| 朱晓云,熊伊然,陈 磊.上海市金山区2002～2013年恶性肿瘤发病时间趋势分析[J].中国肿瘤,2017,26(9):696-701. |
| 上海市金山区2002～2013年恶性肿瘤发病时间趋势分析 |
| Time Trend of Cancer Incidence in Jinshan District of Shanghai，2002～2013 |
| 投稿时间：2016-10-28 |
| DOI：10.11735/j.issn.1004-0242.2017.09.A008 |
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| 中文关键词: 恶性肿瘤 发病率 时间趋势 上海 |
| 英文关键词:cancer incidence time trend Shanghai |
| 基金项目:上海市金山区科学技术委员会医药卫生类科技创新资金项目（2016-3-14） |
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| 中文摘要: |
| 摘 要：［目的］ 了解近年来上海市金山区恶性肿瘤发病变化趋势，为政府部门制定肿瘤防治策略和措施提供参考依据。［方法］ 利用基于居民健康档案的肿瘤登记报告系统采集辖区居民肿瘤发病个案信息，并计算2002~2013年金山区不同性别、不同年龄组及不同类别恶性肿瘤的粗发病率、标化发病率和年度变化百分比（APC）等指标。［结果］ 2002~2013年，金山区男性恶性肿瘤粗发病率APC=4.58%（P<0.01），标化发病率APC=0.98%（P>0.05）。女性恶性肿瘤粗发病率APC=7.06%（P<0.01），标化发病率APC=4.38%（P<0.01）；男性除65岁及以上年龄组外，其余0~14岁组、15~44岁和45~64岁组肿瘤发病率均随时间呈上升趋势（APC=11.03%、3.47%、1.54%，P<0.05），女性则除0~14岁组外，其余年龄段肿瘤发病率也呈上升趋势（APC=8.77%、4.56%、3.54%，P<0.01）。12年间，男性肺癌、胃癌、膀胱癌、脑肿瘤、白血病标化发病率无明显变化趋势（APC=-0.22%、-1.55%、-0.93%、-1.42%和1.13%，P>0.05），结直肠癌、胰腺癌和前列腺癌标化发病率呈上升趋势（APC=4.94%、4.08%和8.96%，P<0.05），肝癌标化发病率则呈下降趋势（APC=-3.70%，P<0.01）。同期，女性乳腺癌、肺癌、甲状腺癌、子宫癌、脑肿瘤标化发病率随时间呈上升趋势（APC=5.34%、4.17%、20.75%、10.12%和5.59%，P<0.05），肝癌标化发病率则呈下降趋势（APC=-4.86%，P<0.01），结直肠癌、胃癌、胰腺癌和胆囊癌则随时间未呈现出明显变化趋势（APC=2.66%、-2.07%、1.66%和-1.97%，P>0.05）。［结论］上海市金山区不同性别、年龄组人群和各类肿瘤发病变化趋势各有特点，应根据不同特征人群、不同类别肿瘤的发病趋势特点制定相应的肿瘤防控策略与措施。 |
| 英文摘要: |
| Abstract：［Purpose］ To analyze the time trend of cancer incidence in Jinshan District of Shanghai. ［Methods］ Cancer cases from 2002 to 2013 in Jinshan District were collected using the system of cancer report based on resident health record. The crude incidence，standardized incidence and annual percent change(APC) of cancer by gender and age groups and top 10 cancers were calculated.［Results］ From 2002 to 2013 the APC of crude incidence was 4.58%(P<0.01) and the APC of standardized incidence was 0.98%(P>0.05) in males，and those were 7.06%(P<0.01) and 4.38%(P<0.01) in females，respectively. The age-specific incidence of 0~14 years age group，15~44 years age group and 45~64 years age group in males were increased(APC=11.03%，3.47% and 1.54%，P<0.05）；and the age-specific incidence of 15~44 years age group，45~64 years age group and ≥65 years in females were increased(APC=8.77%，4.56%，3.54%，P<0.05). There were no significant changes in the standardized incidence of lung cancer，stomach cancer，bladder cancer，cerebral cancer and leukemia in males from 2002 to 2013(APC=-0.22%，-1.55%，-0.93%，-1.42% and 1.13%，P>0.05)；while the standardized incidence rates of colorectal cancer，pancreatic cancer and prostate cancer were increased(APC=4.94%，4.08% and 8.96%，P<0.05)，and the standardized incidence of liver cancer was decreased(APC=-3.70%，P<0.01). At the same period in female the standardized incidence rates of breast cancer，lung cancer，thyroid cancer，uterine cancer and cerebral cancer were increased(APC=5.34%，4.17%，20.75%，10.12% and 5.59%，P<0.05)，and the standardized incidence of liver cancer was decreased(APC=-4.86%，P<0.01)，while there were no significant changes in the standardized incidence of colorectal cancer，stomach cancer，pancreatic cancer and gallbladder cancer(APC=2.66%，-2.07%，1.66% and -1.97%，P>0.05). ［Conclusion］ The characteristics of time trend of cancer incidence were different in different gender，different age groups and different cancer types. The effective policies and methods of cancer prevention should be based on the characteristic time trends of cancer incidence. |
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