Emerging trends in cervical cancer incidence among younger Taiwanese generations: an urban–rural comparison
Background Despite global declines in cervical cancer incidence, certain regions observe unexpected rising trends among younger generations.Methods This study uses the age–period–cohort model to examine long-term incidence trends of invasive cervical cancer in Taiwan. Data were sourced from the Taiw...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2025-12-01
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| Series: | Annals of Medicine |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/07853890.2025.2458765 |
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| author | Ya-Xuan Wu Yi-Chu Chen Jing-Rong Jhuang Chun-Ju Chiang Wen-Chung Lee |
| author_facet | Ya-Xuan Wu Yi-Chu Chen Jing-Rong Jhuang Chun-Ju Chiang Wen-Chung Lee |
| author_sort | Ya-Xuan Wu |
| collection | DOAJ |
| description | Background Despite global declines in cervical cancer incidence, certain regions observe unexpected rising trends among younger generations.Methods This study uses the age–period–cohort model to examine long-term incidence trends of invasive cervical cancer in Taiwan. Data were sourced from the Taiwan Cancer Registry.Results From 2000 to 2019, both urban and rural areas of Taiwan saw a marked decrease in incidence rates, a trend largely attributed to the cytology-based screening program introduced in 1995. Yet, rising incidence rates emerged in younger Taiwanese generations, specifically those born post-1975 in urban and post-1980 in rural settings. The 1990-born urban cohort faced a risk 1.9 times higher than their 1975-born counterparts, while the risk for the 1990-born rural cohort was 1.4 times greater than those born in 1980. In addition, post-1980 urban cohorts exhibited greater risks than their rural counterparts.Conclusions The rising trends in cervical cancer incidence among younger Taiwanese generations may be influenced by factors such as increased sexual permissiveness and urbanization. Although current prevention efforts, such as human papillomavirus vaccination, are noteworthy, there is a need for ongoing surveillance and improved strategies that specifically target recent cohorts. |
| format | Article |
| id | doaj-art-d41f24feca774d31ac823ef092ee77b6 |
| institution | Kabale University |
| issn | 0785-3890 1365-2060 |
| language | English |
| publishDate | 2025-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Annals of Medicine |
| spelling | doaj-art-d41f24feca774d31ac823ef092ee77b62025-01-30T13:27:51ZengTaylor & Francis GroupAnnals of Medicine0785-38901365-20602025-12-0157110.1080/07853890.2025.2458765Emerging trends in cervical cancer incidence among younger Taiwanese generations: an urban–rural comparisonYa-Xuan Wu0Yi-Chu Chen1Jing-Rong Jhuang2Chun-Ju Chiang3Wen-Chung Lee4College of Public Health, Institute of Health Data Analytics and Statistics, National Taiwan University, Taipei, TaiwanCollege of Public Health, Institute of Epidemiology and Preventive Medicine, National Taiwan University, Taipei, TaiwanCollege of Public Health, Institute of Epidemiology and Preventive Medicine, National Taiwan University, Taipei, TaiwanCollege of Public Health, Institute of Epidemiology and Preventive Medicine, National Taiwan University, Taipei, TaiwanCollege of Public Health, Institute of Health Data Analytics and Statistics, National Taiwan University, Taipei, TaiwanBackground Despite global declines in cervical cancer incidence, certain regions observe unexpected rising trends among younger generations.Methods This study uses the age–period–cohort model to examine long-term incidence trends of invasive cervical cancer in Taiwan. Data were sourced from the Taiwan Cancer Registry.Results From 2000 to 2019, both urban and rural areas of Taiwan saw a marked decrease in incidence rates, a trend largely attributed to the cytology-based screening program introduced in 1995. Yet, rising incidence rates emerged in younger Taiwanese generations, specifically those born post-1975 in urban and post-1980 in rural settings. The 1990-born urban cohort faced a risk 1.9 times higher than their 1975-born counterparts, while the risk for the 1990-born rural cohort was 1.4 times greater than those born in 1980. In addition, post-1980 urban cohorts exhibited greater risks than their rural counterparts.Conclusions The rising trends in cervical cancer incidence among younger Taiwanese generations may be influenced by factors such as increased sexual permissiveness and urbanization. Although current prevention efforts, such as human papillomavirus vaccination, are noteworthy, there is a need for ongoing surveillance and improved strategies that specifically target recent cohorts.https://www.tandfonline.com/doi/10.1080/07853890.2025.2458765Cervical cancercohort effectsecular trendurbanizationsexual activity |
| spellingShingle | Ya-Xuan Wu Yi-Chu Chen Jing-Rong Jhuang Chun-Ju Chiang Wen-Chung Lee Emerging trends in cervical cancer incidence among younger Taiwanese generations: an urban–rural comparison Annals of Medicine Cervical cancer cohort effect secular trend urbanization sexual activity |
| title | Emerging trends in cervical cancer incidence among younger Taiwanese generations: an urban–rural comparison |
| title_full | Emerging trends in cervical cancer incidence among younger Taiwanese generations: an urban–rural comparison |
| title_fullStr | Emerging trends in cervical cancer incidence among younger Taiwanese generations: an urban–rural comparison |
| title_full_unstemmed | Emerging trends in cervical cancer incidence among younger Taiwanese generations: an urban–rural comparison |
| title_short | Emerging trends in cervical cancer incidence among younger Taiwanese generations: an urban–rural comparison |
| title_sort | emerging trends in cervical cancer incidence among younger taiwanese generations an urban rural comparison |
| topic | Cervical cancer cohort effect secular trend urbanization sexual activity |
| url | https://www.tandfonline.com/doi/10.1080/07853890.2025.2458765 |
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