title: Mortality from cervical cancer in Serbia in the period 1991-2011.
abstract: OBJECTIVE
  The aim of this study was to analyze trends of death rates for cervical cancer (CC) on territory of The Republic of Serbia in the period 1991-2011.
  
  
  METHODS
  In this descriptive epidemiological study, unpublished data of the Statistical Office of the Republic of Serbia were used for the analysis of mortality due to CC among women in Serbia, from 1991 to 2011. Three different types of rates were calculated: crude, age-specific and age-adjusted rates. The age-standardized rates were calculated by the direct method of standardization using the World Standard Population as standard. The trends were assessed by joinpoint linear regression analysis. An average annual percentage change (AAPC) and the corresponding 95% confidence intervals (CI) were computed for trends.
  
  
  RESULTS
  The average age-standardized CC mortality rate (ASCCMR) was 7.03 per 100,000. The lowest value of the ASCCMR was at the beginning of the observed period (6.05 per 100,000) and the highest was 8.17 per 100,000 in 2008. The age-adjusted CC mortality rates have been continuously and significantly increasing (AAPC=+0.7, 95% CI=0.3- 1.1, p<0.05). In all age groups we found increasing trends, except in the age group of 65-74 years.
  
  
  CONCLUSIONS
  Since ASCCMR has been steadily increasing during the period observed, reducing these rates is highly warranted. To achieve this target, an organized CC screening program is essential.
authors.affiliation: Institute of Public Health of Serbia "Dr Milan Jovanovic Batut", Belgrade, Serbia.
authors.forename: Tamara
authors.initials: T
authors.lastname: Naumovic
authors.forename: Dragan
authors.initials: D
authors.lastname: Miljus
authors.forename: Milica
authors.initials: M
authors.lastname: Djoric
authors.forename: Snezana
authors.initials: S
authors.lastname: Zivkovic
authors.forename: Zivko
authors.initials: Z
authors.lastname: Perisic
mesh_terms: D017677:Age Distribution; D000367:Age Factors; D000368:Aged; D002423:Cause of Death / Q000639:trends; D005260:Female; D006801:Humans; D016014:Linear Models; D008875:Middle Aged; D012307:Risk Factors; D055771:Serbia / Q000453:epidemiology; D013997:Time Factors; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis / Q000401:mortality*