摘要
目的分析沈阳市城区女性乳腺癌发病与死亡情况,为肿瘤防治提供依据。方法收集2011-2017年沈阳市城区肿瘤登记报告女性乳腺癌发病与死亡数据,计算粗发病率、粗死亡率、中标率、世标率、累积率、截缩率等指标。采用Joinpoint计算年度变化百分比(APC)。结果2011-2017年沈阳市城区女性乳腺癌粗发病率为77.52/10万,居女性恶性肿瘤发病第1位;中标率为46.56/10万,世标率为43.26/10万。粗发病率APC为6.26%,差异有统计学意义,P<0.05。粗死亡率为17.34/10万,中标率为9.90/10万,世标率为9.11/10万。粗死亡率APC为16.49%,差异有统计学意义,P<0.05。年龄别发病率与死亡率均在<30岁处于较低水平,≥30岁后则随着年龄增长而快速上升。2011-2017年,沈阳市城区≥65岁女性人口数构成比由14.27%上升至16.92%。结论沈阳市城区女性乳腺癌发病与死亡呈现逐年升高且发病年龄年轻化趋势,建议将乳腺癌筛查年龄组提前,加强基层筛查,倡导女性健康生活方式及改善工作环境,加强和完善女性乳腺癌的防治措施。
Objective To analyze the incidence and mortality of female breast cancer in Shenyang urban area,and to provide basis for prevention and treatment of tumors.Methods The data of incidence and mortality of female breast cancer in Shenyang tumor registration was collected from 2011 to 2017.The crude incidence,the crude mortality,age-standardized incidence/mortality rate by Chinese standard population(ASIRC,ASMRC),age-standardized incidence/mortality rate by world standard population(ASIRW,ASMRW),cumulative rate,truncation rate were calculated.The annual percent change(APC)was calculated by Joinpoint software.Results From 2011 to 2017,the crude incidence rate of breast cancer in Shenyang urban area was 77.52/10 million,ranking the first in the incidence of female malignant tumors.The ASIRC was 46.56/10 million,and the ASIRW was 43.26/10 million.The APC of crude incidence was 6.26%,the difference was statistically significant(P<0.05).The crude mortality rate was 17.34/10 million,the ASMRC was 9.90/10 million,and the ASMRW was 9.11/10 million.The APC of crude mortality was 16.49%,the difference was statistically significant(P<0.05).The incidence rate and mortality rate of age were at a low level at<30 years old.After age of 30 years old,they increased rapidly with age.From 2011 to 2017,the proportion of female population in Shenyang urban area over 65 years old group increased from 14.27%to 16.92%.Conclusions The incidence and mortality of female breast cancer in Shenyang urban area is increasing year by year,the trend of incidence age becomes younger.It is suggested that the age group of breast cancer screening should be advanced,strengthen the grass-roots screening,advocate female healthy lifestyle and improve the working environment,strengthen and improve the prevention and treatment of female breast cancer.
作者
聂慧芳
孙百军
吕艺
NIE Hui-fang;SUN Bai-jun;LYU Yi(Department of Chronic Disease Control and Prevention,Shenyang Center for Disease Control and Prevention,Shenyang 110031,China)
出处
《社区医学杂志》
CAS
2022年第8期421-425,共5页
Journal Of Community Medicine
