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Cancer mortality in the United States and Germany
N Becker1, J E Muscat, E L Wynder
1Deutsches Krebsforschungszentrum, Division of Clinical Epidemiology, Im Neuenheimer Feld 280, 69120 Heidelberg, Germany. n.becker@dkfz.de
Journal of Cancer Research and Clinical Oncology
|May 18, 2001
Summary
Cancer mortality rates are converging between the USA and Germany, but lifestyle factors don't fully explain these trends. Further prevention and screening are recommended for both nations.
Area of Science:
- Epidemiology
- Public Health
- Cancer Research
Background:
- The USA and Germany, leading industrial nations, exhibit similar lifestyles and living standards today.
- Fifty years ago, post-WWII, significant disparities existed in living conditions between the USA and Germany.
- Cancer occurrence is largely attributed to lifestyle factors, necessitating comparative analysis of cancer rates reflecting historical differences.
Purpose of the Study:
- To compare time trends in cancer mortality between the USA and Germany.
- To investigate the parallelism between lifestyle factor changes and cancer mortality patterns in both countries.
- To identify discrepancies and convergences in cancer occurrence linked to lifestyle evolution.
Main Methods:
- Descriptive epidemiology approach.
- Comparative analysis of time trends in cancer mortality.
- Examination of lifestyle factor data in parallel with cancer mortality data.
Main Results:
- Overall cancer mortality rates are converging between the USA and Germany.
- Inconsistencies observed: similar lung cancer rates despite differing smoking patterns.
- Decreasing rectal cancer mortality noted despite rising risk factor prevalence.
Conclusions:
- Positive lifestyle changes suggest continued decline in cancer mortality for both nations.
- Primary prevention strategies are crucial for Germany.
- Enhanced screening programs are recommended for both the USA and Germany.
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