Stomach cancer incidence trends in selected Latin America countries: Age, period, and birth-cohort effects.

BACKGROUND: to explore the age, period, and birth-cohort effects on stomach cancer incidence trends during 3 decades in selected Latin American countries. METHODS: a time-trend study was performed using Cancer Incidence in Five Continents data from high-quality population-based cancer registries(PBCRs) in Latin American countries. Crude and age-standardized incidence rates(ASRIs) were calculated. Time trends in ASRIs were assessed using the average annual percentage change(AAPC). Age-period-cohort effects were estimated by Poisson regression for individuals aged between 20 and 79 years with stomach cancer informed by PBCRs from 1983 to 2012 in Cali(Colombia); from 1982 to 2011 in Costa Rica; and from 1988 to 2012 for Goiania(Brazil) and Quito(Ecuador). The goodness-of-fit model was tested using the deviance of the models. RESULTS: a decrease in age-standardized incidence rates was observed for both genders in all populations covered by PBCRs, except for young men from Cali(AAPC 3.89 95 %IC: 1.32-7.29). The age effect was statistically significant in all areas, and the curve slope reached peaks in the older age groups. The cohort effect was observed in all PBCRs. Regarding the period effect, an increased ratio rate was observed for both genders in Costa Rica(1997-2001 women RR 1.11 95 %CI: 1.05-1.17; men RR 1.12 95 %CI: 1.08-1.17) and Goiânia(2003-2007 women RR 1.21 95 %CI: 1.08-1.35; men RR 1.09 95 %CI: 1.01-1.20), while Quito(1998-2002 women RR 0.89 95 %CI: 0.81-0.98; men RR 0.86 95 %CI: 0.79-0.93) presented a decrease. CONCLUSION: the present study showed a decreasing gastric cancer trend for over the past 30 years with gender and geographic variations. Such a decrease seems to be mainly a result of cohort effects, suggesting that the economic market opening process led to changes in the risk factor exposures over successive generations. These geographic and gender variations may reflect cultural/ethnic/gender differences and differences in dietary and smoking rate patterns. However, an increased incidence was observed for young men in Cali, and additional studies are needed to determine the cause of the increasing incidence in this group.

Concentration of heavy metals in UHT dairy milk available in the markets of São Luís, Brazil, and potential health risk to children.

OBJECTIVE: To assess the levels of heavy metals and their antagonists in dairy products available in the markets of São Luís, northeastern Brazil. METHODS: Chemical analysis of the heavy metals copper(Cu), lead(Pb), mercury(Hg), and nickel(Ni) and their antagonists iron(Fe), zinc(Zn), calcium(Ca), selenium(Se), and cobalt(Co) contained in dairy products using inductively coupled plasma optical emission spectrometry (ICP-OES). RESULTS: The main heavy metal observed in dairy products were Hg; Pb; Se and Ni. A significant negative correlation was observed between the concentrations of Cu and Fe (rho = -0.634, p = 0.001), Cu and Zn (rho = -0.794, p = 0.000) in whole milk. A non-significant positive correlation was observed between Pb and Ca (rho = 0.387, p = 0.056), and Hg and Se (rho = 0.055, p = 0.795). CONCLUSIONS: Dairy product brands available in the markets of São Luís could be considered a source of heavy metal contamination (Hg, Pb, Se, Cu, Ni) with weak correlations with their antagonists.

Incidence of Colorectal Cancer in Selected Countries of Latin America: Age-Period-Cohort Effect.

OBJECTIVE: To estimate Age-Period-Cohort effects on colorectal, colon and rectal cancer incidence rates in Latin American countries covered by high quality population-based cancer registries. METHODS: A trend study was performed using data from Cancer Incidence in Five Continents. Age-Period-Cohort effects were estimated by Poisson regression for individuals aged between 20 and 79 years with colorectal, colon and rectal cancers informed by Population-Based Cancer Registries from 1983 to 2012 in Cali (Colombia); from 1983 to 2007 in Costa Rica; and from 1988 to 2012 for both Goiânia (Brazil) and Quito (Ecuador). Goodness of fit model was tested using the deviance of the models. RESULTS: Age effect was statistically significant for both sexes in all Population-Based Cancer Registries areas and the curves slope reached peaks in the older age groups. There were cohort effects on the incidence rates for colorectal, colon and rectal cancers in all Population-Based Cancer Registries areas, except for women in Quito. Regarding the period effect, an increased ratio rate was observed in men (1.26, 95%CI 1.17 to 1.35) and women (1.23, 95%CI, 1.15 to 1.32) in Goiânia, between 2003 and 2007. CONCLUSIONS: In Latin America, age effect was observed on incidence rates for colorectal, colon and rectal cancers. Besides, birth cohort effect was identified for recent cohorts in both genders for colorectal, colon and rectal cancers in Cali and Goiânia, and cohort effect for colorectal and colon cancers in both genders in Costa Rica; while in Quito a cohort effect was only observed for rectal cancer among men. Period effect was observed in Goiânia with increased ratio rate in 2003-2007.
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