© 2004 European Society for Medical Oncology
Original Article |
Trends in cancer mortality in Mexico, 1970–1999
1 Istituto di Ricerche Farmacologiche ‘Mario Negri’, Milan; 2 Universidad Pùblica de Navarra, Departamento de Ciencias de la Salud, Pamplona, Spain; 3 Universidad Autonoma de San Luis Potosí, Facultad de Medicina, San Luis Potosí, Mexico; 4 Registre Vaudois des Tumeurs, Institut Universitaire de Médecine Sociale et Préventive, Lausanne, Switzerland; 5 Istituto di Statistica Medica e Biometria, Università degli Studi di Milano, Milan, Italy
* Correspondence to: Dr Cristina Bosetti, Laboratorio di Epidemiologia, Istituto di Ricerche Farmacologiche ‘Mario Negri’, Via Eritrea 62, 20157 Milan, Italy. Tel: +39-02-39014-526; Fax: +39-02-33200231; Email: bosetti{at}marionegri.it
Background: Few data on cancer mortality have been published for Mexico over the last few decades. It is therefore of interest to conduct a systematic and updated analysis of cancer mortality in this country.
Patients and methods: Age-standardised (world population) mortality rates, at all ages and truncated at age 35–64 years, from major cancers and all cancers combined were computed on the basis of certified deaths derived from the World Health Organization database for the period 1970–99.
Results: Mortality rates for all neoplasms showed an upward trend in men of all ages (from 58.2/100 000 in 1970–74 to 87.1/100 000 in 1995–99) and in middle-aged men (from 76.1 to 93.7/100 000, respectively). This reflects the rise until the early 1990s in lung cancer mortality (from 8.1/100 000 in 1970–74 to 15.6/100 000 in 1995–99) and prostate cancer (from 5.5 to 12.2/100 000, respectively). In women, overall mortality rates showed an increase between the early 1970s (75.4/100 000) and the late 1990s (82.3/100 000). Total cancer mortality rates remained low, however, compared with other American countries (e.g. 153.3/100 000 men and 108.6/100 000 women in 1999 in the United States). Truncated rates were stable (126.5/100 000 in 1970–74 and 125.8/100 000 in 1995–99), although they were much higher than overall rates, reflecting exceedingly high rates for uterine (mostly cervical) cancer mortality in middle-aged women (29.5/100 000 in 1995–99).
Conclusions: Total cancer mortality in Mexico has remained comparably low on a worldwide scale, and the upward trends in mortality rates for lung and other tobacco-related neoplasms have tended to level off over the last decade. However, steady rises have been observed for other major cancers, including prostate and breast. Cervical cancer remains a major health problem in women.
Key words: Mexico, mortality, neoplasms
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  C. Bosetti, M. Malvezzi, L. Chatenoud, E. Negri, F. Levi, and C. La Vecchia Trends in cancer mortality in the Americas, 1970-2000 Ann. Onc., March 1, 2005; 16(3): 489 - 511. [Abstract] [Full Text] [PDF]
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