An age-period-cohort analysis of gastric cancer mortality from 1950 to 2007 in Europe

Matteo Malvezzi, Martina Bonifazi, Paola Bertuccio, Fabio Levi, Carlo La Vecchia, Adriano Decarli, Eva Negri

Research output: Contribution to journalArticle

43 Citations (Scopus)

Abstract

Purpose: To analyze the components of the favorable trends in gastric cancer in Europe. Methods: From official certified deaths from gastric cancer and population estimates for 42 countries of the European geographical region, during the period 1950 to 2007, age-standardized death rates (World Standard Population) were computed, and an age-period-cohort analysis was performed. Results: Central and Northern countries with lower rates in the 2005 to 2007 period, such as France (5.28 and 1.93/100,000, men and women respectively) and Sweden (4.49 and 2.21/100,000), had descending period and cohort effects that decreased steeply from the earliest cohorts until those born in the 1940s, to then stabilize. Former nonmarket economy countries had mortality rates greater than 20/100,000 men and 10/100,000 women, and displayed a later start in the cohort effect fall, which continued in the younger cohorts. Mortality remained high in some countries of Southern and Eastern Europe. Conclusions: The decrease in gastric cancer mortality was observed in both cohort and period effects but was larger in the cohorts, suggesting that the downward trends are likely to persist in countries with higher rates. In a few Western countries with very low rates an asymptote appears to have been reached for cohorts born after the 1940s, particularly in women.

Original languageEnglish
Pages (from-to)898-905
Number of pages8
JournalAnnals of Epidemiology
Volume20
Issue number12
DOIs
Publication statusPublished - Dec 2010

Fingerprint

Cohort Effect
Stomach Neoplasms
Cohort Studies
Demography
Mortality
Eastern Europe
Sweden
Population
France

Keywords

  • Age Period Cohort Analysis
  • Europe
  • Gastric Cancer
  • Mortality

ASJC Scopus subject areas

  • Epidemiology

Cite this

Malvezzi, M., Bonifazi, M., Bertuccio, P., Levi, F., La Vecchia, C., Decarli, A., & Negri, E. (2010). An age-period-cohort analysis of gastric cancer mortality from 1950 to 2007 in Europe. Annals of Epidemiology, 20(12), 898-905. https://doi.org/10.1016/j.annepidem.2010.08.013

An age-period-cohort analysis of gastric cancer mortality from 1950 to 2007 in Europe. / Malvezzi, Matteo; Bonifazi, Martina; Bertuccio, Paola; Levi, Fabio; La Vecchia, Carlo; Decarli, Adriano; Negri, Eva.

In: Annals of Epidemiology, Vol. 20, No. 12, 12.2010, p. 898-905.

Research output: Contribution to journalArticle

Malvezzi, M, Bonifazi, M, Bertuccio, P, Levi, F, La Vecchia, C, Decarli, A & Negri, E 2010, 'An age-period-cohort analysis of gastric cancer mortality from 1950 to 2007 in Europe', Annals of Epidemiology, vol. 20, no. 12, pp. 898-905. https://doi.org/10.1016/j.annepidem.2010.08.013
Malvezzi M, Bonifazi M, Bertuccio P, Levi F, La Vecchia C, Decarli A et al. An age-period-cohort analysis of gastric cancer mortality from 1950 to 2007 in Europe. Annals of Epidemiology. 2010 Dec;20(12):898-905. https://doi.org/10.1016/j.annepidem.2010.08.013
Malvezzi, Matteo ; Bonifazi, Martina ; Bertuccio, Paola ; Levi, Fabio ; La Vecchia, Carlo ; Decarli, Adriano ; Negri, Eva. / An age-period-cohort analysis of gastric cancer mortality from 1950 to 2007 in Europe. In: Annals of Epidemiology. 2010 ; Vol. 20, No. 12. pp. 898-905.
@article{90c40b2f04754c41a9ff3820160736dc,
title = "An age-period-cohort analysis of gastric cancer mortality from 1950 to 2007 in Europe",
abstract = "Purpose: To analyze the components of the favorable trends in gastric cancer in Europe. Methods: From official certified deaths from gastric cancer and population estimates for 42 countries of the European geographical region, during the period 1950 to 2007, age-standardized death rates (World Standard Population) were computed, and an age-period-cohort analysis was performed. Results: Central and Northern countries with lower rates in the 2005 to 2007 period, such as France (5.28 and 1.93/100,000, men and women respectively) and Sweden (4.49 and 2.21/100,000), had descending period and cohort effects that decreased steeply from the earliest cohorts until those born in the 1940s, to then stabilize. Former nonmarket economy countries had mortality rates greater than 20/100,000 men and 10/100,000 women, and displayed a later start in the cohort effect fall, which continued in the younger cohorts. Mortality remained high in some countries of Southern and Eastern Europe. Conclusions: The decrease in gastric cancer mortality was observed in both cohort and period effects but was larger in the cohorts, suggesting that the downward trends are likely to persist in countries with higher rates. In a few Western countries with very low rates an asymptote appears to have been reached for cohorts born after the 1940s, particularly in women.",
keywords = "Age Period Cohort Analysis, Europe, Gastric Cancer, Mortality",
author = "Matteo Malvezzi and Martina Bonifazi and Paola Bertuccio and Fabio Levi and {La Vecchia}, Carlo and Adriano Decarli and Eva Negri",
year = "2010",
month = "12",
doi = "10.1016/j.annepidem.2010.08.013",
language = "English",
volume = "20",
pages = "898--905",
journal = "Annals of Epidemiology",
issn = "1047-2797",
publisher = "Elsevier Inc.",
number = "12",

