2012, Number 6
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salud publica mex 2012; 54 (6)
Tendencia de la mortalidad por cáncer en niños y adolescentes según grado de marginación en México (1990-2009)
Escamilla-Santiago RA, Narro-Robles J, Fajardo-Gutiérrez A, Rascón-Pacheco RA, López-Cervantes M
Language: Spanish
References: 18
Page: 587-594
PDF size: 328.48 Kb.
ABSTRACT
Objective. To determine childhood and adolescent cancer
mortality by the level of marginalization in Mexico.
Materials
and methods. We used 1990-2009 death certificates
estimating age-standardized rates. We calculated the Average
Annual Percent Change (AAPC) using the Joinpoint Regression
program available at the National Cancer Institute to
assess tendency.
Results. Cancer mortality rates increased.
AAPC were 0.87% male and 0.96% female children, and for
adolescents were: males 1.22% and females 0.63%. The neoplasm
pattern in infants was leukemia –central nervous system–
lymphomas; and in adolescents it was leukemia –bone
and articulation– lymphomas. The increase in cancer mortality
corresponded to the high and highest marginated areas of
each state.
Conclusion. The increase in highly marginated
areas may be partly explained by well-documented local registration
of deaths. Further studies focusing on survival are
required in order to better assess the effectiveness of cancer
detection and medical treatment in our country.
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