早期出现的胃癌全球负担概况,趋势和贡献者
Xueyang Zhang1, Boao Gao1, Wei Wang2
1International Medical College, Chongqing Medical University, Chongqing 400016, China.
Cancer biology & medicine
|August 20, 2025
概括
在全球范围内,早期出现的胃癌 (EOGC) 负担有所下降,但差异仍然存在. 公共卫生工作必须针对吸烟和高盐饮食, 针对不同人群进行量身定制的干预.
科学领域:
- 癌症学
- 流行病学
- 公共卫生
背景情况:
- 早期出现的胃癌 (EOGC) 是一个日益严重的全球健康问题.
- 了解EOGC的负担和风险因素对于有效干预至关重要.
研究的目的:
- 评估EOGC在1990年至2021年的全球,区域和国家负担.
- 确定可归因的风险因素并分析差异.
- 预测到2040年的EOGC负担的未来趋势.
主要方法:
- 使用发病率,流行率,死亡率和DALY量化EOGC负担.
- 计算年龄标准化率和分析风险因素贡献.
- 使用贝叶斯年龄周期队列模型估计未来趋势.
主要成果:
- 在2021年,EOGC造成了125,000例新增病例,336,000例流行病例,78,000例死亡,以及386万例DALY.
- 全球年龄标准化率在1990-2021年间有所下降,但区域差异有所扩大.
- 吸烟和高盐饮食是主要的风险因素,区域和性别差异很大.
结论:
- 尽管EOGC负担在全球范围内有所下降,但在不同地区,不同年龄和不同性别之间仍存在差异.
- 公共卫生战略应将吸烟预防和戒烟与饮食盐分减少相结合.
- 需要有针对性的干预措施来解决EOGC的复杂负担.
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