摘要
[目的]分析2017年广东省女性乳腺癌的流行状况及2013—2017年期间广东省女性乳腺癌的变化趋势。[方法]利用广东省2013—2017年肿瘤登记地区乳腺癌发病和死亡数据,根据城乡和年龄组分层计算女性乳腺癌粗发病(死亡)率、中标率、世标率、35~64岁截缩率、0~74岁累积率等指标,并采用Joinpoint模型分析其变化趋势。[结果]2017年广东省肿瘤登记地区女性乳腺癌粗发病率为51.32/10万,中标发病率为39.82/10万,世标发病率为37.14/10万,35~64岁截缩发病率为94.38/10万,0~74岁累积发病率为3.98%。城市和农村地区的女性乳腺癌中标发病率分别为43.18/10万和31.45/10万。同期,广东省肿瘤登记地区女性乳腺癌粗死亡率为10.27/10万,中标死亡率为7.37/10万,世标死亡率为7.17/10万,35~64岁截缩死亡率为16.00/10万,0~74岁累积死亡率为0.81%。城市和农村地区的女性乳腺癌中标死亡率分别为7.52/10万和6.98/10万。2017年女性乳腺癌发病在60~64岁组达到顶峰,死亡在85岁及以上组达最高峰。2013—2017年期间,广东省肿瘤登记地区女性乳腺癌发病率和死亡率变化趋势均无统计学意义(发病率:APC=0.70%,P=0.38;死亡率:APC=1.71%,P=0.44)。[结论]2017年广东省肿瘤登记地区女性乳腺癌发病率、死亡率均高于全国平均水平,并一直保持较高的水平,防控形势仍然很严峻,城市地区的发病率和死亡率均明显高于农村地区。应重点关注城市地区、中老年女性群体的乳腺癌三级预防,降低其发病率及死亡率。
[Purpose]To analyze the incidence and mortality rates of female breast cancer in Guangdong cancer registration areas in 2017 and its trend of changes from 2013 to 2017.[Methods]The incidence and mortality data of breast cancer in cancer registration areas of Guangdong Province from 2013 to 2017 were collected.The crude incidence and mortality rates,age-standardized incidence and mortality rates by Chinese standard population in 2000(ASIRC,ASMRC)and Segi's population(ASIRW,ASMRW),truncated rate(35~64 years old),cumulative rate(0~74 years old)of female breast cancer were calculated by the areas(urban and rural)and age groups;and the Joinpoint model was used to analyze its change trend.[Results]In 2017,the crude incidence rate of female breast cancer in Guangdong was 51.32/105.The ASIRC and ASIRW were 39.82/105 and 37.14/105,respectively.The truncated incidence(35-64 years old)was 94.38/105.The cumulative incidence rate(0~74 years old)was 3.98%.The ASIRC in urban and rural areas was 43.18/105 and 31.45/105,respectively.During the same period,the crude mortality rate of female breast cancer in Guangdong was 10.27/105.The ASMRC and ASMRW were 7.37/10 and 7.17/105,respectively.The truncated mortality(35~64 years old)was 16.00/105.The cumulative mortality rate(0~74 years old)was 0.81%.The ASMRC in urban and rural areas was 7.52/10 and 6.98/105,respectively.The incidence of female breast cancer reached the peak at 60~64 years old and the mortality reached the peak at 85* years old in 2017. From 2013 to 2017, there was no significantchange in the incidence and mortality rates of female breast cancer in Guangdong cancer registrationareas (incidence rate: APC=0.70%, P-0.38;mortality rate: APC=1.71%, P-0.44). [Conclusion]The incidence and mortality rates of female breast cancer in Guangdong cancer registrationareas were higher than those of the national average. The incidence and mortality rates in urbanareas were significantly higher than those in rural areas. This suggests that more efforts should bemade for prevention of
作者
李爱娟
欧孟言
许燕君
王晔
孟瑞琳
陈丹琪
刘旻坤
林立丰
廖羽
LI Aijuan;OU Mengyan;XU Yanjun;WANG Ye;MENG Ruilin;CHEN Danqi;LIU Minkun;LIN Lifeng;LIAO Yu(Guangdong Provincial Center for Disease Control and Prevention,Guangzhou 511430,China;School of Public Health,Guangdong Pharmaceutical University,Guangzhou 510315,China;School of Public Health,Sun Yat-sen University,Guangzhou 510080,China)
出处
《中国肿瘤》
CAS
CSCD
北大核心
2024年第1期62-67,共6页
China Cancer
关键词
女性
乳腺癌
流行情况
广东
female
breast cancer
epidemiology
Guangdong
