engleski

Regional lung cancer incidence trends in Croatia: emergency for public health intervention

Aims to determine trends of trachea and lung cancer incidence in Croatia, Zagreb and Split-Dalmatia County (SDC) and compare them between regions, to stress importance of comprehensive tobacco control program. Methods Incidence data for the period 2001-2013 were obtained from the Croatian National Cancer Registry, and European Health for All Database For calculating incidence rates per 100.000, Censuses 2001 and 2011 were used Age–standardized rates of lung cancer incidence were calculated by the direct standardization method using the European Standard Population To describe incidence trends we used joinpont regression analysis. Results Lung cancer incidence rates in men show declining trend. Joinpoint analysis showed a significant decrease in the incidence for all regions, with estimated annual percentage change (EAPC) for Zagreb of -4.3%, for Croatia of -2.3%, and for SDC of -1.6%. In women there is an increasing trend. Joinpoint analysis showed a significant increase in the incidence for Croatia with EAPC of 1.6%. There was no significant increase for Zagreb and SDC. In terms of both sexes, joinpoint analysis showed a significant decrease in age - standardized incidence rates for Croatia with EAPC of -1%. There were no significant results for SDC and Zagreb. Conclusions Croatia is still among the European countries with the highest lung cancer incidence. There is an increase in female lung cancer incidence rate and a decrease in male lung cancer incidence rate. Those findings correlate with decreasing trend of smoking prevalence among men and increasing trend among women. These results stress importance of smoking prevention and cessation policies especially among women and young people.

lung cancer, incidence, smoking prevention, Croatia, City of Zagreb, Split-Dalmatia County

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