2020年河南省女性乳腺癌流行特征及2010-2020年变化趋势分析
Female breast cancer epidemiological characteristics in Henan Province in 2020 and their temporal trends from 2010 to 2020
投稿时间:2025-01-08  修订日期:2025-02-28
DOI:
中文关键词:  女性  乳腺癌  流行特征  变化趋势  河南
英文关键词:Females  Breast Cancer  Epidemiological Characteristics  Trends  Henan
基金项目:河南省科技攻关项目
作者单位邮编
毛树存 河南省肿瘤医院郑州大学许昌市疾病预防控制中心 461000
陈琼 河南省肿瘤医院 450008
刘曙正 河南省肿瘤医院 450008
刘红伟 河南省肿瘤医院 450008
刘茵 河南省肿瘤医院 450008
徐慧芳 河南省肿瘤医院 450008
郭肖利 河南省肿瘤医院 450008
王红 河南省肿瘤医院 450008
王潇扬 河南省肿瘤医院 450008
冯晨曦 河南省肿瘤医院 450008
张宁 河南省肿瘤医院 450008
张韶凯* 河南省肿瘤医院 450008
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中文摘要:
      [目的] 探讨2020年河南省女性乳腺癌的发病率和死亡率,及2010-2020年河南省女性乳腺癌的流行特征。[方法] 依据河南省2020年肿瘤登记地区乳腺癌分城乡、年龄的发病和死亡情况,同时基于2020年全省户籍人口数据,测算河南省2020年女性乳腺癌发病及死亡情况,包括新发/死亡例数、粗发病/死亡率、中标率、世标率以及累积发病率等指标。采用Joinpoint 回归模型,测算相关指标的年度变化百分比(APC)和平均年度变化百分比(AAPC)。[结果] 2020年河南女性乳腺癌新发病例24744例,粗发病率达到46.96/10万,中标率和世标率分别达到38.43/10万和35.71/10万,占河南省全部恶性肿瘤新发病例的17.76%。河南省女性乳腺癌死亡病例为4989例,粗死亡率达到9.47/10万,中标率和世标率分别为6.8/10万和6.72/10万,占全省全部恶性肿瘤死亡的7.86%。与农村地区相比,城市地区发病率与死亡率均处于较高水平。女性乳腺癌年龄别发病率在50岁达到高峰,死亡率在85岁达到高峰。2010-2020年,河南省女性乳腺癌总体发病率呈现缓慢上升态势,死亡率呈现显著下降趋势。(发病率:AAPC=2.09%,P=0.01,95%CI:0.62%~3.58%;死亡率:AAPC=-3.49%,P=0.005,95%CI:-5.62%~-1.30%)[结论] 河南省女性乳腺癌发病与死亡仍处于较高水平,亟需制定相应的预防措施和防控策略,切实降低乳腺癌对女性群体的健康危害。 关键词:女性;乳腺癌;流行特征;变化趋势;河南
英文摘要:
      [Purpose] To explore the incidence and mortality rates of breast cancer among women in Henan Province in 2020, and study the epidemiological characteristics of breast cancer among women in Henan Province from 2010 to 2020. [Methods] Based on the breast cancer incidence and mortality data stratified by urban and rural areas and age groups in Henan Province's tumor registry for 2020, and utilizing the province's household population statistics in the same year, this study comprehensively assessed female breast cancer epidemiological indicators. The analysis encompassed newly diagnosed/deceased cases, crude incidence/mortality rates, median morbidity, age-standardized rates, and cumulative incidence metrics.Utilizing the Joinpoint regression model, this study calculated the Annual Percentage Change (APC) and Average Annual Percentage Change (AAPC) for relevant epidemiological metrics. [Results] In 2020, Henan Province documented 24,744 new female breast cancer cases, with a crude incidence rate of 46.96/105, ASIRC of 38.43 and ASMRC of 35.71/105, respectively, representing 17.76% of all malignant tumor diagnoses in the province. Mortality data revealed 4,989 female breast cancer deaths, corresponding to a crude mortality rate of 9.47 per/105, with ASIRW of 6.8 ,and ASMRW of 6.72/105, accounting for 7.86% of total malignant tumor deaths. Urban female breast cancer epidemiological indicators in Henan were notably more severe than those in rural areas in 2020. Female breast cancer demonstrated the highest incidence frequency among individuals around 50 years of age, with mortality reaching its maximum in populations aged 85 and older. From 2010 to 2020, the overall incidence of female breast cancer in Henan showed a slow upward trend, while the mortality rate exhibited a significant downward trend (Incidence: AAPC=2.09%, P=0.01,95%CI:0.62%~3.58%; Mortality: AAPC=-3.49%, P=0.005, 95%CI:-5.62%~-1.30%). [Conclusion] Persistent elevated incidence and mortality patterns of breast malignancy among women in Henan Province. There is an urgent need to formulate corresponding preventive measures and control strategies to mitigate the harm of breast cancer to women’s health.
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