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首页> 外文期刊>International Journal of Environmental Research and Public Health >Geographic Inequalities in Breast Cancer in Italy: Trend Analysis of Mortality and Risk Factors
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Geographic Inequalities in Breast Cancer in Italy: Trend Analysis of Mortality and Risk Factors

机译：意大利乳腺癌的地理不平等：趋势分析死亡率和风险因素

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摘要

We calculated time trends of standardised mortality rates and risk factors for breast cancer (BC) from 1990 to 2016 for all women resident in Italy. The age-standardised mortality rate in Italy decreased from 4.2 in 1990 to 3.2 (×100,000) in 2016. While participation in organised screening programmes and age-standardised fertility rates decreased in Italy, screening invitation coverage and mammography uptake, the prevalence of women who breastfed and mean age at birth increased. Although southern regions had favourable prevalence of protective risk factors in the 1990s, fertility rates decreased in southern regions and increased in northern regions, which in 2016 had a higher rate (1.28 vs. 1.32 child per woman) and a smaller increase in women who breastfed (+4% vs. +30%). In 2000, mammography screening uptake was lower in southern than in northern and central regions (28% vs. 52%). However, the increase in mammography uptake was higher in southern (203%) than in northern and central Italy (80%), reducing the gap. Participation in mammographic screening programmes decreased in southern Italy (?10%) but increased in the North (6.6%). Geographic differences in mortality and risk factor prevalence is diminishing, with the South losing all of its historical advantage in breast cancer mortality.
机译：我们从1990年到2016年为意大利居民的所有妇女完成了1990年至2016年乳腺癌（BC）标准化死亡率和危险因素的时间趋势。 2016年，意大利的年龄标准化死亡率从1990年的4.2减少到3.2（×100,000）。虽然参与有组织的筛查计划和意大利的年龄标准化的生育率，筛选邀请覆盖率和乳房摄取，妇女的普遍存在出生时的母乳喂养和平均年龄增加。虽然南部地区在20世纪90年代的保护危险因素普遍存在，但南部地区的生育率下降，北部地区增加，2016年的速度更高（每名母乳喂养的女性较高，较小的女性较小（+ 4％vs. + 30％）。 2000年，乳房X线摄影筛选在南部的摄取量低于北部和中心地区（28％vs.52％）。然而，南部（203％）乳房X线摄影的增加比北部和意大利北部（80％），降低了差距。参加意大利南部（10％）但北方（6.6％）增加，参加乳房扫描筛查计划。死亡率和风险因素流行率的地理差异正在减少，南方在乳腺癌死亡率中失去了其所有历史优势。

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