西班牙皮肤恶性黑色素瘤死亡率的空间集群和时间趋势
Lucía Cayuela1, José-Juan Pereyra-Rodriguez2,3, Juan-Carlos Hernández-Rodríguez3
1Department of Internal Medicine, Hospital Severo Ochoa, Leganés, Spain.
The Journal of international medical research
|February 16, 2025
概括
最近,西班牙皮肤恶性黑色素瘤 (CMM) 死亡率稳定下来. 然而,空间分析显示,不同的省级集群具有较高的CMM死亡风险,因性别而异.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 皮肤病学 皮肤病学
背景情况:
- 皮肤恶性黑色素瘤 (CMM) 是一个重要的公共卫生问题.
- 了解CMM死亡率的时间和空间趋势对于有针对性的干预至关重要.
研究的目的:
- 从1980年到2020年,分析西班牙CMM死亡率的时间趋势.
- 确定2011年至2020年期间CMM死亡风险过高的省份的空间集群.
主要方法:
- 使用joinpoint回归模型分析时间趋势,使用来自西班牙国家统计局的数据.
- 计算了原始率,标准化死亡率 (SMR),平滑相对风险 (RR) 和后期概率 (PP).
- 全球莫兰I指数评估了全球空间自相关性.
主要成果:
- 妇女中CMM死亡率从1980-1994年增加,然后从1994-2020年稳定下来.
- 男人表现出明显增加 (1980-1985年),增长放缓 (1985-1998年) 和稳定 (1998-2020年) 的模式.
- 空间分析表明男性有明显的东北模式,女性有明显的西北度.
结论:
- 近年来,西班牙的CMM死亡率已经稳定下来.
- 确定了CMM死亡风险过高的省级集群.
- 这些过度风险的空间模式在性别之间有所不同.
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