2010—2019年江苏省南通市归因于吸烟的癌症死亡负担研究  

Analysis on the Burden of Cancer Deaths Attributed to Smoking in Nantong,Jiangsu from 2010 to 2019

作　　者：徐红[1] 糜跃萍[1] 蔡波[1] 楚楚 曹忠[1] 陈建国[2,3] XU Hong;MI Yueping;CAI Bo;CHU Chu;CAO Zhong;CHEN Jianguo(Nantong Center for Disease Control and Prevention,Nantong 226007,China;Qidong Liver Cancer Institute/Qidong People’s Hospital/Affiliated Qidong Hospital of Nantong University,Qi-dong 226200,China;Nantong Tumor Hospital,Affiliated Tumor Hospital of Nantong Univer-sity,Nantong 226361,China)

机构地区：[1]南通市疾病预防控制中心,江苏南通226007 [2]启东肝癌防治研究所/启东市人民医院/南通大学附属启东医院,启东226200 [3]南通市肿瘤医院/南通大学附属肿瘤医院,江苏南通226361

出　　处：《中国肿瘤》2023年第11期813-819,共7页China Cancer

基　　金：南通市基础科学研究和社会民生科技计划项目(指导性)(MSZ2022096)。

摘　　要：[目的]分析江苏省南通市2010—2019年归因于吸烟的癌症死亡负担。[方法]利用南通市2010—2019年死因监测数据和人口数据,通过年龄别和性别的吸烟影响比(SIR)及12种与吸烟相关的癌症相对危险度(RR)来计算不同年龄组和性别的吸烟归因癌症死亡人群归因分值(PAF)与吸烟归因死亡数(SAM)。[结果]2010—2019年南通市总人群SAM为62556例,其中男性为50223例,女性为12333例。10年间归因于吸烟的癌症死亡率为51.80/10万,全人群及分性别归因于吸烟的癌症死亡率变化无统计学意义(P>0.05)。2010—2019年归因于吸烟的癌症死亡PAF为37.41%。75岁及以上年龄组归因于吸烟的死亡率及构成比均高于其他年龄组,且呈上升趋势。全部人群SAM构成比中,占比最高的癌症依次为肺癌(占56.91%)、食管癌(19.35%)、肝癌(10.58%)和胃癌(5.09%),PAF最高的癌症则依次为肺癌(73.21%)、鼻咽癌(53.50%)、食管癌(47.69%)、口腔癌(47.06%)。[结论]南通市归因于吸烟的癌症死亡负担较重,应从政策引领、行为引导、科普宣传等方面强化控烟工作。[Purpose]To study the burden of cancer deaths attributed to smoking in Nantong of Jiangsu Province from 2010 to 2019.[Methods]Using cancer surveillance data and population da-ta in Nantong from 2010 to 2019,the smoking population attributable fraction(PAF)and smoking-attributable mortality(SAM)through smoking impact ratio(SIR)and the relative risk(RR)of 12 smoking-related cancers were analyzed by age and gender.[Results]The number of SAM in Nan-tong from 2010 to 2019 was 62556 cases,including 50223 males and 12333 females.The aver-age cancer mortality rate was 51.80/105 from 2010 to 2019,there was no significant change in cancer mortality attributable to smoking in whole population or in male and female(P>0.05).The mean PAF for smoking-related cancer deaths from 2010 to 2019 was 37.41%.The mortality rate and composition for smoking-related cancer deaths showed an increasing trend with the age and people in age group above 75 years old had the highest ones.The SAM among cancers with the highest proportion was lung cancer(56.91%),followed by esophageal cancer(19.35%),liver cancer(10.58%)and gastric cancer(5.09%).The cancers with the highest PAF were lung cancer(73.21%),followed by nasopharyngeal cancer(53.50%),esophageal cancer(47.69%),and oral cancer(47.06%).[Conclusion]The burden of cancer deaths attribute to smoking in Nantong is substantial,and ef-forts should be strengthened in smoking control through policy guidance,behavior modification,and public health education.

关 键 词：恶性肿瘤 吸烟 人群归因分值 死亡 江苏 

分 类 号：R73-31[医药卫生—肿瘤]