Original scientific paper
https://doi.org/10.3325/cmj.2017.58.358
Trends in incidence of lung cancer in Croatia from 2001 to 2013: gender and regional differences
Katarina-Josipa Siroglavić
; Department of Public Health Andrija Štampar Teaching Instituteof Public Health, Zagreb, Croatia
Marina Polić Vižintin
; Department of Public Health Andrija Štampar Teaching Instituteof Public Health, Zagreb, Croatia
Ingrid Tripković
; Department of Public Health, Teaching Institute of Public Health for Split – Dalmatia County, Split, Croatia
Mario Šekerija
; Division for Epidemiology and Prevention of Noncommunicable Chronic Diseases, Croatian Institute of Public Health, Zagreb, Croatia
Suzana Kukulj
; Department for Mediastinal Tumors, Clinic for Lung DiseasesJordanovac, University HospitalCenter Zagreb, Zagreb, Croatia
Abstract
Aim To provide an overview of the lung cancer incidence
trends in the City of Zagreb (Zagreb), Split-Dalmatia County
(SDC), and Croatia in the period from 2001 to 2013.
Method Incidence data were obtained from the Croatian
National Cancer Registry. For calculating incidence rates
per 100 000 population, we used population estimates for
the period 2001-2013 from the Croatian Bureau of Statistics.
Age-standardized rates of lung cancer incidence were
calculated by the direct standardization method using
the European Standard Population. To describe incidence
trends, we used joinpoint regression analysis.
Results Joinpoint analysis showed a statistically significant
decrease in lung cancer incidence in men in all regions,
with an annual percentage change (APC) of -2.2%
for Croatia, 1.9% for Zagreb, and -2.0% for SDC. In women,
joinpoint analysis showed a statistically significant increase
in the incidence for Croatia, with APC of 1.4%, a statistically
significant increase of 1.0% for Zagreb, and no significant
change in trend for SDC. In both genders, joinpoint analysis
showed a significant decrease in age-standardized incidence
rates of lung cancer, with APC of -1.3% for Croatia,
-1.1% for Zagreb, and -1.6% for SDC.
Conclusion There was an increase in female lung cancer
incidence rate and a decrease in male lung cancer incidence
rate in Croatia in 2001-20013 period, with similar
patterns observed in all the investigated regions. These results
highlight the importance of smoking prevention and
cessation policies, especially among women and young
people.
Keywords
Hrčak ID:
200213
URI
Publication date:
25.10.2017.
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