Prostate cancer mortality according to marginalization status in Mexican states from 1980 to 2013

Salud Publica Mex. 2016 Apr;58(2):179-86. doi: 10.21149/spm.v58i2.7787.


Objective: To assess prostate cancer (PC) mortality in Mexico from 1980 to 2013, according to the state marginalization level.

Materials and 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.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Databases, Factual
  • Death Certificates
  • Delayed Diagnosis
  • Geography, Medical
  • Healthcare Disparities
  • Humans
  • Male
  • Mexico / epidemiology
  • Middle Aged
  • Mortality / trends
  • Prostatic Neoplasms / economics
  • Prostatic Neoplasms / mortality*
  • Retrospective Studies
  • Risk
  • Social Marginalization*