New Trends of Cervical Cancer Incidence in Kazakhstan
| Autor: | Nurbek Igissinov, Zhansaya Telmanova, Gulnur Igissinova, Zhanar Kozhakhmetova, Dulat Turebayev, Altyn Moldabayeva, Saken Kozhakhmetov, Marina Zhanaliyeva, Gaukhar Nurtazinova, Vladimir Openko, Ardak Omarbekov, Dinara Tarzhanova, Ainagul Kazbekova, Saltanat Urazova, Zarina Bilyalova, Yerlan Kuandykov, Zhanar Bukeyeva, Dariyana Kulmirzayeva, Aigul Almabayeva |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
trends 0301 basic medicine medicine.medical_specialty Population Uterine Cervical Neoplasms 03 medical and health sciences Age Distribution 0302 clinical medicine Epidemiology medicine Humans education Aged Retrospective Studies Aged 80 and over Cervical cancer Secondary prevention Cervical pathology education.field_of_study business.industry Incidence Incidence (epidemiology) Retrospective cohort study General Medicine Middle Aged medicine.disease Kazakhstan 030104 developmental biology 030220 oncology & carcinogenesis Female business Cervical cancer incidence Research Article Demography |
| Zdroj: | Asian Pacific Journal of Cancer Prevention : APJCP |
| ISSN: | 2476-762X |
| DOI: | 10.31557/apjcp.2021.22.4.1295 |
| Popis: | Objective The epidemiological features of the cervical cancer (CC) incidence and its spatial and temporal assessment in Kazakhstan were studied. Methods The retrospective study was done for the period 2009-2018. Descriptive and analytical methods of oncoepidemiology were used. Results During the study period, 16,441 new cases of CC were registered. The average annual crude and age-standardized incidence rate were 18.6±0.5 and 17.7±0.4 cases per 100,000 population of female, respectively, and their trends tended to increase (Тup=+2.3%; R2=0.708 and Тup=+1.9%; R2=0.615, respectively). The analysis of ASIR showed unimodal growth with a peak at 50-54 years - 45.3±1.1 cases per 100,000 population of female. Trends of ASIR decreased up to 30 years (Tdown=-1.8%; R2=0.111) and 35-59 years (Tdown=-0.9%; R2=0.103), in other age groups the trends increased, and were most pronounced in 40-44 (Тup=+4.1%; R2=0.878) and 65-69 years (Тup=+4.4%; R2=0.537). Trends in ASR of СС tended to grow in almost all regions, with higher levels in Mangystau (Тup=+4.1%; R2=0.482) and Aktobe (Тup=+6.3%; R2=0.846) regions. The cartograms of ASR per 100,000 population of female were allocated according to the following criteria: low - up to 16.3, average - from 16.3 to 19.2, high - above 19.2. The results of the spatial analysis showed the regions with a higher levels of CC incidence rate per 100,000 population of female: East Kazakhstan (19.8), Aktobe (20.0), Almaty (20.1), Kostanay region (20.9), Atyrau (21.7) regions and Almaty city (22.0). Conclusion The study of trends of the cervical cancer incidence has the theoretical and practical value: monitoring and evaluation of screening programmes, which are implemented in the country, and conduction of secondary prevention of cervical pathology. Health authorities should consider the obtained results in the in the organization of anti-cancer activities. |
| Databáze: | OpenAIRE |
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