| 张明霞,陈 琼,郭兰伟,等.2018年河南省恶性肿瘤发病与死亡情况及2014—2018年趋势分析[J].中国肿瘤,2023,32(8):563-572. |
| 2018年河南省恶性肿瘤发病与死亡情况及2014—2018年趋势分析 |
| Cancer Incidence and Mortality of Henan Province in 2018 and Trends from 2014 to 2018 |
| 投稿时间：2023-03-14 |
| DOI：10.11735/j.issn.1004-0242.2023.08.A001 |
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| 中文关键词: 恶性肿瘤 发病 死亡 癌谱 趋势 河南 |
| 英文关键词:cancer incidence mortality cancer pattern trend Henan |
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| 中文摘要: |
| 摘 要：［目的］ 分析河南省2018年恶性肿瘤流行现状及2014—2018年变化趋势。［方法］ 收集河南省各肿瘤登记处数据并评估数据质量，分城乡、性别及年龄计算登记人群的发病率和死亡率，结合人口数据估计2018年全省恶性肿瘤发病和死亡情况。人口标化率按照2000年全国普查标准人口年龄构成（中标率）和Segi世界标准人口结构（世标率）进行计算，2014—2018年恶性肿瘤变化趋势使用Joinpoint回归模型分析。［结果］ 2018年河南省估计恶性肿瘤新发病例数285 770例，发病率为262.03/10万，中标率为201.40/10万，其中男性中标率（211.36/10万）高于女性（194.05/10万），城市地区中标率（210.18/10万）高于农村地区（197.23/10万）；男性发病顺位前5位依次是肺癌、胃癌、肝癌、食管癌和结直肠癌，女性发病顺位前5位依次乳腺癌、肺癌、食管癌、宫颈癌和甲状腺癌。2018年河南省估计恶性肿瘤死亡病例数168 268例，死亡率为154.29/10万，中标率为110.70/10万，其中男性中标率（141.75/10万）远高于女性（81.74/10万），农村地区（112.64/10万）高于城市地区（106.76/10万）；男性死亡顺位前5位分别为肺癌、胃癌、肝癌、食管癌和结直肠癌，女性分别为肺癌、食管癌、胃癌、肝癌和乳腺癌。2014—2018年恶性肿瘤中标发病率基本保持稳定水平（APC=-0.48%，P>0.05），中标死亡率有所下降（APC=-2.54%，P>0.05），但趋势变化均无统计学意义。［结论］ 肺癌、消化系统恶性肿瘤及女性乳腺癌是威胁河南省居民健康的主要恶性肿瘤，常见恶性肿瘤的发病与死亡状况呈现显著性别差异。需进一步优化和加强恶性肿瘤防控工作，提高全人群健康意识。 |
| 英文摘要: |
| Abstract：［Purpose］ To analyze the cancer incidence and mortality in 2018 and trends from 2014 to 2018 in Henan Province. ［Methods］ The data were collected from cancer registries of Henan province and evaluated. The incidence and mortality were calculated by areas， gender and age. The incidence and morality of Henan Province in 2018 were estimated based on the population data. Age-standardized rates were adjusted by Chinese population(ASRC) in 2000 and Segi’s population(ASRW)， trends of cancer incidence and mortality from 2014 to 2018 were estimated by Joinpoint regression software. ［Results］ The estimated number of new cases were 285 770 in Henan Province in 2018， the crude incidence rate was 262.03/105， the ASIRC was 201.40/105， which was higher in male(211.36/105) than that in female(194.05/105)， and higher in urban areas(210.18/105) than that in rural areas(197.23/105). The top five cancers in male were lung cancer， gastric cancer， liver cancer， esophageal cancer and colorectal cancer， while those in female were breast cancer， lung cancer， esophageal cancer， cervical cancer and thyroid cancer. The estimated number of cancer deaths was 168 268 in Henan Province in 2008， the crude mortality rate was 154.29/105， the ASMRC was 110.70/105， which was higher in male(141.75/105) than that in female(81.74/105)， and higher in rural areas(112.64/105) than that in urban areas(106.76/105). The top five causes of death in male were lung cancer， gastric cancer， liver cancer， esophageal cancer and colorectal cancer， and those in female were lung cancer， esophageal cancer， gastric cancer， liver cancer and breast cancer. From 2014 to 2018， the trends of ASIRC in Henan Province were stable(APC=-0.48%， P>0.05)， and the ASMRC showed a decreased trends(APC=-2.54%，P>0.05)， but it was not statistically significant. ［Conclusion］ Lung cancer， digestive system cancer and female breast cancer were the main threat to the health of residents in Henan， and the incidence and mortality of common cancers showed significant gender differences. It’s necessary to further optimize the prevention and control of cancers and improve the health awareness of the whole population. |
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