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作 者:孙秋丽 张玉杰 刘爱芹 李佳璇 SUN Qiuli;ZHANG Yujie;LIU Aiqin;LI jiaxuan(Department of Endemic and Chronic Disease Control,Laizhou Center for Disease Control and Prevention,Laizhou,Shandong 261400,China)
机构地区:[1]莱州市疾病预防控制中心地方病与慢性病防制科,山东莱州261400
出 处:《社区医学杂志》2024年第12期399-403,409,共6页Journal Of Community Medicine
摘 要:目的了解山东省莱州市恶性肿瘤发病情况及流行病学特征,为肿瘤防控提供科学依据。方法分析2017-2021年山东省莱州市居民恶性肿瘤发病数据,统计并比较恶性肿瘤发病率、标化发病率和年龄别发病率。结果2017-2021年山东省莱州市恶性肿瘤总发病率为341.34/10万,男性为377.79/10万,女性为305.52/10万,男性恶性肿瘤发病率高于女性,χ^(2)=160.93,P<0.05。标化发病率为196.07/10万,男性为201.21/10万,女性为192.36/10万。恶性肿瘤发病率随年龄增长而上升,在80~84岁年龄组达高峰(发病率达1150.80/10万)。20~59岁各年龄组女性发病率均高于男性,≥60岁男女发病率均快速上升,并且男性发病率水平超过女性。发病前10位的恶性肿瘤依次为肺癌、结直肠癌、乳腺癌、胃癌、肝癌、胰腺癌、前列腺癌、膀胱癌、淋巴癌、食管癌。前10位恶性肿瘤5年间发病率水平除肝癌、食管癌有小幅度下降外,其余各癌种均呈上升趋势,年均上升幅度居前5位的是淋巴癌(30.67%)、前列腺癌(17.01%)、肺癌(7.98%)、结直肠癌(7.33%)、胰腺癌(4.80%)。结论2017-2021年山东省莱州市恶性肿瘤发病呈上升趋势,男性发病率高于女性,≥60岁男性的恶性肿瘤发病尤其要引起关注。肺癌和乳腺癌分别居男性和女性恶性肿瘤发病的首位。Objective To investigate the incidence and epidemiological characteristics of malignant tumors in Laizhou city,Shandong province,so as to provide scientific basis for tumor prevention and control.Methods The incidence of maignant tumor,standardized rate of Chinese population and age specific incidence rates of residents in Laizhou city,Shandong province from 2017 to 2021 were analyzed.The incidence,standardized incidence and age-specific incidence of malignant tumors were statistically compared.Results From 2015 to 2019,the total incidence of malignant tumors in Laizhou city was 341.34/10~5,with 377.79/10~5males and 305.52/10~5 females and the incidence of malignant tumors in males was higher than that in females(χ^(2)=160.93,P<0.05).The standardized rate of Chinese population was 196.07/10^(5),with 201.21/10^(5)of males and 192.36/10^(5)of females.The incidence of malignant tumor increased with age and reached its peak in the age group of 80-84 years(the incidence reached 1150.80/10^(5)).The incidence of women in all age groups from 20 to 59 years was higher than that of men,and the incidence of both men and women increased rapidly for people≥60 years old,and the incidence of men was higher than that of women.The top 10 malignant tumors were lung cancer,colorectal cancer,breast cancer,stomach cancer,liver cancer,pancreatic cancer,prostate cancer,bladder cancer,lymphatic cancer,and esophageal cancer.The incidence of the top 10 malignant tumors in the past five years decreased slightly except for liver cancer and esophageal cancer,and the other cancer types showed an upward trend.The top 5 annual increase rates were lymphatic cancer(30.67%),prostate cancer(17.01%),lung cancer(7.98%),colorectal cancer(7.33%)and pancreatic cancer(4.80%).Conclusions The incidence of malignant tumors in Laizhou city,Shandong province from 2017 to 2021 was on the rise,and the incidence of malignant tumors in males was higher than that in females,especially in males≥60 years old.Lung cancer and breast cancer rank first in male and
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