Victor J. Tovar Guzman, MD, MPH, MSc and Francisco J. López Antuñano, MD, MPH. Center for Populational Health Research, National Institute of Public Health, Mexico, Avenida Universidad No.655, Colonia Santa Maria Ahuacatitlán, Cuernavaca, Morelos, 62508, Mexico, 52777112463, alantu@insp.mx

Objective. To analyze lung cancer (LC) mortality trends in Mexico. Method. Trend is constructed with the Age-adjusted LC mortality rates (AMR), death-year, birth-year, States, calendar-year and Standard Population. The Standardized Mortality Ratio (SMR) and the Years of Potencial Lost Life Index (YPLLI), served to compare magnitud and premature death. We analyzed AMR by death-year age groups (30-74 years), quinquenio (1980-1999) and cohort (1910-1950). A Spearman Ranges correlation is made for per capita tobacco consumption, social margination and external migration. Results. The LC AMR 7,91/10⁵ inhabitants in 1989 decreased to 5,96 (2000). This correlates with the decrease of per capita tobacco consumption from 2,145 Kg (1959) to 0,451 Kg (1982). The LC lag is 30 years, for Mexican population. Male: Female mortality ratio is 2,4. The highest AMR (<100) was in men who dye at 70-74 years old. The AMRs decreased and remain low in cohorts after 1945. The YPLLI shows that the LC magnitud and premature death is higher for men and women in Northern Mexico. The men cohorts from 1915 to 1940 show a small decrease; from 1944, they increase in groups 30-34 and 35-39 years old. The highest women’s AMR are in ages >75 years, and show decrease for cohorts 1945 and 1960. The deepest decrease is in group 30-34 years. The AMPs varied according to quinquenio, death-year and birth-year by sex. The coeficient correlation between the AMR by Mexican State and social margination was -0,70, p=0,0000; no significant correlation exists with the external migration index (p=0,5611).

Learning Objectives:

• Significant efforts have been done to pass bills to achieve tobacco smoke free places and integrated management of tobacco consumption is the main primary health care strategy to prevent lung cancer and to demonstrate equity in the health sector. Due to the increasing invasion of transnational tobacco companies and their methods to induce new victims for nicotine addiction, tobacco smoking control should be a chief priority for the development of collective health programs. The continuous analysis of the mortality rates of diseases attributable to tobacco smoking sould be an essential variable to be measured by the Surveillance Systems arround the world.

Keywords: Cancer Prevention, Tobacco Control

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.