Evidence map›Paper›PMID 41825913›Full record

ArticleBMJ global health2026

Temporal trends in cervical cancer incidence and mortality in economically emerging countries, 1992-2021: an age-period-cohort analysis.

Changchang Dun, Yuteng Su, Partha Basu, Xuelian Zhao, Shangying Hu, R Muwonge, Youlin Qiao, Fanghui Zhao

Abstract read
In one paragraph

Article in BMJ global health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Changchang Dun *Department of Population Medicine, School of Population Medicine and Public Health, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100730, China.ORCID 0009-0009-7047-1506
Yuteng Su *Department of Epidemiology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, China.ORCID 0009-0008-8016-5310
Partha BasuEarly Detection, Prevention & Infections Branch, International Agency for Research on Cancer/World Health Organization, Lyon, 69007, France.ORCID 0000-0003-0124-4050
Xuelian ZhaoDepartment of Epidemiology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, China.
Shangying HuDepartment of Epidemiology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, China.ORCID 0000-0002-4778-1612
R MuwongeEarly Detection, Prevention & Infections Branch, International Agency for Research on Cancer/World Health Organization, Lyon, 69007, France.
Youlin QiaoDepartment of Epidemiology and Biostatistics, School of Population Medicine and Public Health, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100730, China.ORCID 0000-0001-6380-0871
Fanghui ZhaoDepartment of Population Medicine, School of Population Medicine and Public Health, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100730, China zhaofangh@cicams.ac.cn.ORCID 0000-0001-9294-0005

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe economically emerging countries contributed to over half of the global cervical cancer (CC) burden and are good examples showing how rapid economic growth and health policy change affect the trends of CC burden. This study aimed to analyse the time trends of CC burden across Brazil, Russia, India, China and South Africa (BRICS) and associations with age, period and birth cohort from 1992 to 2021.

methodsData on CC incident cases, deaths, age-standardised incidence rates (ASIRs) and age-standardised mortality rates (ASMRs) were sourced from the Global Burden of Disease Study 2021 to demonstrate the temporal trends of CC burden for BRICS countries from 1992 to 2021. An age-period-cohort model was used to determine the net drift, local drift, longitudinal age curves, as well as period and cohort relative risks regarding CC incidence and mortality.

resultsBetween 1992 and 2021, the ASIR of CC decreased from 16.5 to 15.6 per 100 000 women (-5.5%) and the ASMR declined from 10.1 to 6.7 per 100 000 women (-33.7%) in BRICS. Brazil reported continuous decreases in both CC incidence (net drift: -1.1%, 95% CI -1.1% to -1.0%) and mortality (net drift: -1.7%, 95% CI -1.80% to -1.6%). India also had reduced CC incidence and mortality but experienced worsening period effects from 2012 onwards. Russia and China experienced decreasing trends in mortality yet increasing trends in incidence, and there were apparent unfavourable trends among young and middle-aged women in Russia. South Africa maintained the highest CC incidence (40.0 per 100 000 women, 95% CI 35.0 to 45.6) and mortality (21.3 per 100 000 women, 95% CI 18.8 to 24.1) across the BRICS and had the steepest growth of CC incidence and mortality rates with increasing age.

conclusionDespite an overall decreasing trend of CC burden in BRICS, substantial heterogeneity exists across nations. Identifying country-specific priority groups and tailoring interventions is essential, and the patterns observed have implications for public health strategies applicable not just to BRICS nations but also to many other emerging economies facing substantial CC burden.

Indexed as

Developing CountriesUterine Cervical NeoplasmsAdultAgedBrazilChinaCohort StudiesFemaleHumansIncidenceIndiaMiddle AgedRussiaSouth AfricaCancerEpidemiologyGlobal HealthHealth policyPrevention strategies

Identifiers

PMID41825913
PMCPMC12993359

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.