中华流行病学杂志
中華流行病學雜誌
중화류행병학잡지
CHINESE JOURNAL OF EPIDEMIOLOGY
2014年
2期
147-150
,共4页
张琳%成宏伟%周余春%袁子宇%陈甜甜%陈兴栋%吕明
張琳%成宏偉%週餘春%袁子宇%陳甜甜%陳興棟%呂明
장림%성굉위%주여춘%원자우%진첨첨%진흥동%려명
食管鳞癌%社会经济状况%病例对照研究%主成分分析
食管鱗癌%社會經濟狀況%病例對照研究%主成分分析
식관린암%사회경제상황%병례대조연구%주성분분석
Esophageal squamous cell carcinoma%Socioeconomic status%Case-control study%Principal component analysis
目的 分析江苏省泰兴地区人群社会经济状况与食管鳞癌发病的关系.方法 采用病例对照研究,收集人口学资料、社会经济状况指标及可能的危险因素,使用主成分分析法计算财富得分,利用非条件logistic回归方法调整混杂因素,计算多种社会经济状况指标与食管鳞癌发病的OR值及其95%CI.结果 多因素分析显示,教育程度为高中及以上(OR=0.66,95%CI:0.46~0.96)、人均居住面积≥67 m2(OR=0.71,95%CI:0.54 ~ 0.94)、饮用自来水超过5年(OR=0.76,95%CI:0.59~0.98)以及财富得分>0.93 (OR=0.63,95%CI:0.48~ 0.83)食管鳞癌发病危险低.从事商业、服务业人员与从事农、林、牧、渔、水利业生产者相比,发生食管鳞癌的危险性低(OR=0.65,95%CI:0.43 ~ 0.97).结论 社会经济状况与江苏省泰兴地区食管鳞癌发病为负性关联,其相关机制有待进一步研究.
目的 分析江囌省泰興地區人群社會經濟狀況與食管鱗癌髮病的關繫.方法 採用病例對照研究,收集人口學資料、社會經濟狀況指標及可能的危險因素,使用主成分分析法計算財富得分,利用非條件logistic迴歸方法調整混雜因素,計算多種社會經濟狀況指標與食管鱗癌髮病的OR值及其95%CI.結果 多因素分析顯示,教育程度為高中及以上(OR=0.66,95%CI:0.46~0.96)、人均居住麵積≥67 m2(OR=0.71,95%CI:0.54 ~ 0.94)、飲用自來水超過5年(OR=0.76,95%CI:0.59~0.98)以及財富得分>0.93 (OR=0.63,95%CI:0.48~ 0.83)食管鱗癌髮病危險低.從事商業、服務業人員與從事農、林、牧、漁、水利業生產者相比,髮生食管鱗癌的危險性低(OR=0.65,95%CI:0.43 ~ 0.97).結論 社會經濟狀況與江囌省泰興地區食管鱗癌髮病為負性關聯,其相關機製有待進一步研究.
목적 분석강소성태흥지구인군사회경제상황여식관린암발병적관계.방법 채용병례대조연구,수집인구학자료、사회경제상황지표급가능적위험인소,사용주성분분석법계산재부득분,이용비조건logistic회귀방법조정혼잡인소,계산다충사회경제상황지표여식관린암발병적OR치급기95%CI.결과 다인소분석현시,교육정도위고중급이상(OR=0.66,95%CI:0.46~0.96)、인균거주면적≥67 m2(OR=0.71,95%CI:0.54 ~ 0.94)、음용자래수초과5년(OR=0.76,95%CI:0.59~0.98)이급재부득분>0.93 (OR=0.63,95%CI:0.48~ 0.83)식관린암발병위험저.종사상업、복무업인원여종사농、림、목、어、수리업생산자상비,발생식관린암적위험성저(OR=0.65,95%CI:0.43 ~ 0.97).결론 사회경제상황여강소성태흥지구식관린암발병위부성관련,기상관궤제유대진일보연구.
Objective To study the relationship between socioeconomic status (SES) and esophageal squamous cell carcinoma(ESCC) in Taixing city,Jiangsu province.Methods A populationbased case-control study was carried out to collect data including demography,socioeconomic status indicators and possible risk factors.Unconditional logistic regression was used to compare different SES indicators and composite wealth scores constructed between cases and controls,using the principal component analysis methodology.Results Factors as:having received high school or higher education (OR=0.66,95%CI:0.46-0.96),living space over 67 m2 per-capita (OR=0.71,95%CI:0.54-0.94),drinking tap water longer than 5 years (OR=0.76,95% CI:0.59-0.98) and wealth score >0.93 (OR=0.63,95%CI:0.48-0.83) were associated with increased risk of ESCC.Compared to those worked in farming,forestry,animal husbandry,fishery and water conservancy,the individuals who worked in business-service industry were at lower risk of ESCC (OR =0.65,95%CI:0.43-0.97).Conclusion An inverse association of low SES and ESCC were found in Taixing people that called for further explanation.