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Lung cancer mortality trends among women across Spain: the role of birth cohorts in diverging regional patterns

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  • Octavio Bramajo

    (Centre d’ Estudis Demogràfics)

Abstract

Smoking among Spanish women has increased during the last 50 years and is considered by some authors a modern epidemic. However, mortality risk by cohorts may differ at a regional level, given that health inequalities (and the determinants of smoking and its consequences) are regionally patterned. We applied an Age-Period-Cohort model to identify birth cohort effects on female lung cancer mortality in Spain. We found a strong linear increase in lung cancer mortality during the 1980–2019 period in all regions. Cohorts born between 1935 and 1955 presented a higher relative risk of death at a national and subnational level. However, we found diverging cohort patterns across regions afterward, with some regions presenting a slight mortality improvement (or stagnation) in their youngest cohorts, while in other regions mortality kept increasing. This suggests that inequalities in lung cancer mortality in Spain among women are not only generationally based, but that generational risks also vary across space. Some of the regions that presented improvements in mortality among its younger cohorts are Madrid, Navarra, and the Basque Country, which are some of the wealthiest in the Country. While speculative, this could imply that improvements at a regional level might be associated with factors related to structural conditions that result in the adoption of healthy behaviors.

Suggested Citation

  • Octavio Bramajo, 2024. "Lung cancer mortality trends among women across Spain: the role of birth cohorts in diverging regional patterns," Journal of Population Research, Springer, vol. 41(1), pages 1-27, March.
    • Handle: RePEc:spr:joprea:v:41:y:2024:i:1:d:10.1007_s12546-023-09323-w
    DOI: 10.1007/s12546-023-09323-w
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    References listed on IDEAS

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    1. Enrique Acosta & Alyson van Raalte, 2019. "APC curvature plots: Displaying nonlinear age-period-cohort patterns on Lexis plots," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 41(42), pages 1205-1234.
    2. Vanessa Santos-Sánchez & Juan Antonio Córdoba-Doña & Francisco Viciana & Antonio Escolar-Pujolar & Lucia Pozzi & Rebeca Ramis, 2020. "Geographical variations in cancer mortality and social inequalities in southern Spain (Andalusia). 2002-2013," PLOS ONE, Public Library of Science, vol. 15(5), pages 1-24, May.
    3. Pierre‐Yves Crémieux & Pierre Ouellette & Caroline Pilon, 1999. "Health care spending as determinants of health outcomes," Health Economics, John Wiley & Sons, Ltd., vol. 8(7), pages 627-639, November.
    4. Louis Chauvel & Martin Schröder, 2014. "Generational Inequalities and Welfare Regimes," LIS Working papers 606, LIS Cross-National Data Center in Luxembourg.
    5. Pedro Antonio Martín Cervantes & Nuria Rueda López & Salvador Cruz Rambaud, 2019. "A Causal Analysis of Life Expectancy at Birth. Evidence from Spain," IJERPH, MDPI, vol. 16(13), pages 1-14, July.
    6. Mariana Haeberer & Inmaculada León-Gómez & Beatriz Pérez-Gómez & María Téllez-Plaza & Mónica Pérez-Ríos & Anna Schiaffino & Fernando Rodríguez-Artalejo & Iñaki Galán, 2020. "Social inequalities in tobacco-attributable mortality in Spain. The intersection between age, sex and educational level," PLOS ONE, Public Library of Science, vol. 15(9), pages 1-16, September.
    7. Giuseppe La Torre & Cristina Sestili & Rosario Andrea Cocchiara & Sara Cianfanelli & Lorenza Lia & Alice Mannocci, 2018. "Passive Smoking Indicators in Italy: Does the Gross Domestic Product Matter?," IJERPH, MDPI, vol. 15(9), pages 1-8, September.
    8. Néstor Aldea & Dariya Ordanovich & Alberto Palloni & Diego Ramiro & Francisco Viciana, 2023. "Influence of Place of Birth on Adult Mortality: The Case of Spain," European Journal of Population, Springer;European Association for Population Studies, vol. 39(1), pages 1-22, December.
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