Trends in cancer mortality in Spain: the influence of the financial crisis
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 20...
| Autores: | , , , , , , , |
|---|---|
| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2019 |
| País: | España |
| Institución: | Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
| Repositorio: | Recercat. Dipósit de la Recerca de Catalunya |
| OAI Identifier: | oai:recercat.cat:10230/44946 |
| Acceso en línea: | http://hdl.handle.net/10230/44946 http://dx.doi.org/10.1016/j.gaceta.2017.11.008 |
| Access Level: | acceso abierto |
| Palabra clave: | Economic crisis Austerity Health care cuts Cancer Financial crisis Mortality Crisis económica Austeridad Recortes en salud Cáncer Crisis financiera Mortalidad |
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España |
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Trends in cancer mortality in Spain: the influence of the financial crisis Evolución de la mortalidad por cáncer en España: influencia de la crisis económica |
| title |
Trends in cancer mortality in Spain: the influence of the financial crisis |
| spellingShingle |
Trends in cancer mortality in Spain: the influence of the financial crisis Ferrando, Josep Economic crisis Austerity Health care cuts Cancer Financial crisis Mortality Crisis económica Austeridad Recortes en salud Cáncer Crisis financiera Mortalidad |
| 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 |
| dc.creator.none.fl_str_mv |
Ferrando, Josep Palència Fernàndez, Laia, 1980- Gotsens Miquel, Mercè, 1983- Puig i Barrachina, Vanessa, 1980- Marí Dell'Olmo, Marc, 1978- Rodríguez Sanz, Maica, 1974- Bartoll, Xavier Borrell i Thió, Carme |
| author |
Ferrando, Josep |
| author_facet |
Ferrando, Josep Palència Fernàndez, Laia, 1980- Gotsens Miquel, Mercè, 1983- Puig i Barrachina, Vanessa, 1980- Marí Dell'Olmo, Marc, 1978- Rodríguez Sanz, Maica, 1974- Bartoll, Xavier Borrell i Thió, Carme |
| author_role |
author |
| author2 |
Palència Fernàndez, Laia, 1980- Gotsens Miquel, Mercè, 1983- Puig i Barrachina, Vanessa, 1980- Marí Dell'Olmo, Marc, 1978- Rodríguez Sanz, Maica, 1974- Bartoll, Xavier Borrell i Thió, Carme |
| author2_role |
author author author author author author author |
| dc.subject.none.fl_str_mv |
Economic crisis Austerity Health care cuts Cancer Financial crisis Mortality Crisis económica Austeridad Recortes en salud Cáncer Crisis financiera Mortalidad |
| topic |
Economic crisis Austerity Health care cuts Cancer Financial crisis Mortality Crisis económica Austeridad Recortes en salud Cáncer Crisis financiera Mortalidad |
| description |
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. |
| publishDate |
2019 |
| dc.date.none.fl_str_mv |
2019 2020 2020 |
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info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
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article |
| status_str |
publishedVersion |
| dc.identifier.none.fl_str_mv |
http://hdl.handle.net/10230/44946 http://dx.doi.org/10.1016/j.gaceta.2017.11.008 |
| url |
http://hdl.handle.net/10230/44946 http://dx.doi.org/10.1016/j.gaceta.2017.11.008 |
| dc.language.none.fl_str_mv |
Inglés |
| language_invalid_str_mv |
Inglés |
| dc.relation.none.fl_str_mv |
Gac Sanit. 2019; 33(3):229-34 |
| dc.rights.none.fl_str_mv |
http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess |
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http://creativecommons.org/licenses/by-nc-nd/4.0/ |
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openAccess |
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application/pdf application/pdf |
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Elsevier |
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Elsevier |
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reponame:Recercat. Dipósit de la Recerca de Catalunya instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
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Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
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Recercat. Dipósit de la Recerca de Catalunya |
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Recercat. Dipósit de la Recerca de Catalunya |
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1869407189652733952 |
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Trends in cancer mortality in Spain: the influence of the financial crisisEvolución de la mortalidad por cáncer en España: influencia de la crisis económicaFerrando, JosepPalència Fernàndez, Laia, 1980-Gotsens Miquel, Mercè, 1983-Puig i Barrachina, Vanessa, 1980-Marí Dell'Olmo, Marc, 1978-Rodríguez Sanz, Maica, 1974-Bartoll, XavierBorrell i Thió, CarmeEconomic crisisAusterityHealth care cutsCancerFinancial crisisMortalityCrisis económicaAusteridadRecortes en saludCáncerCrisis financieraMortalidadObjective: 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.Objetivo: Determinar si el inicio de la crisis económica en España afectó a la mortalidad por cáncer y sus tendencias. Método: Estudio ecológico longitudinal que analiza todas las muertes por cáncer y por tipos específicos de cáncer (pulmón, colon, mama y próstata) en España entre 2000 y 2013. Se estimaron las tasas de mortalidad estandarizadas por edad en hombres y mujeres, y se ajustaron modelos mixtos de Poisson para analizar el efecto de la crisis sobre la mortalidad por cáncer y sus tendencias. Resultados: Después del inicio de la crisis económica, la mortalidad por cáncer continuó su tendencia a la baja, pero con una disminución significativa del decrecimiento anual (hombres: riesgo relativo [RR] = 0,987, intervalo de confianza del 95% [IC95%] = 0,985-0,990, antes de la crisis, y RR = 0,993, IC95% = 0,991-0,996 después; mujeres: RR = 0,990, IC95% = 0,988-0,993, antes, y RR = 1,002, IC95% = 0,998-1,006 después). En los hombres, la mortalidad por cáncer de pulmón se redujo, continuando la tendencia observada en el periodo anterior a la crisis; la tendencia en la mortalidad por cáncer de colon no cambió significativamente y siguió aumentando; y la disminución anual de la mortalidad por cáncer de próstata se desaceleró significativamente. En las mujeres, la mortalidad por cáncer de pulmón continuó aumentando cada año, como antes de la crisis; el cáncer de colon continuó disminuyendo; y la tendencia a la disminución de la mortalidad por cáncer de mama se desaceleró después del inicio de la crisis. Conclusiones: Desde el inicio de la crisis económica en España, la disminución de la tasa de mortalidad por cáncer se ha desacelerado significativamente y esta situación podría verse exacerbada por las actuales medidas de austeridad en el sistema sanitario.Elsevier202020202019info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttp://hdl.handle.net/10230/44946http://dx.doi.org/10.1016/j.gaceta.2017.11.008reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésGac Sanit. 2019; 33(3):229-34© 2018 SESPAS. Publicado por Elsevier España, S.L.U. Este es un artículo Open Access bajo la licencia CC BY-NC-ND (http://creativecommons.org/licenses/by-nc-nd/4.0/)http://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:recercat.cat:10230/449462026-05-29T05:05:01Z |
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15,81155 |