中国女性乳腺癌死亡现况和发展趋势  

Status and trends of breast cancer mortality in Chinese females

作　　者：郑莹[1] 吴春晓[1] 吴凡[1] 

机构地区：[1]上海市疾病预防控制中心,200336

出　　处：《中华预防医学杂志》2011年第2期150-154,共5页Chinese Journal of Preventive Medicine

基　　金：卫生部、科技部全国第三次死因回顾抽样调查项目

摘　　要：目的 描述2004-2005年中国女性乳腺癌死亡现况及1973-2005年中国女性乳腺癌死亡发展趋势. 方法 从全国第3次死因回顾抽样调查数据库中抽取乳腺恶性肿瘤死亡记录和相应的人口数据,共调查女性69 690 241人年.对死亡资料进行描述分析,并结合中国前2次死因回顾调查（1973-1975年和1990-1992年）资料对女性乳腺癌死亡的时间趋势进行分析. 结果 乳腺癌是我国第6位最常见的女性恶性肿瘤死亡原因.2004-2005年,全国女性乳腺癌粗死亡率是5.90/10万（4112/69 690 241）,占全部女性恶性肿瘤死亡的5.90%（4112/69 667）.女性乳腺癌粗死亡率东部为6.86/10万（1777/25 900 856）、中部为5.91/10万（1431/24 225 738）,西部为4.62/10万（904/19 563 647）;城市中国人口标化死亡率（简称中标率）为4.91/10万（死亡1899例）是农村（3.42/10万,死亡2213例）的1.44倍.1973-2005年全国女性乳腺癌粗死亡率增长了99.99%（1973-1975年为2.95/10万,绝对数值增长了2.95/10万）,中标率增长了37.85%（从1973-1975年的2.88/10万到2004-2005年的3.97/10万,绝对数值增长了1.09/10万）. 结论 2004-2005年中国女性乳腺癌死亡率城市高于农村,地区分布呈现沿东部、中部和西部顺序依次降低的态势,我国乳腺癌死亡率自1973年以来持续上升.Objective To describe the current status of mortality breast cancer in Chinese females between 2004 and 2005,as well as its developing trend from 1973 to 2005. Methods The data of female breast cancer deaths and number of female under exposure were collected through the Third National Mortality Retrospective Sampling Survey,which covered a total of 69 690 241 person years of females.The data was descriptively analyzed,and compared with the data of time-trend of breast cancer mortality in the previous two surveys in 1973-1975 and 1990-1992 respectively. Results The crude mortality of female breast cancer in China in 2004-2005 was 5.90 per 100 000 （4112/69 690 241）,ranking the sixth most common cancer death in Chinese females,and accounted for 5.90% （4112/69 667） of all female deaths from cancer.The crude mortality of female breast cancer was 6.86/100 000 （1777/25 900 856） in the eastern China,5.91/100 000 （1431/24 225 738） in the central China and 4.62/100 000 （904/19 563 647） in the western China.The age-standardized mortality among Chinese standard population of female breast cancer in urban area （4.91/100 000,1899 death cases） was 1.44 times higher than that in rural area （3.42/100 000,2213 death cases）.The crude mortality increased 99.99% from 1973-1975 （2.95/100 000） to 2004-2005 （5.90/100 000）,the absolute figure increased by 2.95/100 000.The agestandardized mortality among Chinese standard population increased 37.85% from 1973-2005 （2.88/100 000） to 2004-2005 （3.97/100 000）,the absolute figure increased 1.09/100 000. Conclusion The mortality of female breast cancer in urban area was higher than that in rural area,and it decreased from the eastern China,to the central China and to the western China in turn.The mortality of female breast cancer has constantly increased in China since 1973.

关 键 词：乳腺肿瘤 死亡率 人口统计学 

分 类 号：R737.9[医药卫生—肿瘤]