湖南省石门县居民恶性肿瘤及其危险因素的调查研究  

Investigation on Malignant Tumors and Risk Factors Among Residents of Shimen County, Hunan

作　　者：高雪英[1] 王中华[1] 杜东初 

机构地区：[1]湖南省石门县疾病预防控制中心,湖南石门415300

出　　处：《实用预防医学》2010年第7期1306-1308,共3页Practical Preventive Medicine

摘　　要：目的摸清石门县近三年来恶性肿瘤的流行现状,探索影响石门县恶性肿瘤发病的危险因素,为合理制定肿瘤的防制、保健策略及措施提供科学依据。方法对石门县2003年1月1日-2005年12月31日3年内恶性肿瘤的流行情况进行回顾性调查和现场调查,利用描述流行病学方法进行分析。结果全县共调查1983950人次,三年共发生肿瘤1735例,年均发病率为87.45/10万;以白云乡发病率最高,为213.31/10万;男女发病率之比为1:0.71;农民发病占84.90%;70岁以上年龄组发病率最高,为322.59/10万。发病率居前三位的是子宫癌、肺癌、肝癌;各种恶性肿瘤发病因地区不同而有区别。结论吸烟、饮酒与环境污染是恶性肿瘤发病的主要危险因素,加强环境保护、全面普及健康教育,加强健康促进、建立居民健康档案与健康监护是控制恶性肿瘤发病的主要干预措施。Objective To investigate the prevalence of malignant tumors in recent three years in Shimen, to explore the risk factors of malignant tumors, and to provide a scientific basis for reasonable development of tumor control measures and health care strategies. Methods Retrospective investigation and field survey were conducted to know the prevalence of malignant tumors in Shimen from January 1, 2003 to December 31, 2005. The results were analyzed by descriptive epidemiological method. Results Totally 1,983,950 residents were investigated in recent three years. A total of 1,735 cases of malignant tumors were found, with the annual incidence rate of 87.45/100,000. The incidence rate of Baiyun Town was the highest （213.31/100,000）. The incidence ratio of male vs. female was 1：0.71. 84.90% of the patients were farmers. The incidence rate of the group aged 70 years and above was the highest （322.59/100,000）. Uterine cancer, lung cancer and liv- er cancer ranked the top three of the morbidities. The prevalence of malignant tumors was different among different regions. Conclusions Smoking, alcohol consumption and environmental pollution are the main risk factors in the pathogenesis of malignant tumors. Strengthening environmental protection, comprehensively popularizing health education, enhancing health promotion, and establishing residents＇ health records and health inspection are the main intervention measures to control the prevalence of malignant tumors.

关 键 词：恶性肿瘤 发病率 危险因素 

分 类 号：R73-31[医药卫生—肿瘤]