Background
Methods
Study design and population
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cervical cancer and mastectomy as an indicator of the impact of both primary and secondary preventive initiatives [21],
Dimension
|
Indicators
|
ICD 9 CM
|
---|---|---|
Chronic diseases
| Stroke | 434.01, 434.11, 434.91, 431 |
Myocardial infarction | 410.xx | |
Cirrhosis and chronic liver diseases | 070.22, 070.23, 070.32, 070.33 | |
070.44, 070.54, 571.0, 571.2, 571.40, 571.41, 571.49 | ||
Cancers
| Cervical cancer | 180.xx, 233.1 |
Mastectomy | 85.23, 85.4, 85.22 | |
Inappropriateness
| Appendectomy | 47.0 |
-
ISTAT data on regular immigrant population,
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valid permits of residence delivered by the Ministry of Internal Affairs each year,
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foreign minors born in Italy each year,
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accepted requests for legal residence permit each year,
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a 10% of underestimation of irregular people living in Italy provided by the Foundation for Initiatives and Studies on Multi-Ethnicity.
Statistical elaboration of data
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Northern Italy: Emilia-Romagna, Friuli-Venezia Giulia, Liguria, Lombardia, Piemonte, Trentino-Alto Adige, Valle d’Aosta and Veneto,
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Central Italy: Lazio, Marche, Toscana and Umbria,
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Southern Italy: Abruzzo, Basilicata, Calabria, Campania, Molise, Puglia, Sicilia and Sardegna.
Results
Northern Italy
|
Central Italy
|
Southern Italy
| ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Males
|
Females
|
Males
|
Females
|
Males
|
Females
| |||||||
Italians
|
Immigrants
|
Italians
|
Immigrants
|
Italians
|
Immigrants
|
Italians
|
Immigrants
|
Italians
|
Immigrants
|
Italians
|
Immigrants
| |
2006
| 14428,7 (14377,5-14480,0) | 9595,4 (9287,1-9903,6) | 15466,3 (15414,3-15518,3) | 14058,2 (13744,6-14371,8) | 14922,8 (14615,7-15229,9) | 9110,4 (7532,4-10688,4) | 15703,8 (15393,9-16013,6) | 13590,0 (11905,9-15274,2) | 25373,1 (25326,1-25420,1) | 27934,5 (27626,9-28242,0) | 27076,2 (27029,0- 27123,4) | 41722,9 (41363,5-42082,3) |
2007
| 13676,1 (13626,2-13726,0) | 9100,1 (8814,4-9385,8) | 14503,8 (14453,3-14554,3) | 13028,5 (12744,7-13312,3) | 14550,4 (14248,6-14852,3) | 8911,9 (7382,5-10441,2) | 15351,1 (15045,2-15657,0) | 13155,8 (11535,7-14775,9) | 23986,6 (23941,0-24032,1) | 24448,0 (24167,5-24728,5) | 25396,6 (25350,9-25442,4) | 35666,9 (35339,8-35994,0) |
2008
| 13378,6 (13329,4-13427,9) | 9194,5 (8925,3-9463,7) | 14198,7 (14148,6-14248,7) | 13310,0 (13038,9-13581,2) | 14298,9 (14000,9-14597,0) | 9254,4 (7708,6-10800,1) | 15178,5 (14874,6-15482,4) | 13624,3 (12062,0-15186,5) | 23073,0 (23028,5-23117,6) | 24876,5 (24593,7-25159,3) | 24527,0 (24482,1-24571,9) | 34748,8 (34429,9-35067,7) |
Northern Italy
|
Central Italy
|
Southern Italy
| |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Males
|
Females
|
Males
|
Females
|
Males
|
Females
| ||||||||
Italians
|
Immigrants
|
Italians
|
Immigrants
|
Italians
|
Immigrants
|
Italians
|
Immigrants
|
Italians
|
Immigrants
|
Italians
|
Immigrants
| ||
Stroke
|
2006
| 151,2 (146,4-156,1) | 168,8 (116,8-220,8) | 151,2 (146,5-155,8) | 168,5 (115,9-221,1) | 193,7 (160,3-227,1) | 128,7 (0–370,0) | 190,0 (158,2-221,8) | 101,7 (0–327,6) | 221,6 (217,4-225,8) | 311,3 (267,3-355,2) | 220,0 (216,0-224,0) | 331,0 (284,8-377,3) |
2007
| 148,3 (143,5-153,0) | 158,5 (110,7-206,3) | 148,9 (144,4-153,5) | 153,8 (106,4-201,2) | 180,0 (148,1-211,8) | 126,6 (0–364,6) | 179,4 (148,7-210,1) | 100,9 (0–321,0) | 219,8 (215,7-224,0) | 333,9 (289,5-378,3) | 215,1 (211,2-219,0) | 346,3 (300,4-392,1) | |
