中国山东省癌症死亡率的变化:一项基于人口的大规模研究
Zhentao Fu1, Fan Jiang2, Zilong Lu1
1Department for Chronic and Non-communicable Disease Control and Prevention, Shandong Center for Disease Control and Prevention, Jinan, China.
Journal of the National Cancer Center
|April 23, 2025
概括
山东省恶性瘤死亡率整体上升,但自1990年以来,年龄调整后的死亡率下降. 肺癌死亡率急剧上升,而消化道癌症下降,需要定制的癌症控制策略.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 在瘤学瘤学.
背景情况:
- 恶性瘤在中国山东省是一个重大的公共卫生挑战.
- 了解长期死亡率趋势对于有效的癌症预防和控制策略至关重要.
研究的目的:
- 从1970年到2021年,分析山东省主要恶性瘤的死亡率趋势.
- 为有针对性的癌症预防和控制干预提供科学基础.
主要方法:
- 利用来自全国调查和山东死亡登记系统的癌症死亡率数据.
- 采用了使用原始和年龄调整后死亡率的趋势分析.
- 应用差异分解方法来评估人口统计和非人口统计因素对死亡率变化的贡献.
主要成果:
- 原始恶性瘤死亡率整体上升,而年龄标准化的死亡率在1990年后下降.
- 肺癌死亡率急剧上升,成为主要原因,而消化系统癌症 (胃,食道,肝脏) 显示下降趋势.
- 结肠直肠癌和乳腺癌的原始发病率上升,但标准化发病率没有显著增加;子宫癌的发病率最初下降,然后增加.
结论:
- 恶性瘤在山东省是一个持续的威胁.
- 不同类型癌症之间不一致的趋势需要个性化干预策略.
- 数据驱动的洞察力对于优化公共卫生对癌症的反应至关重要.
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