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Increasing risk of uterine cervical cancer among young Japanese women: Comparison of incidence trends in Japan, South Korea and Japanese‐Americans between 1985 and 2012
Open accessAbstract
In Japan, cervical cancer incidence has increased since the late 1990s especially among young women, despite a decreasing trend in most developed countries. Here, we examined age, period and birth cohort trends in cervical cancer incidence rates from 1985 to 2012. Incidence rates were ascertained using three population‐based cancer registries and analyzed using Joinpoint regression and age‐period‐cohort models. We compared the findings in Japan to trends among Japanese‐Americans in the Surveillance, Epidemiology, and End Results Registries and among women in South Korea using the Korea Central Registry. Age‐standardized incidence rates in Japan decreased by 1.7% per year (95% confidence interval − 3.3%, 0.0%) until 1997 and thereafter increased by 2.6% per year (1.1%, 4.2%). Incidence rates increased among women under age 50, were stable among women aged 50–54, and decreased or remained stable among women aged 55 and over. The age‐standardized incidence rate ratio by birth cohort showed a U‐shaped pattern with the lowest rates in women born in the late 1930s and 1940s. In comparison, women born before 1920 and after 1970 had about double the incidence. Increasing risk in recent birth cohorts was not evident in Japanese‐American or South Korean women. The trends in Japan may be attributable to increasing prevalence of human papillomavirus (HPV) infection among young women. Screening and vaccination have been shown to be highly effective and would help reverse these trends.
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Cervical cancer screening programs hastened the declines in the incidence and mortality rates in many countries in Europe, Oceania, and Northern America, despite observations of increasing risk among younger generations of women in some of these countries.
“Cervical cancer screening programs hastened the declines in the incidence and mortality rates in many countries in Europe, Oceania, and Northern America, despite the observations of increasing risk among younger generations of women in some of these countries, [135][136][137]”
From Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. (2024) · cites this paper as [137]
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“…Europe, Oceania, and Northern America, despite the observations of increasing risk among younger generations of women in some of these countries, 135–137 which in part may reflect changing sexual behavior and increased transmission of HPV that is insufficiently compensated by uptake in screening.”
Background
Metadata
- Authors
- Utada, M., Chernyavskiy, P., Lee, W. J., Franceschi, S., Sauvaget, C., Berrington de Gonzalez, A., & Withrow, D. R.
- Affiliations
- Radiation Effects Research Foundation (JP)
- University of Wyoming (US)
- Korea University (KR)
- Centro di Riferimento Oncologico (IT)
- Centre international de recherche sur le cancer (FR)
- Radiation Epidemiology Branch, Division of Cancer Epidemiology and Genetics National Cancer Institute, National Institutes of Health Rockville MD USA
- National Institutes of Health (US)
- Corresponding author
- Utada, Mai
- ORCID
- Venue
- International Journal of Cancer
- Publisher
- Wiley
- Published
- 2018-12-18
- Volume
- 144
- Issue
- 9
- Pages
- 2144-2152
- ISSN
- 0020-7136 (ISSN-L)
- 1097-0215
- PMC
- PMC7478999
- OpenAlex
- W2902477821
- Cited by
- 68
- References
- 28
- Citations by year
- 2026: 4 · 2025: 10 · 2024: 5 · 2023: 7 · 2022: 17 · 2021: 12 · 2020: 10 · 2019: 3
- FWCI
- 4.88
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- International Journal of Cancer (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- OSTI OAI (U.S. Department of Energy Office of Scientific and Technical Information) (submittedVersion)
- Funders
- Ministry of Health, Labour and Welfare
- U.S. Department of Energy
- Topics
- Health Sciences › Medicine › Epidemiology › Cervical Cancer and HPV Research
- Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
- Keywords
- cervical cancer incidence, incidence trends, birth cohort effects, age-period-cohort analysis, young women, Japanese women, Japanese Americans, South Korean women, human papillomavirus, HPV prevalence, cervical cancer screening, HPV vaccination, cancer registry
- MeSH terms
- Cigarette Smoking, Adult, Aged, Aged, 80 and over, Asian, Uterine Cervical Neoplasms, Female, Humans, Japan, Middle Aged, Registries, United States, Vaccination, Incidence, Papillomavirus Infections, Papillomavirus Vaccines, Young Adult, Republic of Korea
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