胃癌的流行病学,风险区域和宏观决定因素:基于地理空间分析的研究
Binjie Huang1,2,3, Jie Liu1,2,3, Feifei Ding1,2,3
1Department of General Surgery, Second Hospital of Lanzhou University, Lanzhou, China.
International journal of health geographics
|November 25, 2023
概括
胃癌的发病率正在中国甘上升. 关键的社会和环境因素,如医疗资源和气候影响风险,突出需要公共卫生关注的领域.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 空间分析 空间分析
背景情况:
- 中国的甘省报告了全国最高的胃癌发病率和死亡率.
- 了解胃癌的患病率和决定因素对于该地区的公共卫生计划至关重要.
研究的目的:
- 为了描述甘省最近的胃癌患病率.
- 探索导致胃癌发病率的社会和环境决定因素.
主要方法:
- 利用了甘省的临床和人口统计数据 (2013-2021年).
- 采用结合点回归,空间自相对应,时空扫描和地质探测器分析.
- 研究了社会,环境因素和胃癌 (GC) 发病率之间的相关性.
主要成果:
- 分析了75,522例胃癌病例,揭示了9年来发生率的显著上升趋势.
- 确定了武威,张和金为高发病率城市;龙南,青阳和建州为低发病率城市.
- 划分高风险和低风险胃癌区域,并确认医疗资源,经济发展和气候的影响.
结论:
- 胃癌在甘省构成重大威胁.
- 确定了重要的风险领域和社会环境决定因素.
- 这些发现可以提高对胃癌流行病学的理解,并指导公共卫生干预.
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