The 130th Annual Meeting of APHA

4004.0: Tuesday, November 12, 2002 - Board 7

Abstract #42842

Mortality trends due to tobacco-related cancer: The case of Mexico

Víctor José Tovar Guzmán1, Simón Barquera1, and F. J. López Antuñano2. (1) Centro de Investigacion en Salud Poblacional, IInstituto Nacional de Salud Pública, Avenida Universidad No. 655, Cuernavaca, Morelos, Mexico, 0173 175391,, (2) Instituto Nacional de Salud Pública, Centro de Investigacion en Salud Poblacional, Avenida Universidad No. 655, Cuernavaca, Morelos, Mexico

Objectives. To estimate mortality trends by cancer, attributable to tobacco smoking, during the period 1980-1997. To estimate the gender ratio and the relative proportions for cases within the group of 35-64 years old and for the studied population. Methods. Mortality rates were adjusted by age, gender, cause of death and year, between 1980 and 1997. We used as denominator the National Population Council for projections by age. Results. The gender mortality rates ratio for the of lung, esophagus, oral cavity & pharynx were 2.10:1.00 (Male: Female). The Larynx cancer gender’s ratio was striking: 4.21: 1.00, probably due to the higher prevalence of male smokers. The estimated relative proportion, using the total mortality due to malignant cancers was: lung cancer 12.31%, larynx 1.71%, esophagus 1.55% y and oral cavity/pharynx 1.49%. Previous tobacco smoking is correlated with the mortality rate trends by lung cancer (Beta: 0.910, IC 95%: 1.097-1.797); R2 0.827. For the poorest social groups by federal entity, the correlation was inverted (Beta: -0.510, IC 95%: -0.170, -0.039, R2: 0.260). Discussion. Diagnosis, population transition and increased tobacco smoking are probably the main cancer mortality rates determinants. However, other associated variables, such as urbanization, physical activity, carotenoids in-take and other dietetic and toxic components like alcohol, could also influenciate morbidity and mortality rates. In spite of the fact that the tobacco related cancer is a public health issue with poor prognosis and that it is dramatically increasing the chief risk factor (tobacco) could be eliminated by health education/promotion, publicity regulation and fiscal policies.

Learning Objectives:

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

Tobacco Research from Around the World: An International Perspective Poster Session

The 130th Annual Meeting of APHA