}

TY - JOUR

T1 - An age-period-cohort analysis of gastric cancer mortality from 1950 to 2007 in Europe

AU - Malvezzi, Matteo

AU - Bonifazi, Martina

AU - Bertuccio, Paola

AU - Levi, Fabio

AU - La Vecchia, Carlo

AU - Decarli, Adriano

AU - Negri, Eva

PY - 2010/12

Y1 - 2010/12

N2 - Purpose: To analyze the components of the favorable trends in gastric cancer in Europe. Methods: From official certified deaths from gastric cancer and population estimates for 42 countries of the European geographical region, during the period 1950 to 2007, age-standardized death rates (World Standard Population) were computed, and an age-period-cohort analysis was performed. Results: Central and Northern countries with lower rates in the 2005 to 2007 period, such as France (5.28 and 1.93/100,000, men and women respectively) and Sweden (4.49 and 2.21/100,000), had descending period and cohort effects that decreased steeply from the earliest cohorts until those born in the 1940s, to then stabilize. Former nonmarket economy countries had mortality rates greater than 20/100,000 men and 10/100,000 women, and displayed a later start in the cohort effect fall, which continued in the younger cohorts. Mortality remained high in some countries of Southern and Eastern Europe. Conclusions: The decrease in gastric cancer mortality was observed in both cohort and period effects but was larger in the cohorts, suggesting that the downward trends are likely to persist in countries with higher rates. In a few Western countries with very low rates an asymptote appears to have been reached for cohorts born after the 1940s, particularly in women.

AB - Purpose: To analyze the components of the favorable trends in gastric cancer in Europe. Methods: From official certified deaths from gastric cancer and population estimates for 42 countries of the European geographical region, during the period 1950 to 2007, age-standardized death rates (World Standard Population) were computed, and an age-period-cohort analysis was performed. Results: Central and Northern countries with lower rates in the 2005 to 2007 period, such as France (5.28 and 1.93/100,000, men and women respectively) and Sweden (4.49 and 2.21/100,000), had descending period and cohort effects that decreased steeply from the earliest cohorts until those born in the 1940s, to then stabilize. Former nonmarket economy countries had mortality rates greater than 20/100,000 men and 10/100,000 women, and displayed a later start in the cohort effect fall, which continued in the younger cohorts. Mortality remained high in some countries of Southern and Eastern Europe. Conclusions: The decrease in gastric cancer mortality was observed in both cohort and period effects but was larger in the cohorts, suggesting that the downward trends are likely to persist in countries with higher rates. In a few Western countries with very low rates an asymptote appears to have been reached for cohorts born after the 1940s, particularly in women.

KW - Age Period Cohort Analysis

KW - Europe

KW - Gastric Cancer

KW - Mortality

UR - http://www.scopus.com/inward/record.url?scp=78149447068&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=78149447068&partnerID=8YFLogxK

U2 - 10.1016/j.annepidem.2010.08.013

DO - 10.1016/j.annepidem.2010.08.013

M3 - Article

C2 - 21074104

AN - SCOPUS:78149447068

VL - 20

SP - 898

EP - 905

JO - Annals of Epidemiology

JF - Annals of Epidemiology

SN - 1047-2797

IS - 12

ER -