按性别,地区和种族分类的头癌死亡率:巴西的一项基于人口的研究

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Updated: Jan 8, 2026

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Establishing a Competing Risk Regression Nomogram Model for Survival Data

Published on: October 23, 2020

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Matheus de Abreu¹, Maria do Rosario Dias de Oliveira Latorre², Maria Paula Curado¹

¹Department of Epidemiology and Statistics, International Research Center, A.C.Camargo Cancer Center, São Paulo, SP, Brazil.

Lancet regional health. Americas

|December 17, 2025

概括

巴西的头癌 (HNC) 死亡率显示出显著的差异. 虽然白人男性和发达地区的死亡率有所下降,但棕色人群,女性和东北地区的HNC死亡率正在上升,特别是口腔癌 (OPC).

科学领域:

在瘤学瘤学.
公共卫生公共卫生
流行病学流行病学

背景情况:

巴西的口腔癌 (OCC),口腔癌 (OPC) 和喉癌 (LC) 的死亡率在南美洲最高.
头癌 (HNC) 在巴西人口中构成了重大公共卫生负担.
了解长期死亡率趋势对于有针对性的公共卫生干预至关重要.

研究的目的:

在44年期间分析巴西口腔,口和喉癌的死亡率趋势.
调查性别,年龄,种族和地理区域对HNC死亡率趋势的影响.
为了确定特定的癌症亚位点和人口群体,增加或减少死亡率.

主要方法:

使用OCC,OPC和LC的国家死亡率数据,采用时间序列生态研究设计.
使用年龄周期队列 (APC) 分析和年平均百分比变化 (AAPC) 来估计趋势.
在40岁及以上的成年人中,数据按性别,地理区域和种族分层.

主要成果:

在1980年至2023年期间,共记录了303,882例HNC死亡,其中LC占主导地位.
男性的死亡率较高;然而,女性在2000年后显示OPC和OCC的增加趋势.
观察到显著的差异:白人男性和发达地区的死亡率呈下降趋势,而棕色人群,女性和东北地区的死亡率呈上升趋势,特别是OPC.

结论:

性别,种族和地理位置是与巴西HNC死亡率模式相关的关键因素.
虽然一些群体显示改善,关于死亡率的增加,特别是OPC,强调持续的健康不平等.
针对人口和区域差异的有针对性的公共卫生战略对于降低巴西HNC负担至关重要.

关键词:

头部和部的新生瘤.死亡率死亡率死亡率头部和部的状细胞癌.

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