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2015 - 2018年赣州市女性乳腺癌发病和死亡分析
引用本文:严月康,刘杰,杨荣荣,钟淑兰,黄棋,杜刚,钟小荣,陈祥发.2015 - 2018年赣州市女性乳腺癌发病和死亡分析[J].现代预防医学,2020,0(16):2967-2970.
作者姓名:严月康  刘杰  杨荣荣  钟淑兰  黄棋  杜刚  钟小荣  陈祥发
作者单位:1.赣州市疾病预防控制中心 江西 赣州 341000;2.江西省疾病预防控制中心 江西 南昌 330029;3.安远县疾病预防控制中心 江西 安远 342100
摘    要:目的 了解赣州市肿瘤登记地区女性乳腺癌发病与死亡及其变化趋势情况。方法 收集2015 - 2018年赣州市肿瘤登记地区女性乳腺癌数据,计算发病率、死亡率、标化率、累积率、截缩率、变化百分比(PC)和年度变化百分比(APC)等指标。结果 2015 - 2018年,赣州市肿瘤登记地区女性乳腺癌发病率为29.14 /10万(中标率23.75/10万,世标率21.88/10万),城市发病率高于农村地区,差异有统计学意义(χ2 = 33.18,P<0.05),累积发病率(0~74 岁)2.25% ,截缩发病率(35~64 岁)56.24 /10 万,发病率在30岁以后快速上升,在50~54岁达到高峰(76.75/10万);女性乳腺癌死亡率为7.26/10万(中标率5.68/10万 ,世标率5.24/10 万),城市与农村地区死亡率差异无统计学意义(χ2 = 2.05,P>0.05),累积死病率(0~74岁)0.57% ,截缩死亡率(35~64岁)12.56/10万,死亡率在35岁以后随年龄增长而快速上升,在75岁~达到高峰(19.14/10 万);城市发病率呈显著上升趋势( APC = 11.8%,P<0.05)。结论 赣州市女性乳腺癌发病率和死亡率处于全国中等水平,城市发病率高于农村地区,且处于上升趋势,应积极倡导健康生活方式,加强重点人群乳腺癌的早诊早治,因地制宜制定和完善女性乳腺癌的防治措施。

关 键 词:肿瘤登记  乳腺癌  发病率  死亡率  变化趋势

Analysis of incidence and death of female breast cancer in Ganzhou from 2015 to 2018
YAN Yue-kang,LIU Jie,YANG Rong-rong,ZHONG Shu-lan,HUANG Qi,DU Gang,ZHONG Xiao-rong,CHEN Xiang-fa.Analysis of incidence and death of female breast cancer in Ganzhou from 2015 to 2018[J].Modern Preventive Medicine,2020,0(16):2967-2970.
Authors:YAN Yue-kang  LIU Jie  YANG Rong-rong  ZHONG Shu-lan  HUANG Qi  DU Gang  ZHONG Xiao-rong  CHEN Xiang-fa
Affiliation:*Ganzhou Center for Disease Control and Prevention, Ganzhou Jiangxi 341000, China
Abstract:The aim of this study was to understand the incidence and mortality of breast cancer among women inGanzhou cancer registry. Methods Breast cancer data for women in Ganzhou tumor registration area was collected from 2015 to2018. Morbidity, mortality, standardized rate, cumulative rate, truncation rate, percent change (PC) and annual change (APC)were calculated. Results From 2015 to 2018, the incidence of breast cancer among women in Ganzhou cancer registration areaswas 29.14/105 (the successful bid rate was 23.75/105, the world standard rate was 21.88/105). The incidence was higher in urbanareas than that in rural areas, and the difference was statistically significant (χ2=33.18, P<0.05). The cumulative incidence (0-74years) was 2.25%, and the truncated incidence (35-64 years) was 56.24/105. Incidence increased rapidly after the age of 30,reaching a peak at the age from 50 to 54 (76.75/105). Female breast cancer mortality rate was 7.26/105 (the successful bid ratewas 5.68/105, the world standard rate was 5.24/105). There was no significant difference in mortality between urban and ruralareas (χ2=2.05, P>0.05). The cumulative mortality rate (0-74 years) was 0.57%, and the truncated mortality rate (35-64 years)was 12.56/105. The mortality rate rose rapidly with age after 35 years of age, and reached a peak at the age of 75 years (19.14/105), and the urban morbidity showed a significant upward trend (APC =11.8% , P <0.05). Conclusion The morbidity andmortality rate of female breast cancer in Ganzhou city was at a medium level in the country, and the incidence rate in urbanareas was higher than that in rural areas and was on the rise. We should actively advocate a healthy lifestyle, strengthen theearly diagnosis and early treatment of breast cancer in key populations, and formulate and improve prevention and treatmentmeasures for female breast cancer according to local conditions.
Keywords:Cancer registry  Breast cancer  Incidence  Mortality rate  Trend
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