Trends in cancer mortality in Spain : the influence of the financial crisis Evolución de la mortalidad por cáncer en España: influencia de la crisis económica
Ferrando, Josep (Agència de Salut Pública de Barcelona)
Palència, Laia (Institut d'Investigació Biomèdica Sant Pau)
Gotsens, Mercè (Institut d'Investigació Biomèdica Sant Pau)
Puig-Barrachina, Vanessa (Agència de Salut Pública de Barcelona)
Marí-Dell'Olmo, Marc 1978- (Institut d'Investigació Biomèdica Sant Pau)
Rodríguez-Sanz, Maica (Institut d'Investigació Biomèdica Sant Pau)
Bartoll, Xavier (Institut d'Investigació Biomèdica Sant Pau)
Borrell i Thió, Carme (Institut d'Investigació Biomèdica Sant Pau)
Universitat Autònoma de Barcelona

Date:	2019
Abstract:	Objective: To determine if the onset of the economic crisis in Spain affected cancer mortality and mortality trends. Method: We conducted a longitudinal ecological study based on all cancer-related deaths and on specific types of cancer (lung, colon, breast and prostate) in Spain between 2000 and 2013. We computed age-standardised mortality rates in men and women, and fit mixed Poisson models to analyse the effect of the crisis on cancer mortality and trends therein. Results: After the onset of the economic crisis, cancer mortality continued to decline, but with a significant slowing of the yearly rate of decline (men: RR = 0. 987, 95%CI = 0. 985-0. 990, before the crisis, and RR = 0. 993, 95%CI = 0. 991-0. 996, afterwards; women: RR = 0. 990, 95%CI = 0. 988-0. 993, before, and RR = 1. 002, 95%CI = 0. 998-1. 006, afterwards). In men, lung cancer mortality was reduced, continuing the trend observed in the pre-crisis period; the trend in colon cancer mortality did not change significantly and continued to increase; and the yearly decline in prostate cancer mortality slowed significantly. In women, lung cancer mortality continued to increase each year, as before the crisis; colon cancer continued to decease; and the previous yearly downward trend in breast cancer mortality slowed down following the onset of the crisis. Conclusions: Since the onset of the economic crisis in Spain the rate of decline in cancer mortality has slowed significantly, and this situation could be exacerbated by the current austerity measures in healthcare.
Grants:	Instituto de Salud Carlos III PI13-00897
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.
Language:	Castellà
Document:	Article ; recerca ; Versió publicada
Subject:	Austerity ; Cancer ; Crisis económica ; Crisis financiera ; Cáncer ; Economic crisis ; Financial crisis ; Health care cuts ; Mortalidad ; Mortality ; Recortes en salud
Published in:	Gaceta sanitaria, Vol. 33 Núm. 3 (mayo 2019) , p. 229-234, ISSN 1578-1283

DOI: 10.1016/j.gaceta.2017.11.008
PMID: 29452751

6 p, 578.2 KB

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Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Institut de Recerca Sant Pau
Articles > Research articles
Articles > Published articles