2011, Number 1
Epidemiology of cervical cancer mortality in Oaxaca, 2000-2010
García-Rojas MI, Mayoral-García M, Pintor-Sill JR, Malvaez-Montesanos N, Méndez-Méndez PM, Sánchez-Sánchez M, Velásquez-Paz A
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Language: Spanish
References: 9
Page: 10-14
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ABSTRACT
Introduction: Cervical cancer is a major public health problem among women in the world. In the state of Oaxaca, Mexico about 1,638 women are diagnosed annually with precancerous lesions, of which 236 cases are cancer in situ and 90 invasive cancer.Material and methods: We analyzed the mortality from cervical cancer in Oaxaca from 2000 to 2010. We calculated crude rates and age-adjusted rates in women over 20 years, in addition to mortality rates by municipality and health jurisdiction.
Results: Deaths from cervical cancer registered from 2000 to 2010 were 2,303 cases. The trend in mortality rates was upward during the first 5 years, rising from 18.7 deaths per 100.000 women over 20 years old in 2000, to 23.2 and 21.5 in 2003 and 2004 respectively, decreasing to 17.4 in 2010. Sanitary Jurisdiction No. 1 was the highest number of cases of which, both Oaxaca de Juarez and Santa Cruz Xoxocotlán municipalities had more deaths.
Discussion: We need to generate new policies according our needs, changes in the mechanisms of quality control samples, regulate the practice of colposcopy, making continuing medical education programs and create our own scientific evidence for a correct decision-making in health.
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