Rural-Urban Disparity in Premature Cancer Mortality in Young People Aged 15–44 Years in China, 2004–2021

ObjectiveThis study aims to examine and compare premature cancer mortality in young people aged 15–44 years old between rural and urban areas to inform early-onset cancer prevention.MethodsThe data were obtained from the China Death Surveillance Datasets from 2004 to 2021. The study sample consisted...

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Main Authors: Chunrong Chen, Xing Xing, Shaojie Li, Bo Qu, Chunyu Liu, He Zhu
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:International Journal of Public Health
Subjects:
Online Access:https://www.ssph-journal.org/articles/10.3389/ijph.2025.1608133/full
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author Chunrong Chen
Xing Xing
Shaojie Li
Bo Qu
Chunyu Liu
He Zhu
He Zhu
author_facet Chunrong Chen
Xing Xing
Shaojie Li
Bo Qu
Chunyu Liu
He Zhu
He Zhu
author_sort Chunrong Chen
collection DOAJ
description ObjectiveThis study aims to examine and compare premature cancer mortality in young people aged 15–44 years old between rural and urban areas to inform early-onset cancer prevention.MethodsThe data were obtained from the China Death Surveillance Datasets from 2004 to 2021. The study sample consisted of cancer deaths of young people aged 15–44 years old. Age-standardized mortality rates (ASMRs) were calculated, and joinpoint regressions were used to examine trends in ASMRs.ResultsThere were overall decreasing trends in ASMRs for all cancers in both rural and urban young people in China from 2004 to 2021. However, the decrease was relatively slower in rural areas, where ASMRs for pancreatic and ovarian cancers showed increasing trends. The five leading types of cancer deaths consistently remained liver, lung, leukemia, stomach, and other cancers in both rural and urban areas after 2013.ConclusionOur findings indicate that there were rural-urban disparities in cancer mortality in young people, which showed a different pattern compared to other age groups. More efforts are needed to develop effective early-onset cancer prevention strategies, with particular emphasis on liver cancer and rural areas.
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spelling doaj-art-69973600753f493aa71fbce79a491da72025-02-12T04:11:51ZengFrontiers Media S.A.International Journal of Public Health1661-85642025-02-017010.3389/ijph.2025.16081331608133Rural-Urban Disparity in Premature Cancer Mortality in Young People Aged 15–44 Years in China, 2004–2021Chunrong Chen0Xing Xing1Shaojie Li2Bo Qu3Chunyu Liu4He Zhu5He Zhu6Department of Radiation Oncology, The First Affiliated Hospital of Qiqihar Medical College, Qiqihar, Heilongjiang, ChinaSchool of Public Health, Peking University, Beijing, ChinaSchool of Public Health, Peking University, Beijing, ChinaDepartment of Radiation Oncology, The First Affiliated Hospital of Qiqihar Medical College, Qiqihar, Heilongjiang, ChinaDepartment of Radiation Oncology, The First Affiliated Hospital of Qiqihar Medical College, Qiqihar, Heilongjiang, ChinaSchool of Public Health, Peking University, Beijing, ChinaChina Center for Health Development Studies, Beijing, ChinaObjectiveThis study aims to examine and compare premature cancer mortality in young people aged 15–44 years old between rural and urban areas to inform early-onset cancer prevention.MethodsThe data were obtained from the China Death Surveillance Datasets from 2004 to 2021. The study sample consisted of cancer deaths of young people aged 15–44 years old. Age-standardized mortality rates (ASMRs) were calculated, and joinpoint regressions were used to examine trends in ASMRs.ResultsThere were overall decreasing trends in ASMRs for all cancers in both rural and urban young people in China from 2004 to 2021. However, the decrease was relatively slower in rural areas, where ASMRs for pancreatic and ovarian cancers showed increasing trends. The five leading types of cancer deaths consistently remained liver, lung, leukemia, stomach, and other cancers in both rural and urban areas after 2013.ConclusionOur findings indicate that there were rural-urban disparities in cancer mortality in young people, which showed a different pattern compared to other age groups. More efforts are needed to develop effective early-onset cancer prevention strategies, with particular emphasis on liver cancer and rural areas.https://www.ssph-journal.org/articles/10.3389/ijph.2025.1608133/fullrural-urban disparitycancermortalityyoung peopleage-standardized mortality rate
spellingShingle Chunrong Chen
Xing Xing
Shaojie Li
Bo Qu
Chunyu Liu
He Zhu
He Zhu
Rural-Urban Disparity in Premature Cancer Mortality in Young People Aged 15–44 Years in China, 2004–2021
International Journal of Public Health
rural-urban disparity
cancer
mortality
young people
age-standardized mortality rate
title Rural-Urban Disparity in Premature Cancer Mortality in Young People Aged 15–44 Years in China, 2004–2021
title_full Rural-Urban Disparity in Premature Cancer Mortality in Young People Aged 15–44 Years in China, 2004–2021
title_fullStr Rural-Urban Disparity in Premature Cancer Mortality in Young People Aged 15–44 Years in China, 2004–2021
title_full_unstemmed Rural-Urban Disparity in Premature Cancer Mortality in Young People Aged 15–44 Years in China, 2004–2021
title_short Rural-Urban Disparity in Premature Cancer Mortality in Young People Aged 15–44 Years in China, 2004–2021
title_sort rural urban disparity in premature cancer mortality in young people aged 15 44 years in china 2004 2021
topic rural-urban disparity
cancer
mortality
young people
age-standardized mortality rate
url https://www.ssph-journal.org/articles/10.3389/ijph.2025.1608133/full
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