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...

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Autores: Ferrando, J, Palencia, L, Gotsens, M, Puig-Barrachina, V, Mari-Dell'Olmo, M, Rodriguez-Sanz, M, Bartoll, X, Borrell, C
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2019
País:España
Institución:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
Repositorio:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
OAI Identifier:oai:iibsantpau.fundanetsuite.com:p2738
Acceso en línea:https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=2738
http://ddd.uab.cat/record/223344
Access Level:acceso abierto
Palabra clave:Economic crisis
Austerity
Health care cuts
Cancer
Financial crisis
Mortality
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spelling Trends in cancer mortality in Spain: the influence of the financial crisisFerrando, JPalencia, LGotsens, MPuig-Barrachina, VMari-Dell'Olmo, MRodriguez-Sanz, MBartoll, XBorrell, CEconomic crisisAusterityHealth care cutsCancerFinancial crisisMortalityObjective: 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%Cl= 0.985-0.990, before the crisis, and RR = 0.993, 95%Cl = 0.991-0.996, afterwards; women: RR = 0.990, 95%Cl = 0.988-0.993, before, and RR = 1.002, 95%Cl = 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. (C) 2018 SESPAS. Published by Elsevier Espana, S.L.U. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).ELSEVIER2019info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=2738http://ddd.uab.cat/record/223344Gaceta SanitariaISSN: 02139111ISSNe: 15781283reponame:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pauinstname:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)Españolinfo:eu-repo/semantics/openAccessoai:iibsantpau.fundanetsuite.com:p27382026-06-14T12:41:47Z
dc.title.none.fl_str_mv Trends in cancer mortality in Spain: the influence of the financial crisis
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, J
Economic crisis
Austerity
Health care cuts
Cancer
Financial crisis
Mortality
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, J
Palencia, L
Gotsens, M
Puig-Barrachina, V
Mari-Dell'Olmo, M
Rodriguez-Sanz, M
Bartoll, X
Borrell, C
author Ferrando, J
author_facet Ferrando, J
Palencia, L
Gotsens, M
Puig-Barrachina, V
Mari-Dell'Olmo, M
Rodriguez-Sanz, M
Bartoll, X
Borrell, C
author_role author
author2 Palencia, L
Gotsens, M
Puig-Barrachina, V
Mari-Dell'Olmo, M
Rodriguez-Sanz, M
Bartoll, X
Borrell, C
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
topic Economic crisis
Austerity
Health care cuts
Cancer
Financial crisis
Mortality
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%Cl= 0.985-0.990, before the crisis, and RR = 0.993, 95%Cl = 0.991-0.996, afterwards; women: RR = 0.990, 95%Cl = 0.988-0.993, before, and RR = 1.002, 95%Cl = 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. (C) 2018 SESPAS. Published by Elsevier Espana, S.L.U. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
publishDate 2019
dc.date.none.fl_str_mv 2019
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=2738
http://ddd.uab.cat/record/223344
url https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=2738
http://ddd.uab.cat/record/223344
dc.language.none.fl_str_mv Español
language_invalid_str_mv Español
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv ELSEVIER
publisher.none.fl_str_mv ELSEVIER
dc.source.none.fl_str_mv Gaceta Sanitaria
ISSN: 02139111
ISSNe: 15781283
reponame:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
instname:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
instname_str Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
reponame_str r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
collection r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
repository.name.fl_str_mv
repository.mail.fl_str_mv
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