2008
| 144,7 (140,0-149,4) | 162,6 (116,7-208,5) | 146,0 (141,5-150,5) | 145,9 (102,9-188,9) | 175,7 (144,5-206,9) | 141,4 (0–387,5) | 177,4 (147,0-207,9) | 107,1 (0–320,1) | 210,1 (206,0-214,1) | 307,6 (266,6-348,6) | 208,0 (204,1-211,8) | 321,9 (278,1-365,8) | |
Myocardial infarction
|
2006
| 250,5 (244,2-256,9) | 266,5 (202,8-330,1) | 129,8 (125,5-134,1) | 119,5 (75,9-163,1) | 276,7 (236,5-317,0) | 231,0 (0–549,7) | 130,7 (104,2-157,2) | 127,7 (0–396,5) | 265,5 (260,9-270,2) | 235,8 (198,5-273,2) | 117,8 (114,9-120,8) | 140,5 (109,3-171,7) |
2007
| 243,8 (237,6-250,0) | 244,6 (187,6-301,5) | 129,6 (125,3-133,8) | 111,1 (71,4-150,8) | 267,9 (228,6-307,2) | 220,3 (0–525,7) | 133,9 (107,2-160,6) | 99,9 (0–325,8) | 259,5 (255,0-264,1) | 244,3 (208,4-280,3) | 119,1 (116,2-122,0) | 165,6 (133,8-197,5) | |
2008
| 241,6 (235,4-247,7) | 219,8 (169,8-269,7) | 124,3 (120,2-128,5) | 112,0 (74,4-149,6) | 255,2 (217,1-293,4) | 214,6 (0–507,9) | 128,0 (102,0-153,9) | 98,2 (0–311,7) | 259,5 (254,9-264,0) | 307,8 (267,0-348,5) | 117,6 (114,7-120,5) | 132,8 (105,2-160,4) | |
Cirrhosis and chronic liver diseases
|
2006
| 104,7 (100,4-109,0) | 59,0 (39,5-78,4) | 49,0 (46,2-51,9) | 40,7 (22,9-58,4) | 106,4 (80,6-132,1) | 89,1 (0–220,1) | 50,8 (33,0-68,6) | 53,1 (0–159,6) | 222,9 (218,6-227,2) | 159,2 (140,7-177,6) | 138,8 (135,5-142,1) | 135,2 (115,1-155,4) |
2007
| 86,5 (82,6-90,4) | 49,5 (33,9-65,1) | 39,4 (36,8-42,0) | 34,2 (18,7-49,7) | 93,0 (69,0-117,1) | 97,3 (0–247,7) | 44,6 (27,9-61,3) | 48,1 (0–149,2) | 202,7 (198,6-206,9) | 136,6 (119,5-153,6) | 121,6 (118,6-124,7) | 100,4 (84,0-116,8) | |
2008
| 80,1 (76,4-83,9) | 58,1 (39,2-77,0) | 33,5 (31,1-35,9) | 34,0 (20,9-47,1) | 83,1 (60,4-105,8) | 92,3 (0–233,8) | 38,3 (22,8-53,8) | 46,0 (0–152,9) | 172,5 (168,7-176,3) | 126,1 (107,9-144,3) | 101,6 (98,8-104,4) | 110,2 (91,9-128,5) |
Northern Italy
|
Central Italy
|
Southern Italy
| |||||
---|---|---|---|---|---|---|---|
Italians
|
Immigrants
|
Italians
|
Immigrants
|
Italians
|
Immigrants
| ||
Cervical cancer
|
2006
| 18,6 (16,0-21,2) | 26,5 (10,0-43,1) | 15,3 (1,6-28,9) | 32,9 (0–168,0) | 10,6 (9,2-11,9) | 20,7 (10,7-30,8) |
2007
| 17,8 (15,2-20,3) | 24,0 (9,6-38,4) | 14,4 (1,1-27,7) | 31,2 (0–146,1) | 11,1 (9,8-12,4) | 25,5 (14,4-36,6) | |
2008
| 17,0 (14,5-19,5) | 23,5 (11,7-35,4) | 15,8 (1,9-29,7) | 28,1 (0–109,8) | 11,6 (10,2-13,0) | 25,6 (15,7-35,4) | |
Mastectomy
|
2006
| 242,5 (233,9-251,1) | 102,1 (38,2-166,0) | 202,4 (154,0-250,7) | 128,2 (0–562,7) | 135,5 (130,9-140,2) | 105,6 (62,5-148,6) |
2007
| 240,4 (231,9-248,9) | 143,6 (69,8-217,4) | 198,4 (150,7-246,1) | 134,1 (0–577,6) | 138,4 (133,7-143,0) | 159,9 (107,5-212,3) | |
2008
| 97,0 (91,4-102,6) | 40,8 (15,5-66,2) | 81,4 (50,5-112,3) | 47,9 (0–220,6) | 54,5 (51,6-57,4) | 47,3 (27,7-67,0) |
Northern Italy
|
Central Italy
|
Southern Italy
| ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Males
|
Females
|
Males
|
Females
|
Males
|
Females
| |||||||
Italians
|
Immigrants
|
Italians
|
Immigrants
|
Italians
|
Immigrants
|
Italians
|
Immigrants
|
Italians
|
Immigrants
|
Italians
|
Immigrants
| |
2006
| 106,9 (101,9-111,9) | 138,2 (117,3-159,1) | 99,6 (94,8-104,4) | 125,3 (104,9-145,7) | 91,7 (65,2-118,1) | 121,8 (0–247,5) | 79,3 (54,6-104,1) | 103,5 (0–215,0) | 84,8 (81,9-87,8) | 119,0 (108,5-129,6) | 90,2 (87,1-93,2) | 127,2 (114,8-139,6) |
2007
| 100,2 (95,3-105,0) | 128,7 (110,0-147,3) | 92,7 (88,1-97,3) | 111,7 (94,2-129,1) | 82,3 (57,3-107,2) | 110,2 (5,0-215,4) | 71,9 (48,4-95,3) | 93,6 (0–197,5) | 80,4 (77,5-83,3) | 113,1 (100,5-125,7) | 81,3 (78,4-84,2) | 106,4 (92,2-120,7) |
2008
| 96,7 (92,0-101,5) | 131,4 (112,2-150,6) | 86,0 (81,5-90,5) | 107,0 (90,2-123,7) | 78,8 (54,4-103,2) | 111,0 (0–225,2) | 68,1 (45,2-91,0) | 86,8 (0–178,3) | 76,4 (73,6-79,2) | 107,7 (95,0-120,4) | 74,4 (71,6-77,1) | 79,7 (71,7-87,6) |