| 颜仕鹏,许可葵,肖海帆.2010—2015年湖南省恶性肿瘤空间流行病学特征分析[J].中国肿瘤,2019,28(11):832-837. |
| 2010—2015年湖南省恶性肿瘤空间流行病学特征分析 |
| Spatial Epidemiology of Malignant Tumors in Hunan Province from 2010 to 2015 |
| 投稿时间：2019-07-29 |
| DOI：10.11735/j.issn.1004-0242.2019.11.A006 |
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| 中文关键词: 肿瘤登记 空间分析 流行病学 湖南 |
| 英文关键词:cancer registration spatial statistics epidemiology Hunan |
| 基金项目:湖南省自然科学基金资助项目 (2017JJ3192) |
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| 摘要点击次数: 1897 |
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| 中文摘要: |
| 摘 要：［目的］ 了解湖南省恶性肿瘤发病和死亡的空间流行病学特征。［方法］ 采用空间统计分析方法分析2010至2015年湖南省恶性肿瘤发病和死亡的空间分布模式及可能的空间聚集状况。［结果］ 2010至2015年间湖南省恶性肿瘤平均中标发病率为147.53/10万，平均中标死亡率为92.12/10万。从时间趋势上来看，湖南省恶性肿瘤粗发病率和粗死亡率有所上升，但标化发病率和死亡率(包括中标率和世标率)均保持相对稳定。趋势面分析显示湖南省恶性肿瘤发病率和死亡率在地理分布上呈东北部高，西南部低的趋势。发病率和死亡率Moran’s I全局自相关指数分别为0.53和0.54，P值均小于0.05。克里金插值分析和扫描分析表明长株潭及周边常德、岳阳、益阳部分地区是恶性肿瘤发病和死亡的高聚集区域。［结论］ 湖南省恶性肿瘤的发病和死亡分布具有一定的空间聚集性，应着重加强恶性肿瘤发病和死亡重点区域的癌症早诊早治工作。 |
| 英文摘要: |
| Abstract：［Purpose］ To investigate the characteristics of spatial epidemiology of malignant tumors in Hunan province from 2010 to 2015. ［Methods］ The methods of spatial statistics were used to analyze the spatial distribution and possible spatial aggregation of the incidence and deaths of malignant tumors in Hunan province from 2010 to 2015. ［Results］ The age-standardized incidence and mortality by Chinese standard population were 147.53/105 and 92.12/105 in Hunan province from 2010 to 2015. During the study period，the crude incidence and mortality increased slightly but the age-standardized rates remained stable. Tendency analysis indicated that the cancer incidence and mortality in Hunan province showed a trend of high in the northeast and low in the northwest. The global spatial auto-correlation index of incidence and mortality was 0.53 and 0.54 respectively (P<0.05). The results of Kriging interpolation analysis and scan statistics indicated that Changsha，Zhuzhou，Xiangtan cities and their neighborhood of Changde，Yueyang，Yiyang were the high aggregation areas of malignant tumors in Hunan province.［Conclusion］ The incidence and mortality of malignant tumors have some sort of aggregation. Early diagnosis and treatment of malignant tumors in these high-risk areas should be strengthened. |
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