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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 526 - 533 (8page)
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Purpose This study was conducted to describe the trends and age-period-cohort effects on the incidence and mortality rate of cervical cancer in Korea.
Materials and Methods The incidence and mortality rate of cervical cancer among 20-year-old women from 1993 to 2012 were obtained from the Korea Central Cancer Registry and the Korean Statistical Information Service. Age-standardized rates were calculated and Joinpoint regression was used to evaluate the trends in the incidence and mortality rate. Age-period-cohort analysis was performed to investigate the independent effects of age, period and cohort.
Results The incidence of cervical cancer decreased from 32.8 per 100,000 in 1993 to 15.9 per 100,000 in 2012 (annual percent change [APC], –3.9%; 95% confidence interval [CI], –4.2% to –3.6%). The mortality rate decreased from 5.2 per 100,000 in 1993 to 2.1 per 100,000 in 2012 (APC, –4.8%; 95% CI, –5.1% to –4.4%); however, the incidence and mortality rates among young women (< 30 years old) increased. An age-period-cohort model of the incidence and mortality rate showed decreasing period effects between 1993 and 2008 and decreasing cohort effects between 1928 and 1973, while birth cohorts after 1973 exhibited slight increases in the incidence and mortality rate of cervical cancer.
Conclusion Recent decreases in the incidence and mortality rate of cervical cancer were due to decreases in the period and cohort effects, which reflect the implementation of a cancer screening program and changes in lifestyle. However, our findings also highlighted an increase in cohort effects on the incidence and mortality rate among young women born after 1973.
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참고문헌 (28)
참고문헌 신청
Peirson L / 2013 / Screening for cervical cancer : a systematic review and meta-analysis / Syst Rev 2:35
Aklimunnessa K / 2006 / Effectiveness of cervical cancer screening over cervical cancer mortality among Japanese women / Jpn J Clin Oncol 36:511~518
Chen YY / 2009 / Effectiveness of national cervical cancer screening programme in Taiwan : 12-year experiences / Br J Cancer 101:174~177
Leung GM / 2006 / Age-period-cohort analysis of cervical cancer incidence in Hong Kong from 1972 to 2001 using maximum likelihood and Bayesian methods / J Epidemiol Community Health 60:712~720
Yang Y / 2004 / A methodological comparison of ageperiodcohort models : the intrinsic estimator and conventional generalized linear models / Sociol Methodol 34:75~110
Aklimunnessa K / 2006 / Effectiveness of cervical cancer screening over cervical cancer mortality among Japanese women / Jpn J Clin Oncol 36:511~518
Chen YY / 2009 / Effectiveness of national cervical cancer screening programme in Taiwan : 12-year experiences / Br J Cancer 101:174~177
Leung GM / 2006 / Age-period-cohort analysis of cervical cancer incidence in Hong Kong from 1972 to 2001 using maximum likelihood and Bayesian methods / J Epidemiol Community Health 60:712~720
Yang Y / 2004 / A methodological comparison of ageperiodcohort models : the intrinsic estimator and conventional generalized linear models / Sociol Methodol 34:75~110
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