Pancreatic cancer mortality in China from 2004 to 2021: an in-depth analysis of age, gender, and regional disparities

Abstract Objective This study aimed to analyze the trends and epidemiological characteristics of pancreatic cancer (PC) mortality in China from 2004 to 2021, focusing on gender, age, and regional disparities. The goal was to provide a comprehensive understanding of PC mortality and identify key risk...

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Main Authors: Rui He, Zhengnan Shen, Qiuping Chen, Haiyang Hu, Xin Ding, Zhenglong Zheng, Quansheng Feng, Baixue Li
Format: Article
Language:English
Published: BMC 2025-05-01
Series:BMC Cancer
Subjects:
Online Access:https://doi.org/10.1186/s12885-025-13863-0
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author Rui He
Zhengnan Shen
Qiuping Chen
Haiyang Hu
Xin Ding
Zhenglong Zheng
Quansheng Feng
Baixue Li
author_facet Rui He
Zhengnan Shen
Qiuping Chen
Haiyang Hu
Xin Ding
Zhenglong Zheng
Quansheng Feng
Baixue Li
author_sort Rui He
collection DOAJ
description Abstract Objective This study aimed to analyze the trends and epidemiological characteristics of pancreatic cancer (PC) mortality in China from 2004 to 2021, focusing on gender, age, and regional disparities. The goal was to provide a comprehensive understanding of PC mortality and identify key risk factors to support future prevention and control strategies. Methods Using data from the national Disease Surveillance Point (DSP) system, which covers a large and representative sample of the Chinese population, the study examined pancreatic cancer mortality trends across different age groups, sexes, and regions. Statistical analyses, including the independent-sample t-test and age-period-cohort (APC) model, were employed to assess mortality differences and annual percentage changes from 2004 to 2021. Results The study recorded a significant increase in pancreatic cancer mortality, particularly among males and older adults. Mortality was consistently higher in urban areas, but the growth rate in rural areas surpassed that of urban areas. Regional disparities were also observed, with the eastern region showing the highest mortality rates but slower increases compared to the central and western regions. Key risk factors, including aging, diabetes, smoking, and chronic pancreatitis, were identified, with gender-specific differences linked to lifestyle factors such as smoking and alcohol consumption. Conclusion Pancreatic cancer mortality in China has shown significant increases over the past 18 years, especially among males, older adults, and rural populations. The findings highlight the urgent need for targeted public health interventions to address gender- and age-specific risks, as well as healthcare access inequalities in less developed regions. Future research should focus on gathering more granular, individual-level data to better understand the complex interplay of risk factors and inform more effective prevention and treatment strategies.
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spelling doaj-art-6e634473ed1c411ca38d3ea3fb19b2412025-08-20T02:33:31ZengBMCBMC Cancer1471-24072025-05-0125111410.1186/s12885-025-13863-0Pancreatic cancer mortality in China from 2004 to 2021: an in-depth analysis of age, gender, and regional disparitiesRui He0Zhengnan Shen1Qiuping Chen2Haiyang Hu3Xin Ding4Zhenglong Zheng5Quansheng Feng6Baixue Li7Chengdu University of Traditional Chinese MedicineChengdu University of Traditional Chinese MedicineChengdu University of Traditional Chinese MedicineChengdu University of Traditional Chinese MedicineChengdu University of Traditional Chinese MedicineChengdu University of Traditional Chinese MedicineChengdu University of Traditional Chinese MedicineChengdu University of Traditional Chinese MedicineAbstract Objective This study aimed to analyze the trends and epidemiological characteristics of pancreatic cancer (PC) mortality in China from 2004 to 2021, focusing on gender, age, and regional disparities. The goal was to provide a comprehensive understanding of PC mortality and identify key risk factors to support future prevention and control strategies. Methods Using data from the national Disease Surveillance Point (DSP) system, which covers a large and representative sample of the Chinese population, the study examined pancreatic cancer mortality trends across different age groups, sexes, and regions. Statistical analyses, including the independent-sample t-test and age-period-cohort (APC) model, were employed to assess mortality differences and annual percentage changes from 2004 to 2021. Results The study recorded a significant increase in pancreatic cancer mortality, particularly among males and older adults. Mortality was consistently higher in urban areas, but the growth rate in rural areas surpassed that of urban areas. Regional disparities were also observed, with the eastern region showing the highest mortality rates but slower increases compared to the central and western regions. Key risk factors, including aging, diabetes, smoking, and chronic pancreatitis, were identified, with gender-specific differences linked to lifestyle factors such as smoking and alcohol consumption. Conclusion Pancreatic cancer mortality in China has shown significant increases over the past 18 years, especially among males, older adults, and rural populations. The findings highlight the urgent need for targeted public health interventions to address gender- and age-specific risks, as well as healthcare access inequalities in less developed regions. Future research should focus on gathering more granular, individual-level data to better understand the complex interplay of risk factors and inform more effective prevention and treatment strategies.https://doi.org/10.1186/s12885-025-13863-0Pancreatic cancerEpidemiologyMortality trendsRisk factorsChina
spellingShingle Rui He
Zhengnan Shen
Qiuping Chen
Haiyang Hu
Xin Ding
Zhenglong Zheng
Quansheng Feng
Baixue Li
Pancreatic cancer mortality in China from 2004 to 2021: an in-depth analysis of age, gender, and regional disparities
BMC Cancer
Pancreatic cancer
Epidemiology
Mortality trends
Risk factors
China
title Pancreatic cancer mortality in China from 2004 to 2021: an in-depth analysis of age, gender, and regional disparities
title_full Pancreatic cancer mortality in China from 2004 to 2021: an in-depth analysis of age, gender, and regional disparities
title_fullStr Pancreatic cancer mortality in China from 2004 to 2021: an in-depth analysis of age, gender, and regional disparities
title_full_unstemmed Pancreatic cancer mortality in China from 2004 to 2021: an in-depth analysis of age, gender, and regional disparities
title_short Pancreatic cancer mortality in China from 2004 to 2021: an in-depth analysis of age, gender, and regional disparities
title_sort pancreatic cancer mortality in china from 2004 to 2021 an in depth analysis of age gender and regional disparities
topic Pancreatic cancer
Epidemiology
Mortality trends
Risk factors
China
url https://doi.org/10.1186/s12885-025-13863-0
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