | |
Natives | 117,552 | 418.3 | 415.9–420.8 | 181,130 | 410.7 | 408.8–412.7 | −1.8 | 183,830 | 394.7 | 392.9–396.6 | −3.9 | 188,330 | 383.0 | 381.3–384.8 | −3.0 | 195,030 | 375.8 | 374.1–377.5 | −1.9 | −5.3 | 194,711 | 356.0 | 354.4–357.6 | −14.9 |
Immigrants | 2580 | 299.7 | 287.4–312.1 | 4898 | 282.8 | 274.0–291.6 | −5.7 | 5672 | 245.1 | 237.6–252.6 | −13.3 | 6611 | 206.7 | 200.9–212.5 | −15.7 * | 7581 | 194.2 | 189.2–199.1 | −6.1 * | 24.8 * | 8434 | 242.3 | 236.2–248.4 | −19.2 * |
East Eu | 44 | 306.4 | 191.5–421.3 | 111 | 228.0 | 161.8–294.2 | −25.6 | 235 | 221.0 | 163.2–278.7 | −3.1 | 420 | 179.0 | 140.1–218.0 | −19.0 | 548 | 153.6 | 124.1–183.1 | −14.2 | 77.7 | 736 | 272.9 | 227.8–318.0 | −10.9 |
Northern Eu | 443 | 255.6 | 230.7–280.5 | 956 | 252.3 | 235.4–269.3 | −1.3 | 1115 | 194.5 | 181.6–207.3 | −22.9 * | 1440 | 172.1 | 162.3–181.9 | −11.5 | 1558 | 148.0 | 140.1–155.8 | −14.0 * | 39.0 * | 1608 | 205.7 | 194.4–217.0 | −19.5 * |
Western Eu | 706 | 275.5 | 253.6–297.4 | 1293 | 272.2 | 256.1–288.2 | −1.2 | 1276 | 230.5 | 216.6–244.3 | −15.3 | 1376 | 183.7 | 173.4–194.0 | −20.3 | 1571 | 180.5 | 171.2–189.8 | −1.7 | 45.6 | 1702 | 262.8 | 249.6–276.0 | −4.6 |
South Eu | 241 | 343.2 | 298.1–388.3 | 448 | 369.4 | 333.4–405.4 | 7.6 | 467 | 301.7 | 271.9–331.5 | −18.3 * | 471 | 233.1 | 209.6–256.5 | −22.7 * | 549 | 235.6 | 214.1–257.1 | 1.1 | 20.9 * | 641 | 284.7 | 260.5–308.9 | −17.0 |
Africa | 462 | 354.0 | 313.5–394.6 | 863 | 345.6 | 315.6–375.6 | −2.4 | 1075 | 346.5 | 318.6–374.5 | 0.3 | 1075 | 292.0 | 268.3–315.7 | −15.7 | 1253 | 280.7 | 260.5–300.9 | −3.9 | −6.6 | 1362 | 262.3 | 244.1–280.4 | −25.9 |
America | 599 | 347.0 | 317.7–376.3 | 1080 | 294.3 | 274.8–313.8 | −15.2 * | 1339 | 274.6 | 257.1–292.1 | −6.7 | 1460 | 229.6 | 214.8–244.3 | −16.4 * | 1543 | 219.1 | 205.5–232.6 | −4.6 | 2.5 | 1801 | 224.6 | 211.7–237.5 | −35.3 * |
Asia | 82 | 259.5 | 192.3–326.8 | 143 | 201.5 | 158.6–244.3 | −22.4 | 155 | 173.9 | 135.0–212.9 | −13.7 | 151 | 119.8 | 91.3–148.4 | −31.1 | 154 | 96.9 | 74.0–199.7 | −19.2 | −5.7 | 186 | 91.4 | 70.9–111.8 | −64.8 |
Women | ||||||||||||||||||||||||
Origin | SP1 = 2000-01 | SP2 = 2002-04 | SP3 = 2005-07 | SP4 = 2008-10 | SP5 = 2011-13 | SP6 = 2014-16 | ||||||||||||||||||
Deaths | ASR | 95%CI | Deaths | ASR | 95%CI | ∆%SP2 vs. SP1 | Deaths | ASR | 95%CI | ∆%SP3 vs. SP2 | Deaths | ASR | 95%CI | ∆%SP4 vs. SP3 | Deaths | ASR | 95%CI | ∆%SP5 vs. SP4 | ∆%SP6 vs. SP5 | Deaths | ASR | 95%CI | ∆%SP6 vs. SP1 | |
Natives | 70,231 | 179.8 | 178.5–181.2 | 107,925 | 176.4 | 175.4–177.5 | −1.9 | 110,196 | 170.7 | 169.6–171.7 | −3.3 | 115,338 | 169.1 | 168.1–170.1 | −0.9 | 122,164 | 169.7 | 168.7–170.7 | 0.4 | −3.2 | 123,831 | 164.3 | 163.3–165.2 | −8.7 |
