IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v12y2015i12p14993-15418d59985.html
   My bibliography  Save this article

Secular Trends of Breast Cancer in China, South Korea, Japan and the United States: Application of the Age-Period-Cohort Analysis

Author

Listed:
  • Zhenkun Wang

    (Department of Epidemiology and Biostatistics, School of Public Health, Wuhan University, 115 Donghu Road, Wuhan 430071, China)

  • Junzhe Bao

    (Department of Epidemiology and Biostatistics, School of Public Health, Wuhan University, 115 Donghu Road, Wuhan 430071, China)

  • Chuanhua Yu

    (Department of Epidemiology and Biostatistics, School of Public Health, Wuhan University, 115 Donghu Road, Wuhan 430071, China
    Global Health Institute, Wuhan University, 115 Donghu Road, Wuhan 430071, China)

  • Jinyao Wang

    (Department of Epidemiology and Biostatistics, School of Public Health, Wuhan University, 115 Donghu Road, Wuhan 430071, China)

  • Chunhui Li

    (School of Public Health, Dalian Medical University, 9 Westem Section, Lvshun South Street, Dlian 116044, China)

Abstract

To describe the temporal trends of breast cancer mortality in East Asia and to better understand the causes of these trends, we analyzed the independent effects of chronological age, time period and birth cohort on breast cancer mortality trends using age-period-cohort (APC) analysis. We chose three main countries in East Asia, namely China, South Korea, and Japan, which have reported death status to the WHO Mortality Database, and used the United States as a comparison population. Our study shows that in general, breast cancer mortality rates in females increased in all three East Asian countries throughout the study period. By APC analysis, we confirmed that there is, in fact, a difference in age-specific mortality rate patterns between the Eastern and the Western countries, which is presumably caused by the two-disease model. While the cause of the decrease from approximately the 1950s generation is still in question, we believe that increasing general awareness and improvements in the health-care system have made a significant contribution to it. Although the age and cohort effects are relatively strong, the period effect may be a more critical factor in the mortality trend, mainly reflecting the increase in exposures to carcinogens and behavioral risk factors.

Suggested Citation

  • Zhenkun Wang & Junzhe Bao & Chuanhua Yu & Jinyao Wang & Chunhui Li, 2015. "Secular Trends of Breast Cancer in China, South Korea, Japan and the United States: Application of the Age-Period-Cohort Analysis," IJERPH, MDPI, vol. 12(12), pages 1-10, December.
    • Handle: RePEc:gam:jijerp:v:12:y:2015:i:12:p:14993-15418:d:59985
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/12/12/14993/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/12/12/14993/
    Download Restriction: no
    ---><---

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Jie Chang & Boyang Li & Jingjing Li & Yang Sun, 2017. "The Effects of Age, Period, and Cohort on Mortality from Ischemic Heart Disease in China," IJERPH, MDPI, vol. 14(1), pages 1-12, January.
    2. Xudong Gao & Zhenkun Wang & Chan Kong & Fen Yang & Ying Wang & Xiaodong Tan, 2017. "Trends of Esophageal Cancer Mortality in Rural China from 1989 to 2013: An Age-Period-Cohort Analysis," IJERPH, MDPI, vol. 14(3), pages 1-10, February.
    3. Rodrigo Chávez-Penha & Maria Teresa Bustamante-Teixeira & Mário Círio Nogueira, 2023. "Age-Period-Cohort Study of Breast Cancer Mortality in Brazil in State Capitals and in Non-Capital Municipalities from 1980 to 2019," IJERPH, MDPI, vol. 20(15), pages 1-16, August.
    4. Changfa Xia & Clare Kahn & Jinfeng Wang & Yilan Liao & Wanqing Chen & Xue Qin Yu, 2016. "Temporal Trends in Geographical Variation in Breast Cancer Mortality in China, 1973–2005: An Analysis of Nationwide Surveys on Cause of Death," IJERPH, MDPI, vol. 13(10), pages 1-16, September.
    5. Jinyao Wang & Zhiqiang Bai & Zhenkun Wang & Chuanhua Yu, 2016. "Comparison of Secular Trends in Cervical Cancer Mortality in China and the United States: An Age-Period-Cohort Analysis," IJERPH, MDPI, vol. 13(11), pages 1-16, November.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:12:y:2015:i:12:p:14993-15418:d:59985. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.