Cezary Wojtyla1, Kinga Janik-Koncewicz2, Carlo La Vecchia3. 1. International Prevention Research Institute - Collaborating Centre, State University of Applied Sciences, Kaszubska 16 St., 62-800, Kalisz, Poland; Department of Oncological Gynaecology and Obstetrics, Centre of Postgraduate Medical Education, Czerniakowska 231 St., 00-416, Warsaw, Poland. Electronic address: czwo@op.pl. 2. European Observatory of Health Inequalities, State University of Applied Sciences, Kaszubska 16 St., 62-800, Kalisz, Poland. 3. Department of Clinical Sciences and Community Health, University of Milan, Vanzetti 5, 20133, Milan, Italy.
Abstract
BACKGROUND: The process of social, political and economic transformation, which took place in Central and Eastern Europe in the early 90's, has affected many spheres of Europeans' lives, including health-associated issues. These changes also had an impact on mortality rates due to cervical cancer (CC). Therefore, the aim of this study was to analyse CC mortality trends in Europe after 1990. METHODS: Data on death due to CC, uterine cancers and unspecified uterine cancers, in women aged 20-44, were taken from the WHO Mortality Database. Trends in European countries between 1990 and 2017 were assessed using the Joinpoint Regression Program. RESULTS: Most of the countries experienced a decrease in CC mortality. Although the lowest rates were observed in EU15 Member States, the highest decreases were observed in Central and Eastern Europe. However, there are still differences in mortality in these countries. There are also a few countries like Belarus, Latvia and Ukraine, which experienced an increase in mortality. The range of mortality across Europe in 2017 was between 0.6 and 5.2/100,000 women. CONCLUSIONS: It is essential to introduce well-organised screening programmes for early detection of CC with coverage of a correspondingly high percentage of the population, particularly in East-Central Europe, as well as to introduce high-coverage HPV vaccination in all European countries.
BACKGROUND: The process of social, political and economic transformation, which took place in Central and Eastern Europe in the early 90's, has affected many spheres of Europeans' lives, including health-associated issues. These changes also had an impact on mortality rates due to cervical cancer (CC). Therefore, the aim of this study was to analyse CC mortality trends in Europe after 1990. METHODS: Data on death due to CC, uterine cancers and unspecified uterine cancers, in women aged 20-44, were taken from the WHO Mortality Database. Trends in European countries between 1990 and 2017 were assessed using the Joinpoint Regression Program. RESULTS: Most of the countries experienced a decrease in CC mortality. Although the lowest rates were observed in EU15 Member States, the highest decreases were observed in Central and Eastern Europe. However, there are still differences in mortality in these countries. There are also a few countries like Belarus, Latvia and Ukraine, which experienced an increase in mortality. The range of mortality across Europe in 2017 was between 0.6 and 5.2/100,000 women. CONCLUSIONS: It is essential to introduce well-organised screening programmes for early detection of CC with coverage of a correspondingly high percentage of the population, particularly in East-Central Europe, as well as to introduce high-coverage HPV vaccination in all European countries.
Authors: Cezary Wojtyla; Michal Ciebiera; Dariusz Kowalczyk; Grzegorz Panek Journal: Int J Environ Res Public Health Date: 2020-06-28 Impact factor: 3.390
Authors: J Smith Torres-Roman; Luz Ronceros-Cardenas; Bryan Valcarcel; Janina Bazalar-Palacios; Jorge Ybaseta-Medina; Greta Carioli; Carlo La Vecchia; Christian S Alvarez Journal: BMC Public Health Date: 2022-01-16 Impact factor: 3.295