摘要
目的分析中国32个肿瘤登记地区2003--2007年口腔和咽喉癌的发病率与死亡率，为其防控以及公共卫生政策制定提供参考依据。方法选取32个登记地区2003--2007年肿瘤登记数据，计算不同地区、不同性别人群口腔和咽喉癌发病（死亡）率和年龄标化发病（死亡）率[中国人口标化率（中标率）和世界人口标化率（世标率）]，不同年龄组的发病（死亡）率以及不同部位口腔和咽喉癌的发病（死亡）构成比。结果口、舌、唾液腺是口腔和咽喉癌最常见的好发部位。2003--2007年全国32个肿瘤登记地区口腔和咽喉癌的发病率是3．15／10万，中标率是1．75／10万，世标率是2．26／10万；同期口腔和咽喉癌的死亡率是1．37／10万，中标率是0．69／10万，世标率是0．94／万。口腔和咽喉癌的发病率和死亡率标化前后均是男性高于女性，城市高于农村；随年龄的增长呈上升趋势。年龄标化后，广东省中山市口腔和咽喉癌的发病率和死亡率居32个肿瘤登记地区之首。2003—2007年口腔和咽喉癌的各年发病中标率在不同地区和城乡人群中均略微上升，死亡率各年变化不大。结论2003--2007年中国口腔和咽喉癌的发病率和死亡率水平较低，但由于相关危险因素暴露水平居高不下，发病率缓慢升高，仍需引起重视。
Objective To analyze the incidence and mortality of oral and pharyngeal cancers from 32 cancer registration centers, 2003 to 2007. Methods Data from 32 eligible cancer registries were included in this study. Both crude and age-standardized incidence and mortality of oral and pharyngeal cancers from 2003 to 2007 were calculated and stratified by area and gender. Age-stratified incidence and mortality, as well as the proportions of new and death cases of oral and pharyngeal cancer were also calculated at each site. Results Mouth, tongue and salivary gland were the most predilection sites of oral and pharyngeal cancers. The crude incidence for both oral and pharyngeal cancers was 3.15/10^5 from 2003 to 2007. The age-standardized incidence rates using the Chinese population （1982） and the World Segi＇ s population were 1.75/10^5 and 2.26/10^5. The crude mortality of oral and pharyngeal cancer was 1.37/10^5 from 2003 to 2007; with age-standardized mortality rates, using the Chinese population （1982） and the World Segi＇ s population were 0.69/10^5 and 0.94/10^5. Both incidence and mortality were higher in males than in females, higher in urban than in rural areas, and ascended with age. Age-standardized incidence and mortality in Zhongshan city ranked first among all the cancer registration areas. Age-standardized incidences by gender and area increased slightly from 2003 to 2007, while age-standardized mortalities were stable. Conclusion Although the incidence and mortality of oral and pharyngeal cancer were low in China from 2003 to 2007, attention should also be paid since the exposure of relative risk factors did not seem to have reduced and the incidence increased slightly.
出处
《中华流行病学杂志》
CAS
CSCD
北大核心
2013年第2期164-167,共4页
Chinese Journal of Epidemiology
基金
基金项目：财政部、卫生部公共卫生专项资金肿瘤随访登记项目（财社：[2008]293,[2009]193,[2010]90）（感谢全国32个肿瘤登记处的全体工作人员在资料收集、整理、审核及建立数据库等方面做出的贡献）
关键词
口腔和咽喉肿瘤
发病率
死亡率
肿瘤登记
Oral and pharyngeal neoplasia
Incidence
Mortality
Cancer registration