Immigrants | 1969 | 186.5 | 178.0–195.0 | 3598 | 167.0 | 161.2–172.9 | −10.4 * | 4478 | 154.3 | 149.3–159.3 | −7.6 * | 5375 | 138.0 | 133.8–142.2 | −10.6 * | 5878 | 126.0 | 122.4–129.7 | −8.7 * | 18.7 * | 6839 | 149.6 | 145.6–153.6 | −19.8 * |
East Eu | 31 | 204.8 | 125.4–284.1 | 124 | 205.1 | 153.1–257.1 | 0.1 | 249 | 170.4 | 131.2–209.5 | −16.9 | 377 | 114.2 | 90.4–138.0 | −33.0 | 510 | 95.2 | 79.6–110.8 | −16.6 | 52.6 | 707 | 145.3 | 124.2–166.3 | −29.1 |
Northern Eu | 296 | 169.4 | 149.3–189.5 | 568 | 162.8 | 148.5–177.2 | −3.9 | 812 | 154.9 | 142.9–166.8 | −4.9 | 941 | 123.0 | 114.4–131.7 | −20.6 * | 1015 | 104.7 | 97.8–111.6 | −14.9 * | 38.8 * | 1082 | 145.3 | 135.6–154.9 | −14.2 |
Western Eu | 542 | 178.9 | 163.2–194.6 | 908 | 167.0 | 155.7–178.4 | −6.6 | 1041 | 161.9 | 151.6–172.2 | −3.1 | 1159 | 141.4 | 133.0–149.8 | −12.7 | 1273 | 138.2 | 130.4–146.0 | −2.3 | 23.7 | 1333 | 171.0 | 161.5–180.5 | −4.4 |
South Eu | 153 | 227.2 | 190.3–264.1 | 223 | 181.1 | 156.6–205.7 | −20.3 | 253 | 169.9 | 148.1–191.7 | −6.2 | 287 | 152.8 | 134.4–171.3 | −10.0 | 293 | 143.6 | 126.6–160.6 | −6.0 | 8.4 | 321 | 155.7 | 138.1–173.3 | −31.5 * |
Africa | 298 | 210.3 | 183.5–237.0 | 530 | 197.4 | 178.2–216.6 | −6.1 | 554 | 167.0 | 151.0–183.0 | −15.4 | 650 | 158.1 | 144.2–172.1 | −5.3 | 670 | 139.7 | 127.7–151.7 | −11.7 | 2.4 | 835 | 143.0 | 132.0–154.0 | −32.0 |
America | 589 | 185.7 | 169.8–201.6 | 1132 | 156.1 | 146.1–166.1 | −15.9 * | 1425 | 142.3 | 133.8–150.9 | −8.8 | 1692 | 135.4 | 127.6–143.1 | −4.9 | 1750 | 122.2 | 115.3–129.2 | −9.7 | 9.0 | 2134 | 133.2 | 126.3–140.0 | −28.3 * |
Asia | 59 | 185.6 | 133.0–238.2 | 107 | 149.2 | 115.9–182.6 | −19.6 | 132 | 146.4 | 114.4–178.4 | −1.9 | 115 | 100.2 | 76.5–123.9 | −31.6 | 117 | 82.4 | 63.3–101.5 | −17.7 | −19.2 | 133 | 66.6 | 50.7–82.5 | −64.1 |
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Oliva-Arocas, A.; Pereyra-Zamora, P.; Copete, J.M.; Nolasco, A. Cancer Mortality Trends in Spain (2000–2016): Differences between Immigrant and Native Populations. Int. J. Environ. Res. Public Health 2020, 17, 5127. https://doi.org/10.3390/ijerph17145127
Oliva-Arocas A, Pereyra-Zamora P, Copete JM, Nolasco A. Cancer Mortality Trends in Spain (2000–2016): Differences between Immigrant and Native Populations. International Journal of Environmental Research and Public Health. 2020; 17(14):5127. https://doi.org/10.3390/ijerph17145127
Chicago/Turabian StyleOliva-Arocas, Adriana, Pamela Pereyra-Zamora, José M. Copete, and Andreu Nolasco. 2020. "Cancer Mortality Trends in Spain (2000–2016): Differences between Immigrant and Native Populations" International Journal of Environmental Research and Public Health 17, no. 14: 5127. https://doi.org/10.3390/ijerph17145127