Changes in incidence and mortality of cervical cancer in Rural China (2004-2017) after introduction of a screening programme

Stream: Chinese social policy: health policy
Date: Wednesday, 11 September 2019
Time: 10.45 am – 12.25 pm

Abstract

Purpose: In 2009, a cervical cancer screening programme targeting rural women aged 35–64 years was launched in China. The aim of this study is to examine changes exerted by this programme in the trend of incidence and mortality rates in rural China. Methods: Data of incidence and mortality from 2004 to 2017 were extracted from the China Health Statistical Yearbooks. Age-standardized rates (ASRs) and truncated rates (TRs) were calculated to minimize dilution of the benefit. Annual percent change (APC) and average annual percent change (AAPC) in incidence and death rates were applied to detect changes toward the screening programme via Joinpoint regression models. Results: During the years between 2004 and 2017, the incidence rates increased significantly from 5.27 to 12.14 per 100,000 in rural (AAPC = 8.4%, P<0.05). The mortality pattern also showed upward trends (rose from 2.55 to 5.15 per 100,000, AAPC = 7.34%, P<0.05). None of them had a joinpoint. Mortality rates generally increased with age. Though mortality rates of 20-34-year age group were at a low level, they rose quickly (APC = 14.42%, P<0.05). Conclusions: Ten years after the introduction of China’s Screening Programme in rural China, ideal changes of incidence and death rates do not happen. They are still on the rise. But the programme has improve the early diagnosis rates and health cognition of women in rural. Screening initial age should be advanced. Younger groups and elder groups entail more specific control and treatment measures, respectively. Key Words: Cervical cancer screening, incidence, mortality, Joinpoint regression.

Authors

Menghan Guo (Presenter), Huazhong University of Science and Technology
Master of School of Medicine and Health Management.
Majoring in Social Medicine and Health Management, grade 1.

Juan Xu (Presenter), Huazhong University of Science and Technology
Lecturer of School of Medicine and Health Management.
Major: Epidemiology and Statistics, Health policy and management
Research Area: Disease Control and Management, Disease Burden, Health Technology Assessment

Zhiguo Zhang (Presenter), Huazhong University of Science and Technology
Associate professor of School of Medicine and Health Management.
Major: Social Medicine and Health Management.
Research Area: Financing and payment of basic medical insurance; Economic evaluation in health technology assessment.

Lining Shen (Presenter), Huazhong University of Science and Technology
Associate professor of School of Medicine and Health Management.
Major: Information Resource Management.
Research Area: Healthcare information model and interoperability, Online health information management.

Zhanchun Feng (Presenter), Huazhong University of Science and Technology
Dean of School of Medicine and Health Management.
Major: Health policy, Economics.
Research Area: Public health system performance evaluation.

Mingfang Huang (Presenter), Huazhong University of Science and Technology
Secretary of School of Medicine and Health.
Major: Administration.
Research Area: Administration management.

Qifei Wu (Presenter), Huazhong University of Science and Technology
Associate professor of School of Medicine and Health Management.
Major: International Public Health, social medicine and health management
Research Area: The regulation of medical organization and the governance of public and private hospital in transitional China.

Hao Chen (Presenter), Huazhong University of Science and Technology
Lecturer of School of Medicine and Health Management.
Major: Social Medicine and Health Management, pharmacology
Research Area: Pharmaceutical policy and management

Li Jing (Presenter), Huazhong University of Science and Technology
Master of School of Medicine and Health Management.
Majoring in Social Medicine and Health Management, grade 1.