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伴侣癌症诊断或死亡后的死亡率:日本的一项基于人口的前性队列研究
Takeshi Makiuchi1, Masako Kakizaki2, Tomotaka Sobue1
1Division of Environmental Medicine and Population Sciences, Graduate School of Medicine, Osaka University.
Journal of epidemiology
|August 25, 2024
概括
伴侣的癌症诊断并没有增加整体死亡率,但增加了外部原因的风险,特别是男性的自杀. 伴侣的死亡增加了男性的死亡风险,因原因和吸烟状况而受到影响.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 社会流行病学 社会流行病学
背景情况:
- 个人健康受到亲密关系的影响.
- 关于伴侣癌症诊断或死亡后的死亡风险的数据有限.
研究的目的:
- 调查伴侣的癌症诊断与随后的死亡风险之间的关联.
- 为了检查伴侣死亡后的特定原因死亡风险.
主要方法:
- 基于人口的前性队列研究.
- 在1990年至1994年期间,有140,420名年龄在40-69岁的人被录取.
- 伴侣癌症诊断/死亡后的死亡风险与伴侣活着且没有癌症时的死亡风险进行比较.
主要成果:
- 伴侣的癌症诊断:全因死亡率没有增加;外部原因死亡率增加,尤其是男性自杀 (MRR 2.90).
- 伴侣死亡:男性全因,心血管疾病 (CVD),呼吸系统疾病 (RD) 和外部死亡率增加.
- 男性的吸烟状况:伴侣去世后,与前/目前的吸烟相关的心血管疾病和RD死亡率增加.
结论:
- 伴侣的癌症诊断增加了外部死亡风险,特别是男性的自杀.
- 伴侣的死亡会根据原因和性别对死亡率产生不同的影响.
- 吸烟状态改变伴侣死亡后的死亡风险,特别是男性的心血管疾病和RD.
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