浙江预防医学
浙江預防醫學
절강예방의학
ZHEJIANG JOURNAL OF PREVENTIVE MEDICINE
2014年
9期
888-892
,共5页
吴振宇%陈荣富%柳旺艳%叶巧玉%陈帆%王珍%黄官平%项晓青%章国宝
吳振宇%陳榮富%柳旺豔%葉巧玉%陳帆%王珍%黃官平%項曉青%章國寶
오진우%진영부%류왕염%협교옥%진범%왕진%황관평%항효청%장국보
农田边饮用水源%消化道恶性肿瘤%病例对照研究
農田邊飲用水源%消化道噁性腫瘤%病例對照研究
농전변음용수원%소화도악성종류%병례대조연구
Drinking water from farmland edge%Digestive tract cancer%Case-control study
目的:分析农田边饮用水源水是否为农村消化道恶性肿瘤高发的危险因素,为肿瘤防控提供依据。方法应用病例对照研究,以青田、龙泉和缙云3个县(市)2009-2011年报告确诊的180例消化道恶性肿瘤为病例组,按居住乡镇、年龄与性别1∶2配比360名健康人群为对照组,分析饮用农田边水源水对消化道恶性肿瘤致病的影响。结果3个县(市)调查点的全部病例组饮用农田边水源的暴露比高于对照组(OR=4.005,95%CI为2.228~7.199),青田县病例组饮用农田边水源水人群的消化道恶性肿瘤发病危险性是饮用非农田边水源水人群的5.375倍(95%CI为2.287~12.635),而龙泉市和缙云县则未见统计学关联(P>0.05)。胃癌组暴露农田边水源水比例高于对照组(OR=4.875,95%CI为2.007~11.839),但肝癌、结直肠癌和食管癌病例组农田边水源水暴露比例与对照组差异均无统计学意义(P>0.05)。青田县胃癌组病例暴露农田边水源水的比例是对照组的5.750倍(95%CI为1.683~19.649),其他病种病例组与对照组的暴露比例差异无统计学意义(P>0.05)。结论农田边饮用水源水可能是农村部分地区胃癌高发的危险因素之一。
目的:分析農田邊飲用水源水是否為農村消化道噁性腫瘤高髮的危險因素,為腫瘤防控提供依據。方法應用病例對照研究,以青田、龍泉和縉雲3箇縣(市)2009-2011年報告確診的180例消化道噁性腫瘤為病例組,按居住鄉鎮、年齡與性彆1∶2配比360名健康人群為對照組,分析飲用農田邊水源水對消化道噁性腫瘤緻病的影響。結果3箇縣(市)調查點的全部病例組飲用農田邊水源的暴露比高于對照組(OR=4.005,95%CI為2.228~7.199),青田縣病例組飲用農田邊水源水人群的消化道噁性腫瘤髮病危險性是飲用非農田邊水源水人群的5.375倍(95%CI為2.287~12.635),而龍泉市和縉雲縣則未見統計學關聯(P>0.05)。胃癌組暴露農田邊水源水比例高于對照組(OR=4.875,95%CI為2.007~11.839),但肝癌、結直腸癌和食管癌病例組農田邊水源水暴露比例與對照組差異均無統計學意義(P>0.05)。青田縣胃癌組病例暴露農田邊水源水的比例是對照組的5.750倍(95%CI為1.683~19.649),其他病種病例組與對照組的暴露比例差異無統計學意義(P>0.05)。結論農田邊飲用水源水可能是農村部分地區胃癌高髮的危險因素之一。
목적:분석농전변음용수원수시부위농촌소화도악성종류고발적위험인소,위종류방공제공의거。방법응용병례대조연구,이청전、룡천화진운3개현(시)2009-2011년보고학진적180례소화도악성종류위병례조,안거주향진、년령여성별1∶2배비360명건강인군위대조조,분석음용농전변수원수대소화도악성종류치병적영향。결과3개현(시)조사점적전부병례조음용농전변수원적폭로비고우대조조(OR=4.005,95%CI위2.228~7.199),청전현병례조음용농전변수원수인군적소화도악성종류발병위험성시음용비농전변수원수인군적5.375배(95%CI위2.287~12.635),이룡천시화진운현칙미견통계학관련(P>0.05)。위암조폭로농전변수원수비례고우대조조(OR=4.875,95%CI위2.007~11.839),단간암、결직장암화식관암병례조농전변수원수폭로비례여대조조차이균무통계학의의(P>0.05)。청전현위암조병례폭로농전변수원수적비례시대조조적5.750배(95%CI위1.683~19.649),기타병충병례조여대조조적폭로비례차이무통계학의의(P>0.05)。결론농전변음용수원수가능시농촌부분지구위암고발적위험인소지일。
Objective To explore the relationship between drinking water from farmland edge and digestive tract cancers in rural areas.Methods A total of 180 cases of digestive tract cancers from Longquan city,Jinyun county and Qingtian county were selected and 360 controls with the same age group and sex were enrolled.1∶2 matched design of case-control study was used.The data was analyzed by Wilcoxon matched -pairs signed -ranks test.Results Overall,individuals who drank water from farmland edge were more likely to have digestive tract cancer among 3 areas (OR=4.005 ,95%CI:2.228-7.199).In Qingtian county the risk of digestive tract cancers in individuals who drank water from farmland edge was 5.375 times of control group population (95%CI:2.287 -12.635 ),But there was not statistically significant in Longquan city and Jinyun county (P >0.05 ).For gastric cancer,the proportion of drinking farmland edge water was significantly higher in cases than that in control group (OR=4.875,95%CI:2.007-11.839),while the difference was not statistically significant for liver cancer,colorectal cancer and esophageal cancer (P>0.05 ).In Qingtian county ,for gastric cancer,the proportion of drinking water from farmland edge was 5.750 times of control group population (95%CI:1.683-19.649).But there was not statistically significant in other cancers(P>0.05).Conclusion Drinking water near farmland edge may be one of the risk factors of gastric cancer in rural areas.