Lung Cancer Mortality Trends in a Brazilian City with a Long History of Asbestos Consumption

Gisele Aparecida Fernandes, Eduardo Algranti, Gleice Margarete de Souza Conceição, Victor Wünsch Filho and Tatiana Natasha Toporcov
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Gisele Aparecida Fernandes: Department Epidemiology, School of Public Health, University of São Paulo, São Paulo-SP 01246-904, Brazil
Eduardo Algranti: Division of Medicine, Fundação Jorge Duprat e Figueiredo (Fundacentro), São Paulo-SP 05409-002, Brazil
Gleice Margarete de Souza Conceição: Department Epidemiology, School of Public Health, University of São Paulo, São Paulo-SP 01246-904, Brazil
Victor Wünsch Filho: Department Epidemiology, School of Public Health, University of São Paulo, São Paulo-SP 01246-904, Brazil
Tatiana Natasha Toporcov: Department Epidemiology, School of Public Health, University of São Paulo, São Paulo-SP 01246-904, Brazil

IJERPH, 2019, vol. 16, issue 14, 1-11

Abstract: There are scarce epidemiological studies on lung cancer mortality in areas exposed to asbestos in developing countries. We compared the rates and trends in mortality from lung cancer between 1980 and 2016 in a municipality that made extensive use of asbestos, Osasco, with rates from a referent municipality with lower asbestos exposure and with the rates for the State of São Paulo. We retrieved death records for cases of lung cancer (ICD-9 C162) (ICD-10 C33 C34) from 1980 to 2016 in adults aged 60 years and older. The join point regression and age-period-cohort models were fitted to the data. Among men, there was an increasing trend in lung cancer mortality in Osasco of 0.7% (CI: 0.1; 1.3) in contrast to a mean annual decrease for Sorocaba of -1.5% (CI: −2.4; −0.6) and a stable average trend for São Paulo of -0.1 (IC: −0.3; 0.1). Similar increasing trends were seen in women. The age-period-cohort model showed an increase in the risk of death from 1996 in Osasco and a reduction for Sorocaba and São Paulo State during the same period. Our results point to a need for a special monitoring regarding lung cancer incidence and mortality in areas with higher asbestos exposure.

Keywords: asbestos; lung neoplasms; mortality (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
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