title: Gender differences in lung cancer mortality trends in Andalusia 1975-2008: a joinpoint regression analysis.
abstract: Death rates from lung cancer in men are higher in Andalusia than in other Spanish regions. This study describes lung cancer mortality rates and their trends in Andalusia from 1975 through 2008. Data on lung cancer mortality were obtained from the Death Registry of Andalusia. For each gender, age group-specific and standardized (overall and truncated) rates were calculated by the direct method using the world standard population. Joinpoint regression analysis was used to identify points where a significant change in trends occurred. In men, short-term trends for age-standardized mortality rates (ASMRs) declined significantly from 2004 through 2008 for each age group < 80 years old. In women, the segmented joinpoint analysis showed a decrease from 1975 through 1998 in ASMRs (overall) (-0.6%, P < 0.05), followed by a marked increase (4.6%, P < 0.05). A decrease in male versus female mortality due to lung cancer is evident in Andalusia (Spain).
authors.affiliation: Clinical Documentation Service, University Hospital Virgen del Rocio, Seville, Spain.
authors.forename: Aurelio
authors.initials: A
authors.lastname: Cayuela
authors.forename: Susana
authors.initials: S
authors.lastname: Rodríguez-Domínguez
authors.forename: Luis
authors.initials: L
authors.lastname: Jara-Palomares
authors.forename: Remedios
authors.initials: R
authors.lastname: Otero-Candelera
authors.forename: Jose Luis
authors.initials: JL
authors.lastname: López-Campos
authors.forename: Eduardo
authors.initials: E
authors.lastname: Vigil
mesh_terms: D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000401:mortality*; D008297:Male; D008875:Middle Aged; D012044:Regression Analysis; D012727:Sex Characteristics; D013030:Spain / Q000453:epidemiology