Trends in cancer mortality in Spain: the influence of the financial crisis
ABSTRACT Objective To determine if the onset of the economic crisis in Spain affected cancer mortality and mortality trends. Method We conducted a longitudinal ecological study based on all cancer-related deaths and on specific types of cancer (lung, colon, breast and prostate) in Spain between 2000 and 2013. We computed age-standardised mortality rates in men and women, and fit mixed Poisson models to analyse the effect of the crisis on cancer mortality and trends therein. Results After the onset of the economic crisis, cancer mortality continued to decline, but with a significant slowing of the yearly rate of decline (men: RR = 0.987, 95%CI = 0.985-0.990, before the crisis, and RR = 0.993, 95%CI = 0.991-0.996, afterwards; women: RR = 0.990, 95%CI = 0.988-0.993, before, and RR = 1.002, 95%CI = 0.998-1.006, afterwards). In men, lung cancer mortality was reduced, continuing the trend observed in the pre-crisis period; the trend in colon cancer mortality did not change significantly and continued to increase; and the yearly decline in prostate cancer mortality slowed significantly. In women, lung cancer mortality continued to increase each year, as before the crisis; colon cancer continued to decease; and the previous yearly downward trend in breast cancer mortality slowed down following the onset of the crisis. Conclusions Since the onset of the economic crisis in Spain the rate of decline in cancer mortality has slowed significantly, and this situation could be exacerbated by the current austerity measures in healthcare.
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Sociedad Española de Salud Pública y Administración Sanitaria (SESPAS)
2019
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oai:scielo:S0213-911120190003002292020-12-03Trends in cancer mortality in Spain: the influence of the financial crisisFerrando,JosepPalència,LaiaGotsens,MercèPuig-Barrachina,VanessaMarí-Dell’Olmo,MarcRodríguez-Sanz,MaicaBartoll,XavierBorrell,Carme Economic crisis Austerity Health care cuts Cancer Financial crisis Mortality ABSTRACT Objective To determine if the onset of the economic crisis in Spain affected cancer mortality and mortality trends. Method We conducted a longitudinal ecological study based on all cancer-related deaths and on specific types of cancer (lung, colon, breast and prostate) in Spain between 2000 and 2013. We computed age-standardised mortality rates in men and women, and fit mixed Poisson models to analyse the effect of the crisis on cancer mortality and trends therein. Results After the onset of the economic crisis, cancer mortality continued to decline, but with a significant slowing of the yearly rate of decline (men: RR = 0.987, 95%CI = 0.985-0.990, before the crisis, and RR = 0.993, 95%CI = 0.991-0.996, afterwards; women: RR = 0.990, 95%CI = 0.988-0.993, before, and RR = 1.002, 95%CI = 0.998-1.006, afterwards). In men, lung cancer mortality was reduced, continuing the trend observed in the pre-crisis period; the trend in colon cancer mortality did not change significantly and continued to increase; and the yearly decline in prostate cancer mortality slowed significantly. In women, lung cancer mortality continued to increase each year, as before the crisis; colon cancer continued to decease; and the previous yearly downward trend in breast cancer mortality slowed down following the onset of the crisis. Conclusions Since the onset of the economic crisis in Spain the rate of decline in cancer mortality has slowed significantly, and this situation could be exacerbated by the current austerity measures in healthcare.Sociedad Española de Salud Pública y Administración Sanitaria (SESPAS)Gaceta Sanitaria v.33 n.3 20192019-06-01journal articletext/htmlhttp://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0213-91112019000300229en |
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Ferrando,Josep Palència,Laia Gotsens,Mercè Puig-Barrachina,Vanessa Marí-Dell’Olmo,Marc Rodríguez-Sanz,Maica Bartoll,Xavier Borrell,Carme |
spellingShingle |
Ferrando,Josep Palència,Laia Gotsens,Mercè Puig-Barrachina,Vanessa Marí-Dell’Olmo,Marc Rodríguez-Sanz,Maica Bartoll,Xavier Borrell,Carme Trends in cancer mortality in Spain: the influence of the financial crisis |
author_facet |
Ferrando,Josep Palència,Laia Gotsens,Mercè Puig-Barrachina,Vanessa Marí-Dell’Olmo,Marc Rodríguez-Sanz,Maica Bartoll,Xavier Borrell,Carme |
author_sort |
Ferrando,Josep |
title |
Trends in cancer mortality in Spain: the influence of the financial crisis |
title_short |
Trends in cancer mortality in Spain: the influence of the financial crisis |
title_full |
Trends in cancer mortality in Spain: the influence of the financial crisis |
title_fullStr |
Trends in cancer mortality in Spain: the influence of the financial crisis |
title_full_unstemmed |
Trends in cancer mortality in Spain: the influence of the financial crisis |
title_sort |
trends in cancer mortality in spain: the influence of the financial crisis |
description |
ABSTRACT Objective To determine if the onset of the economic crisis in Spain affected cancer mortality and mortality trends. Method We conducted a longitudinal ecological study based on all cancer-related deaths and on specific types of cancer (lung, colon, breast and prostate) in Spain between 2000 and 2013. We computed age-standardised mortality rates in men and women, and fit mixed Poisson models to analyse the effect of the crisis on cancer mortality and trends therein. Results After the onset of the economic crisis, cancer mortality continued to decline, but with a significant slowing of the yearly rate of decline (men: RR = 0.987, 95%CI = 0.985-0.990, before the crisis, and RR = 0.993, 95%CI = 0.991-0.996, afterwards; women: RR = 0.990, 95%CI = 0.988-0.993, before, and RR = 1.002, 95%CI = 0.998-1.006, afterwards). In men, lung cancer mortality was reduced, continuing the trend observed in the pre-crisis period; the trend in colon cancer mortality did not change significantly and continued to increase; and the yearly decline in prostate cancer mortality slowed significantly. In women, lung cancer mortality continued to increase each year, as before the crisis; colon cancer continued to decease; and the previous yearly downward trend in breast cancer mortality slowed down following the onset of the crisis. Conclusions Since the onset of the economic crisis in Spain the rate of decline in cancer mortality has slowed significantly, and this situation could be exacerbated by the current austerity measures in healthcare. |
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Sociedad Española de Salud Pública y Administración Sanitaria (SESPAS) |
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2019 |
url |
http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0213-91112019000300229 |
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