title: Prostate cancer mortality according to marginalization status in Mexican states from 1980 to 2013.
abstract: OBJECTIVE
  To assess prostate cancer (PC) mortality in Mexico from 1980 to 2013, according to the state marginalization level.
  
  
  METHODS
  Using age-adjusted rates in men ≥ 40 years old, we estimated trends and age-cohort-period effects of PC mortality from 1980-2013 according to state marginalization status by using a joinpoint regression model and a Poisson regression model proposed by Holford.
  
  
  RESULTS
  The PC mortality risk has increased nationwide at a constant rate (2% annually) during the past 13 years. The highest annual increase was observed among states with very high (4.4%) and high (7.7%) marginalization rates. In contrast, states with very low levels of marginalization showed a significant reduction of 1.5% per year. The main changes were observed in the 1945-1950 birth year cohorts.
  
  
  CONCLUSIONS
  Differences in PC mortality across regions of Mexico may reflect differences in the timing of the diagnosis and treatment of PC.
authors.forename: Luisa E
authors.initials: LE
authors.lastname: Torres-Sánchez
authors.forename: Rebeca
authors.initials: R
authors.lastname: Espinoza-Giacinto
authors.forename: Rosalba
authors.initials: R
authors.lastname: Rojas-Martínez
authors.forename: Consuelo
authors.initials: C
authors.lastname: Escamilla-Nuñez
authors.forename: Ruth Argelia
authors.initials: RA
authors.lastname: Vázquez-Salas
authors.forename: Julio César
authors.initials: JC
authors.lastname: Campuzano
authors.forename: Eduardo
authors.initials: E
authors.lastname: Lazcano-Ponce
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016208:Databases, Factual; D003644:Death Certificates; D057210:Delayed Diagnosis; D062306:Geography, Medical; D054625:Healthcare Disparities; D006801:Humans; D008297:Male; D008800:Mexico / Q000453:epidemiology; D008875:Middle Aged; D009026:Mortality / Q000639:trends; D011471:Prostatic Neoplasms / Q000191:economics / Q000401:mortality*; D012189:Retrospective Studies; D012306:Risk; D062487:Social Marginalization