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

Table 2

Death cases, age-standardized death rate, and temporal trends of cervical cancer from 1990 to 2019.

	1990		2019		1990-2019
	Death cases No. 102 (95% UI)	ASDR per 100,000 No. (95% UI)	Death cases No. 102 (95% UI)	ASDR per 100,000 No. (95% UI)	EAPC No. (95% CI)
Overall	1845.27 [1648.36-2189.42]	8.48 [7.59-10.07]	2804.79 [2388.64-3139.3]	6.51 [5.55-7.29]	−0.93 [−0.98 to −.88]
Sociodemographic index
High SDI	252.22 [232.75-261.93]	4.56 [4.22-4.71]	261.73 [228.23-281.49]	2.9 [2.6-3.1]	−1.57 [−1.68 to −1.46]
High-middle SDI	413.53 [386.94-484.05]	6.95 [6.5-8.13]	517.71 [416.64-578.74]	4.89 [3.92-5.47]	−1.25 [−1.31 to −1.19]
Middle SDI	525.26 [466.34-651.21]	9.32 [8.31-11.54]	901 [713.33-1032]	6.78 [5.4-7.76]	−1.03 [−1.09 to −0.97]
Low-middle SDI	392.09 [324.61-500.54]	11.71 [9.73-15.05]	666.78 [572.7-812.45]	8.85 [7.62-10.83]	−1.04 [−1.12 to −0.96]
Low SDI	260.8 [202.34-321.11]	19.18 [15-23.66]	455.4 [357.97-562.58]	15.05 [11.92-18.46]	−0.9 [−0.94 to −0.86]
Region
Andean Latin America	23.31 [19.62-27.59]	20.39 [17.22-24.05]	42.78 [33.17-53.82]	14.37 [11.18-18.04]	−1.33 [−1.45 to −1.21]
Australasia	4.55 [3.91–4.77]	3.73 [3.16-3.92]	5.25 [4.48-5.83]	2.17 [1.88-2.4]	−1.57 [−1.97 to −1.17]
Caribbean	22.27 [17.46-25.49]	15.83 [12.55-18.04]	34.7 [27.24-42.61]	12.95 [10.11-15.96]	−0.65 [−0.72 to −0.58]
Central Asia	27.2 [24.8-28.87]	9.81 [8.95-10.43]	34.23 [30-39.27]	7.58 [6.68-8.7]	−0.75 [−0.88 to −0.61]
Central Europe	79.98 [76.03-85.32]	10.14 [9.63-10.79]	68.83 [58.24-79.88]	6.65 [5.59-7.75]	−1.57 [−1.69 to −1.46]
Central Latin America	95.87 [86.96-100.11]	20.35 [18.19-21.28]	138.31 [115.34-168.04]	10.65 [8.91-12.92]	−2.61 [−2.76 to −2.45]
Central sub-Saharan Africa	37.21 [26.09-48.39]	26.27 [18.78-34.25]	72.96 [49.08-100.58]	21.67 [14.49-30.24]	−0.67 [−0.79 to −0.54]
East Asia	284.04 [223.19-461.41]	6.05 [4.77-9.76]	559.6 [331.87-713.62]	5.18 [3.09-6.59]	−0.05 [−0.29 to 0.19]
Eastern Europe	129.39 [109.52-138.59]	7.62 [6.5-8.19]	100.37 [84.72-119.1]	5.54 [4.62-6.61]	−1.38 [−1.55 to −1.21]
Eastern sub-Saharan Africa	119.37 [90.76-149.22]	26.51 [20.07-33.45]	211.12 [154.77-278.56]	21.13 [15.15-27.62]	−0.9 [−0.96 to −0.84]
High-income Asia Pacific	46.42 [43.47-53.22]	4.2 [3.93-4.81]	56.04 [45.77-62.17]	2.7 [2.22-2.96]	−1.52 [−1.59 to −1.44]
High-income North America	67.41 [59.7-70.44]	3.71 [3.25-3.86]	87.99 [74.75-93.4]	2.99 [2.55-3.15]	−0.69 [−0.83 to −0.55]
North Africa and Middle East	39.71 [28.19-45.3]	4.37 [3.1-4.99]	70.05 [54.43-83.11]	3.15 [2.47-3.69]	−1.11 [−1.18 to −1.04]
Oceania	3.05 [2.19-4.21]	18.16 [13.38-25.22]	6.69 [4.48-9.13]	16.41 [11.5-22.19]	−0.18 [−0.27 to −0.08]
South Asia	333.37 [262.23-399.53]	10.49 [8.29-12.62]	533.03 [428.71-699.46]	7.01 [5.66-9.21]	−1.6 [−1.72 to −1.48]
Southeast Asia	167.14 [125.65-214.67]	11.05 [8.36-14.54]	251.29 [205.25-349.8]	7.36 [6.03-10.33]	−1.52 [−1.61 to −1.43]
Southern Latin America	30.67 [28.87-33.08]	12.34 [11.62-13.3]	41.76 [35.52-45.98]	9.64 [8.17-10.56]	−1.01 [−1.13 to −0.89]
Southern sub-Saharan Africa	32.39 [24.83-40.68]	19.17 [14.63-24.27]	65.61 [53.9-77.52]	19.34 [15.82-22.77]	0.46 [0.18 to 0.73]
Tropical Latin America	76.85 [72.12-88.85]	14.72 [13.7-17.12]	115.8 [107.15-136.57]	8.69 [8.04-10.23]	−2.01 [−2.11 to −1.92]
Western Europe	131.3 [120.35-136.07]	4.36 [3.99-4.51]	117.52 [102.71-126.89]	2.65 [2.38-2.85]	−1.65 [−1.76 to −1.54]
Western sub-Saharan Africa	93.78 [75.57-123.09]	19.74 [15.94-25.76]	190.88 [150.41-240.11]	16.83 [13.38-21]	−0.48 [−0.53 to −0.43]