日本癌症患者因性别而有自杀风险:一项基于人口的研究
Shinichi Kitagawa1, Tomotaka Sobue1, Ling Zha1
1Environmental Medicine and Population Sciences, Department of Social Medicine, Graduate School of Medicine, Osaka University.
Journal of epidemiology
|March 10, 2024
概括
日本的癌症患者面临更高的自杀风险,特别是那些预后不佳的癌症患者. 这种风险在男性和女性中都较高,尽管预后良好和不良组之间的差异在女性中不那么明显.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 在日本,关于与癌症生存率相关的自杀风险的研究有限.
- 癌症生存率因性别而异,需要对自杀风险进行性别特定分析.
研究的目的:
- 为了调查日本癌症患者的自杀风险,按性别分层.
- 根据癌症预后分析自杀风险,按5年相对存活率分类.
主要方法:
- 利用来自大阪癌症登记 (1985-2013) 的数据,对超过60万名癌症患者.
- 计算标准化死亡率 (SMRs) 来比较癌症患者与普通人群的自杀风险.
- 根据5年相对存活率将癌症部位分为良好,中等和不良的预后组.
主要成果:
- 在随访期间,共有1210名癌症患者因自杀而死亡.
- 总体自杀风险 (SMR) 在男性 (1.66) 和女性 (1.65) 均高且相似.
- 两性癌症预后较差时,自杀风险增加,预后较差组中观察到的SMR最高 (男性:2.54,女性:1.87).
结论:
- 患有癌症的男性和女性都有增加的自杀风险,特别是那些预后不佳的癌症患者.
- 预后好和预后差的癌症组之间的自杀风险差异在女性中与男性相比较少.
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