Cancer Mortality Trend in Central Italy: Focus on A “Low Rate of Land Use” Area from 1982 to 2011

Francesca Santilli, Stefano Martellucci, Jennifer Di Pasquale, Cecilia Mei, Fabrizio Liberati, Carmela Protano, Matteo Vitali, Maurizio Sorice and Vincenzo Mattei
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Francesca Santilli: Laboratory of Experimental Medicine and Environmental Pathology, Rieti University Hub “Sabina Universitas”, 02100 Rieti, Italy
Stefano Martellucci: Laboratory of Experimental Medicine and Environmental Pathology, Rieti University Hub “Sabina Universitas”, 02100 Rieti, Italy
Jennifer Di Pasquale: Laboratory of Experimental Medicine and Environmental Pathology, Rieti University Hub “Sabina Universitas”, 02100 Rieti, Italy
Cecilia Mei: Laboratory of Experimental Medicine and Environmental Pathology, Rieti University Hub “Sabina Universitas”, 02100 Rieti, Italy
Fabrizio Liberati: UOC Anatomic Pathology, San Camillo De Lellis Hospital, 02100 Rieti, Italy
Carmela Protano: Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, Italy
Matteo Vitali: Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, Italy
Maurizio Sorice: Department of Experimental Medicine, Sapienza University of Rome, 00185 Rome, Italy
Vincenzo Mattei: Laboratory of Experimental Medicine and Environmental Pathology, Rieti University Hub “Sabina Universitas”, 02100 Rieti, Italy

IJERPH, 2019, vol. 16, issue 4, 1-11

Abstract: The aim of the present study was to estimate total cancer mortality trends from 1982 to 2011 in a “low rate of land use” province of the Latium region (Rieti, central Italy) characterized by a low degree of urbanization, a high prevalence of elderly, and a low number of births. Mortality data of the studied period, provided by the Italian National Institute of Statistics, were used for calculating standardized cancer mortality rates. Trends in mortality were analyzed using Joinpoint regression analysis. Results showed that total standardized cancer mortality rates decreased in the monitored area over the study period. A comparison with other provinces of the same region evidenced that the studied province presented the lowest cancer mortality. The three systems/apparatuses affected by cancer that mainly influenced cancer mortality in the monitored province were the trachea-bronchus-lung, colorectal-anus, and stomach. These findings could be attributed to the implement of preventive initiatives performed in the early 2000s, to healthier environmental scenario, and to lower levels of carcinogenic pollutants in air, water, and soil matrices. Thus, our results indicate that the studied area could be considered a “healthy” benchmark for studies in oncological diseases.

Keywords: cancer; mortality; epidemiological investigation; Italy (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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