PMID: 9177113May 1, 1997Paper

Gastric cancer in the European Union (1968-1992): mortality trends and cohort effect

Annals of Epidemiology
N AragonésG López-Abente

Abstract

To analyze patterns and trends in gastric cancer mortality in the European Union (EU) over the period 1968-1992, paying special attention to changes associated with birth cohort. Poisson log-linear models were used to quantify geographic differences and relative annual changes. To assess trends associated with birth cohort, invariant parameters from sex-specific age-period-chohort models (net drift and curvature), for each country, were used to choose a restricted slope range for cohort effect. Gastric cancer mortality declined throughout the EU. The male-to-female ratio stood at around 2 in all countries, yet showed a slight rise over time. Portugal reported the highest age-adjusted rates for men and women (45.63 and 23.31 per 100,000 person-years, respectively). The rate ratio between two extreme countries (Portugal/Denmark) exceeded 3. Quantitative intercountry differences were found in trend slopes, with a decrease of 5% per annum in Finland. Risk of dying associated with birth cohort decreased over successive generations. Small local rises in risk, in almost all countries among generations born around the 1940s, support the importance of diet early in life in the etiology of gastric cancer. Despite the substantial decline ...Continue Reading

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Citations

Oct 17, 2001·European Journal of Cancer : Official Journal for European Organization for Research and Treatment of Cancer (EORTC) [and] European Association for Cancer Research (EACR)·D M ParkinS S Devesa
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