在结直肠癌流行病学中整合地理空间和环境因素:一项区域研究
Dongqiang He1,2, Xueliang Li2,3, Fan Liu2,3
1The Second Hospital of Lanzhou University, Lanzhou, China.
Frontiers in public health
|February 2, 2026
概括
甘省的结肠直肠癌发病率正在上升,空间差异很大. 气候和空气污染等环境因素与更高的癌症率有关,需要针对性的公共卫生干预措施.
科学领域:
- 流行病学 流行病学
- 环境健康 环境健康
- 地理空间分析的研究.
背景情况:
- 大肠直肠癌是甘省癌症发病率和死亡率的主要原因之一.
- 了解其流行病学模式和环境联系对于公共卫生战略至关重要.
研究的目的:
- 分析2013-2023年甘省结肠直肠癌 (CRC) 流行病学趋势.
- 调查CRC发病率与环境决定因素之间的关联.
主要方法:
- 分析了来自甘87个县的11年CRC临床记录.
- 结点回归,空间自相关,时空扫描和地理探测器分析的应用.
- 探索CRC与14个环境因素之间的关系.
主要成果:
- 在研究期间,结肠直肠癌的发病率呈现稳定增长.
- 在各地区和县的发病率中观察到显著的空间差异.
- 确定了结直肠癌的高风险和低风险集群,具有时间变化.
- 气候条件 (降水,温度),生态因素和空气污染物与CRC发病率有显著的关联.
结论:
- 甘省的结肠直肠癌发病率表现出显著的空间异质性.
- 地理空间和时空分析揭示了关键的高风险集群和有影响力的环境因素.
- 这些发现强调了环境决定因素在结直肠癌分布中的重要性.
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