中国,世界,異なる所得地域における食事関連がん負担の変化の傾向と状況:GBD2021に基づく
Nanting Chen1, Chengmiao Li1, Haomin Lin2
1The Second Affiliated Hospital, Chongqing Medical University, Chongqing, China.
Cancer epidemiology
|September 3, 2025
まとめ
中国
科学分野:
- 腫瘍学
- 公衆衛生
- 流行病学について
背景:
- 1990年から2021年までの中国における食事によるリスク関連がん (DRAC) の負担を評価した.
- 世界的なパターンと社会人口統計指標 (SDI) 地域間の癌の傾向を比較した.
- 2036年まで予測された癌の経路
研究 の 目的:
- 中国における食事によるリスク関連がん (DRAC) の負担を評価する.
- 中国のDRACの動向を世界のパターンとSDI地域の間で比較する.
- 2036年までのDRACの軌道を予測する.
主な方法:
- DRACの評価は,年齢基準の障害調整寿命率 (ASDR) と年齢基準の死亡率 (ASMR) を用いて2021年の世界疾病負担に基づいて行われました.
- 年間比率変化 (APC) と年間比率変化 (EAPC) を用いて評価された時的動向
- ベイジアン年齢-期間-コホートモデルを使用して予測された将来の傾向.
主要な成果:
- 中国のDRACの負荷は1990年から2021年まで大幅に減少した (EAPC:ASDRは -2.9,ASMRは -2.7).
- 2013年以来,ASDRとASMRのプラスのAPC値は,中国と中間のSDI地域で,若い成人 (55歳未満) で観察されています.
- 赤い肉が多く,全粒粉が少ない食生活は,それぞれ女性と男性にとって主要なリスクとして特定されました.
結論:
- 中国のDRAC負担は世界の平均より速く減少したが,2036年までに世界の平均より高い水準に留まる見込みだ.
- DRACの負担は2013年以降,中国の若年層と中期のSDI地域において増加していることが懸念されています.
- 年齢,性別,特定の食事によるリスクに対応した標的型公衆衛生政策が推奨されています.
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