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Article: Trends in breast cancer incidence in Hong Kong between 1973 and 1999: An age-period-cohort analysis

TitleTrends in breast cancer incidence in Hong Kong between 1973 and 1999: An age-period-cohort analysis
Authors
KeywordsAge-period-cohort
Breast cancer
Hong Kong
Incidence
Poisson distribution
Issue Date2002
PublisherNature Publishing Group. The Journal's web site is located at http://www.nature.com/bjc
Citation
British Journal Of Cancer, 2002, v. 87 n. 9, p. 982-988 How to Cite?
AbstractHong Kong has the highest breast cancer incidence in Asia and studying secular changes in its rates may lead to hypotheses regarding disease aetiology and also predictions of future trends for China. We examined statistics from the Hong Kong Cancer Registry based on 26 566 cases of invasive breast cancer from 1973 to 1999. The trends in breast cancer incidence were studied using log-linear longitudinal models. We further analysed the independent effects of chronological age, time period and birth cohort on incidence trends using age-period-cohort modelling. The average annual per cent change of the age-standardised incidence was 3.6% during 1973-1999. Age-period-cohort modelling indicated the incidence development was predominantly a cohort effect, where the rise in relative risk was seemingly linear in successive birth cohorts, showing a 2-3-fold difference when comparing women born in the 1960's with those born around 1900. Our results suggest that direct and indirect consequences of westernisation may have been responsible for most of the observed increase in breast cancer incidence. As China moves towards a more westernised way of life, we can expect an emerging epidemic of breast cancer as Hong Kong's experience has demonstrated. © 2002 Cancer Research UK.
Persistent Identifierhttp://hdl.handle.net/10722/86492
ISSN
2015 Impact Factor: 5.569
2015 SCImago Journal Rankings: 2.939
PubMed Central ID
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLeung, GMen_HK
dc.contributor.authorThach, TQen_HK
dc.contributor.authorLam, THen_HK
dc.contributor.authorHedley, AJen_HK
dc.contributor.authorFoo, Wen_HK
dc.contributor.authorFielding, Ren_HK
dc.contributor.authorYip, PSFen_HK
dc.contributor.authorLau, EMCen_HK
dc.contributor.authorWong, CMen_HK
dc.date.accessioned2010-09-06T09:17:43Z-
dc.date.available2010-09-06T09:17:43Z-
dc.date.issued2002en_HK
dc.identifier.citationBritish Journal Of Cancer, 2002, v. 87 n. 9, p. 982-988en_HK
dc.identifier.issn0007-0920en_HK
dc.identifier.urihttp://hdl.handle.net/10722/86492-
dc.description.abstractHong Kong has the highest breast cancer incidence in Asia and studying secular changes in its rates may lead to hypotheses regarding disease aetiology and also predictions of future trends for China. We examined statistics from the Hong Kong Cancer Registry based on 26 566 cases of invasive breast cancer from 1973 to 1999. The trends in breast cancer incidence were studied using log-linear longitudinal models. We further analysed the independent effects of chronological age, time period and birth cohort on incidence trends using age-period-cohort modelling. The average annual per cent change of the age-standardised incidence was 3.6% during 1973-1999. Age-period-cohort modelling indicated the incidence development was predominantly a cohort effect, where the rise in relative risk was seemingly linear in successive birth cohorts, showing a 2-3-fold difference when comparing women born in the 1960's with those born around 1900. Our results suggest that direct and indirect consequences of westernisation may have been responsible for most of the observed increase in breast cancer incidence. As China moves towards a more westernised way of life, we can expect an emerging epidemic of breast cancer as Hong Kong's experience has demonstrated. © 2002 Cancer Research UK.en_HK
dc.languageengen_HK
dc.publisherNature Publishing Group. The Journal's web site is located at http://www.nature.com/bjcen_HK
dc.relation.ispartofBritish Journal of Canceren_HK
dc.subjectAge-period-cohorten_HK
dc.subjectBreast canceren_HK
dc.subjectHong Kongen_HK
dc.subjectIncidenceen_HK
dc.subjectPoisson distributionen_HK
dc.subject.meshAdulten_HK
dc.subject.meshAge Distributionen_HK
dc.subject.meshAge Factorsen_HK
dc.subject.meshAgeden_HK
dc.subject.meshAged, 80 and overen_HK
dc.subject.meshBreast Neoplasms - epidemiologyen_HK
dc.subject.meshCohort Studiesen_HK
dc.subject.meshFemaleen_HK
dc.subject.meshHong Kong - epidemiologyen_HK
dc.subject.meshHumansen_HK
dc.subject.meshIncidenceen_HK
dc.subject.meshLongitudinal Studiesen_HK
dc.subject.meshMiddle Ageden_HK
dc.subject.meshRegistriesen_HK
dc.subject.meshRisk Factorsen_HK
dc.titleTrends in breast cancer incidence in Hong Kong between 1973 and 1999: An age-period-cohort analysisen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0007-0920&volume=87&spage=982&epage=988&date=2002&atitle=Trends+in+breast+cancer+incidence+in+Hong+Kong+between+1973+and+1999:+an+age-period-cohort+analysisen_HK
dc.identifier.emailLeung, GM: gmleung@hku.hken_HK
dc.identifier.emailThach, TQ: thach@hku.hken_HK
dc.identifier.emailLam, TH: hrmrlth@hkucc.hku.hken_HK
dc.identifier.emailHedley, AJ: hrmrajh@hkucc.hku.hken_HK
dc.identifier.emailFielding, R: fielding@hku.hken_HK
dc.identifier.emailYip, PSF: sfpyip@hku.hken_HK
dc.identifier.emailWong, CM: hrmrwcm@hkucc.hku.hken_HK
dc.identifier.authorityLeung, GM=rp00460en_HK
dc.identifier.authorityThach, TQ=rp00450en_HK
dc.identifier.authorityLam, TH=rp00326en_HK
dc.identifier.authorityHedley, AJ=rp00357en_HK
dc.identifier.authorityFielding, R=rp00339en_HK
dc.identifier.authorityYip, PSF=rp00596en_HK
dc.identifier.authorityWong, CM=rp00338en_HK
dc.description.naturelink_to_OA_fulltext-
dc.identifier.doi10.1038/sj.bjc.6600583en_HK
dc.identifier.pmid12434289-
dc.identifier.pmcidPMC2364319-
dc.identifier.scopuseid_2-s2.0-0037152657en_HK
dc.identifier.hkuros75071en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0037152657&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume87en_HK
dc.identifier.issue9en_HK
dc.identifier.spage982en_HK
dc.identifier.epage988en_HK
dc.identifier.isiWOS:000179178200011-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridLeung, GM=7007159841en_HK
dc.identifier.scopusauthoridThach, TQ=6602850066en_HK
dc.identifier.scopusauthoridLam, TH=7202522876en_HK
dc.identifier.scopusauthoridHedley, AJ=7102584095en_HK
dc.identifier.scopusauthoridFoo, W=7003318564en_HK
dc.identifier.scopusauthoridFielding, R=7102200484en_HK
dc.identifier.scopusauthoridYip, PSF=7102503720en_HK
dc.identifier.scopusauthoridLau, EMC=7103086055en_HK
dc.identifier.scopusauthoridWong, CM=7404954904en_HK

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