| 温 转,师 金,梁 迪.2018—2019年度河北省城市癌症早诊早治项目人群风险评估分析[J].中国肿瘤,2019,28(10):757-763. |
| 2018—2019年度河北省城市癌症早诊早治项目人群风险评估分析 |
| Cancer Risk Assessment Among Urban Residents in Hebei Province Based on Cancer Screening Program from 2018 to 2019 |
| 投稿时间：2019-08-22 |
| DOI：10.11735/j.issn.1004-0242.2019.10.A007 |
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| 中文关键词: 癌症筛查 高危人群 高危率 城市地区 河北 |
| 英文关键词:cancer screening high risk population high risk rate urban areas Hebei |
| 基金项目:河北省医学科学研究课题（20190727） |
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| 摘要点击次数: 1889 |
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| 中文摘要: |
| 摘 要：［目的］通过城市癌症早诊早治项目分析河北省癌症高危人群状况，为提高筛查检出率，实施更加有效的癌症筛查提供理论依据。［方法］ 对河北省2018—2019年度石家庄市和唐山市40～74岁年龄段人群开展城市癌症早诊早治工作，自愿参加并签署知情同意书的居民填写防癌风险评估问卷，通过国家癌症中心建立的癌症风险评估模型评估个体患癌风险指数，分析评估出５个癌种高危人群的高危率。［结果］ 2018—2019年度，城市癌症早诊早治项目共对37 849位40～74岁城市居民进行了危险因素调查和高危人群风险评估，其中男性17 251人，女性20 598人。参与人群主要集中在50～54岁、55～59岁、60～64岁和65～69岁这４个年龄组。参加者主要是初中及高中/中专/技校学历。职业分布提示，工人比例最高，其次为农民、家务人员。河北省调查问卷评估发现，各类癌症高危人群共计16 912人次，总高危率为44.68%。河北省癌症项目评估出肺癌高危11 052人，乳腺癌高危5625人，上消化道癌高危9222人，结直肠癌高危6938人，肝癌高危7598人。河北省城癌项目评估为1种癌高危、２种癌高危、３种癌高危、４种及以上癌高危的人数依次为6138人、3985人、2588人和4201人，构成比分别为16.22%、10.53%、6.84%和11.10%。［结论］ 患癌风险评估是高危人群识别，提高癌症早诊早治工作效率的有效初筛手段。应加强普通居民的癌症预防与控制的意识，为提高癌症一级预防提供理论基础。 |
| 英文摘要: |
| Abstract：［Purpose］ To analyze the high-risk population for cancer in urban areas of Hebei Province based on data from cancer screening program.［Methods］ Cancer screening program for early diagnosis and treatment was carried out among residents aged 40～74 in Shijiazhuang and Tangshan cities during 2018—2019. A cancer risk assessment questionnaire was applied in the screening and the individual cancer risk indexes were evaluated by the cancer risk assessment model established by the National Cancer Center. And the high-risk population of five cancers was identified.［Results］ A total of 37 849 urban residents aged 40～74 were involved in cancer risk assessment，including 17 251 males and 20 598 females. The age distribution in high-risk groups was mainly concentrated in 4 age groups: 50～54，55～59，60～64 and 65～69 years. The assessment results showed that a total of 16 912 person/time were at high risk of various kinds of cancers with a total high-risk rate of 44.68%. The numbers of high-risk subjects for lung cancer，breast cancer，upper gastrointestinal cancer，colorectal cancer and liver cancer were 11 052，5625，9222，6938 and 7598，respectively. The results showed that the numbers of high risk subjects of single cancer，two cancers，three cancers and four or more cancers were 6138，3985，2588 and 4201，respectively，accounting for 16.22%，10.53%，6.84% and 11.10% of all participants.［Conclusion］ Risk assessment of cancer is an effective screening method for identifying high-risk population and improving the efficiency of early diagnosis and treatment of cancer. |
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