15个中高收入国家的50岁以下癌症死亡率趋势
Claudia Santucci1, Silvia Mignozzi1, Gianfranco Alicandro2,3
1Department of Clinical Sciences and Community Health, Department of Excellence 2023-2027, University of Milan, 20133 Milan, Italy.
Journal of the National Cancer Institute
|November 22, 2024
概括
结肠直肠癌的死亡率在一些国家的年轻人中正在上升,尽管整体癌症死亡率正在下降. 这强调了对年轻人群体的肥胖控制和有针对性的监测的需要.
科学领域:
- 在瘤学瘤学.
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 在年轻人中观察到的癌症,特别是结直肠癌的发病率增加.
- 这项研究调查了年轻成年人癌症发病率上升和死亡率趋势之间的联系.
研究的目的:
- 分析在中高收入国家中年轻人 (25-49岁) 癌症死亡率的趋势.
- 将最近的死亡率与历史数据进行比较,并确定增加死亡率的特定癌症类型.
主要方法:
- 利用世界卫生组织1990-2021年15个人口密集的国家的死亡率数据.
- 在2019-2021年和2009-2011年之间比较年龄标准化的死亡率.
- 用于整体癌症和特定部位 (结肠道,胰腺,肺,乳腺) 的结合点回归分析.
主要成果:
- 结肠直肠癌死亡率从2009-2011年到2019-2021年在9个男性和7个女性群体中增加.
- 英国,加拿大和墨西哥的结直肠癌死亡率显著增加.
- 总体来说,癌症死亡率,肺癌和乳腺癌死亡率在过去的三十年中普遍下降,除了例外.
结论:
- 尽管癌症死亡率在过去30年中普遍下降,但结直肠癌死亡率在年轻成年人中在某些国家上升.
- 强调急需采取针对肥胖流行病的公共卫生干预措施.
- 强调实施针对年轻人群量身定制的监测策略的重要性,以应对不断上升的结直肠癌死亡率.
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