Ling Yang|Donald Maxwell Parkin|Liandi Li|Yude Chen
Time trends in cancer mortality in China: 1987–1999
International Agency For Research On Cancer|International Agency For Research On Cancer
abstract first analysis time trends cancer mortality china national level presented using joinpoint regression model based data national mortality routine reporting system china chis time trends mortality 9 major cancers analyzed 1987 1999 agestandardized mortality rates cancers combined declined slightly rural areas increased since 1996 urban areas mortality rates cancers oesophagus stomach cervix uteri leukaemia except urban males 1996 nasopharynx declined lung cancer female breast cancer showed significant increasing trends urban rural areas sexes cancers colonrectum liver different trends mortality urban rural populations trends agespecific mortality rates suggest different trends younger population may presage future overall trends example increasing mortality cancer cervix observed trends primarily reflect dramatic changes socioeconomic circumstances lifestyles china last 2 decades tobacco smoking remains major problem increases mortality lung cancer improvements socioeconomic status diet nutrition may responsible declining risk cancers oesophagus stomach nasopharynx increasing risk others breast colonrectum screening programs especially cervix cancer available better facilities cancer therapy may helped reduce mortality several cancers large increases absolute number deaths resulted increasing aging population much important determining future cancer burden changes due change risk emphasizing increasing importance cancer health problem 21st century china 2003 wileyliss inc