朱美英,张桃莉,吴巧敏.既往血吸虫病感染人群大肠癌发病风险研究[J].中国肿瘤,2015,24(11):900-904.
既往血吸虫病感染人群大肠癌发病风险研究
Study on the Risk of Colorectal Cancer in the Population with Past Schistosomiasis Infection
投稿时间:2015-02-13  
DOI:10.11735/j.issn.1004-0242.2015.11.A003
中文关键词:  既往血吸虫病感染  大肠癌  危险因素
英文关键词:past Schistosomiasis infection  colorectal cancer  risk factors
基金项目:上海市松江区医学合作课题(2011LX-12)
作者单位
朱美英 上海市松江区疾病预防控制中心 
张桃莉 上海市松江区岳阳街道社区卫生服务中心 
吴巧敏 上海市松江区疾病预防控制中心 
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中文摘要:
      摘 要:[目的] 分析既往血吸虫病疫区感染人群大肠癌发病风险,为制定大肠癌预防和控制策略提供依据。[方法] 比较上海市松江区既往血吸虫病疫区与非疫区大肠癌发病情况;并对2012年220 175名筛查对象的筛查资料进行非条件Logistic回归分析。[结果] 2002~2009年松江区大肠癌发病呈上升趋势;松江区既往血吸虫病疫区(车墩、洞泾、中山、佘山、泗泾、九亭、新桥)的大肠癌发病率高于其他非疫区(岳阳、泖港、小昆山、叶榭、方松、石湖荡、新浜、永丰);2005~2009年松江区大肠癌发病率高于与上海市其他非血吸虫病疫区区县。非条件性Logistic回归分析表明血吸虫感染与大肠癌发病相关(OR=6.048,95%CI:5.249~6.971,P<0.001)。[结论] 既往血吸虫病疫区感染人群大肠癌发病风险增高。
英文摘要:
      Abstract:[Purpose] To investigate the risk of colorectal cancer in the population with past Schistosomiasis infection,and to provide evidences for the prevention and treatment of colorectal cancer. [Methods] The standardized incidence of colorectal cancer between the past Schistosomiasis epidemic and un-epidemic areas in Songjiang district,Shanghai compared and analyzed,and the data of 220 175 screening objects in 2012 was analyzed by Logistic regression. [Results] The incidence of colorectal cancer was increasing from 2002 to 2009 in Songjiang district. The incidence of colorectal cancer in past Schistosomiasis epidemic areas (Chedun,Dongjing,Zhongshan,Sheshan,Sijing,Jiuting,Xinqiao was higher than that in un-epidemic areas (Yueyang,Maogang,Xiaokunshan,Yexie,Fangsong,Shihudang,Xinbang,Yongfeng in Songjiang district. The incidence of colorectal cancer in Songjiang district was higher than that in past Schistosomiasis un-epidemic districts of Shanghai. The Logistic regression showed that the occurrence of colorectal cancer was related to the Schistosomiasis infection (OR=6.048,95%CI:5.249~6.971,P<0.001). [Conclusion] The risk of colorectal cancer increased in the population with past Schistosomiasis infection.
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