Epidemiological Trends and Attributable Risk Burden of Cervical Cancer: An Observational Study from 1990 to 2019

Table 1

Incidence cases, age-standardized incidence, and temporal trends of cervical cancer from 1990 to 2019.

	1990		2019		1990-2019
	Incident cases no. 102 (95% UI)	ASIR per 100,000 No. (95% UI)	Incident cases no. 102 (95% UI)	ASIR per 100,000 No. (95% UI)	EAPC No. (95% CI)
Overall	3356.42 [3003.54-3938.93]	14.91 [13.37-17.55]	5655.41 [4815.24-6364.35]	13.35 [11.37-15.03]	−0.38 [−0.41 to −0.34]
Socio-demographic index
High SDI	596.9 [542.98-616.54]	11.83 [10.67-12.22]	638.64 [557.1-714.55]	8.91 [7.74-9.99]	−0.95 [−1.06 to −0.85]
High-middle SDI	758.05 [715.34-888.76]	12.77 [12.05-15]	1131.23 [897.8-1291.53]	11.59 [9.18-13.24]	−0.27 [−0.31 to −0.22]
Middle SDI	921.78 [814.53-1164]	14.87 [13.17-18.85]	1833.37 [1444.92-2088.59]	13.44 [10.61-15.28]	−0.29 [−0.34 to −0.24]
Low-middle SDI	662.16 [540.58-817.63]	18.04 [14.86-22.49]	1259.63 [1078.83-1501.05]	15.78 [13.57-18.87]	−0.56 [−0.65 to −0.46]
Low SDI	414.99 [317.75-508.02]	27.74 [21.56-34.25]	788.21 [616.13-979.25]	23.21 [18.31-28.76]	−0.69 [−0.73 to −0.65]
Region
Andean Latin America	41 [34.53-48.59]	33.39 [28.2-39.63]	91 [69.29-116.15]	29.74 [22.67-37.83]	−0.53 [−0.66 to −0.4]
Australasia	13.73 [11.47-14.67]	11.83 [9.76-12.65]	16.48 [12.7-21.14]	8.22 [6.32-10.59]	−0.98 [−1.37 to −0.59]
Caribbean	41.2 [33.3-47.16]	28 [22.69-31.86]	68.62 [53.57-85]	26.23 [20.41-32.58]	−0.24 [−0.3 to −0.19]
Central Asia	52.74 [48.97-56.29]	18.58 [17.37-19.85]	76.66 [66.47-88.3]	16 [13.94-18.4]	−0.34 [−0.46 to −0.23]
Central Europe	153.92 [143.9-162.15]	20.67 [19.23-21.74]	136.77 [112.58-158.96]	15.8 [12.97-18.48]	−1.08 [−1.22 to −0.95]
Central Latin America	170.8 [158.04-178.45]	32.3 [29.43-33.73]	284.79 [231.09-350.27]	21.45 [17.44-26.37]	−1.77 [−1.93 to −1.61]
Central sub-Saharan Africa	58.43 [39.54-78.26]	37.38 [25.91-49.42]	122.97 [82.33-168.78]	32.32 [21.74-44.74]	−0.51 [−0.61 to −0.41]
East Asia	452.57 [353.84-793.61]	9 [7.08-15.63]	1153.77 [643.46-1471.15]	11.17 [6.25-14.26]	1.33 [1.11 to 1.56]
Eastern Europe	228.21 [196.72-246.5]	14.53 [12.66-15.79]	229.97 [189.12-280.32]	14.76 [11.91-18.14]	0.03 [−0.13 to 0.19]
Eastern sub-Saharan Africa	190.81 [144.07-238.1]	38.27 [28.81-47.55]	363.35 [257.56-484.49]	31.79 [22.9-41.68]	−0.8 [−0.87 to −0.72]
High-income Asia Pacific	124.66 [116.36-143.57]	11.65 [10.81-13.42]	150.61 [119.08-179.61]	10.33 [7.99-12.4]	−0.17 [−0.28 to −0.05]
High-income North America	175.3 [151.07-182.59]	10.39 [8.89-10.83]	218.52 [174.25-266.17]	8.93 [7.09-10.93]	−0.58 [−0.72 to −0.43]
North Africa and Middle East	70.32 [50.28-80.27]	6.9 [4.92-7.88]	146.26 [111.39-176.32]	5.78 [4.43-6.89]	−0.63 [−0.69 to −0.57]
Oceania	5.7 [4.04-7.57]	29.58 [21.39-39.83]	13.29 [8.6-18.2]	28.22 [19-38.09]	−0.05 [−0.12 to 0.03]
South Asia	563.56 [442.09-685.94]	16.04 [12.64–19.66]	1000.2 [801.06-1247.7]	12.37 [9.94-15.46]	−1.09 [−1.23 to −0.96]
Southeast Asia	311.27 [235.2-386.84]	18.75 [14.3-23.63]	520.62 [419.29-686.68]	14.48 [11.73-19]	−1.06 [−1.17 to −0.96]
Southern Latin America	64.79 [60.51-68.66]	26.3 [24.53-27.91]	98.44 [72.73-128.55]	24.85 [18.23-32.74]	−0.38 [−0.52 to −0.24]
Southern sub-Saharan Africa	61.71 [46.79-75.3]	33.33 [25.19-40.62]	120.21 [97.4-144.45]	32.9 [26.88-39.48]	0.28 [0.05 to 0.52]
Tropical Latin America	141.19 [133.57-163.6]	24.52 [23.12-28.28]	237.4 [221.28-271.79]	17.91 [16.69-20.43]	−1.29 [−1.4 to −1.19]
Western Europe	286.02 [259.1-296.83]	11.19 [9.88-11.62]	271.74 [226.94-317.02]	8.26 [6.85-9.68]	−0.97 [−1.07 to −0.87]
Western sub-Saharan Africa	148.49 [116.61-186.36]	28.64 [22.5-35.8]	333.74 [26137-425.35]	25.47 [20.17-31.94]	−0.35 [−0.4 to −0.31]