中华预防医学杂志
中華預防醫學雜誌
중화예방의학잡지
CHINESE JOURNAL OF
2014年
5期
355-360
,共6页
张思维%郑荣寿%曾红梅%陈万青
張思維%鄭榮壽%曾紅梅%陳萬青
장사유%정영수%증홍매%진만청
发病率%肝肿瘤%登记%中国%趋势分析
髮病率%肝腫瘤%登記%中國%趨勢分析
발병솔%간종류%등기%중국%추세분석
Incidence%Liver neoplasms%Registry%China%Trend analysis
目的 利用1989-2008年中国肿瘤登记地区人群肝癌发病数据,研究不同年份肝癌发病的性别、城乡地区差异和变化,并对平均发病年龄进行分析.方法 利用全国肿瘤登记中心肝癌发病数据,1989-2008年肝癌共发病181 097例,登记覆盖人口合计为711 843 051人年.根据不同性别和地区进行分层,运用Poisson回归模型,分析发病率性别比值、城乡比值和平均年龄的变化特征.结果 调整年龄因素后,中国肿瘤登记地区肝癌男女发病比为3.0左右(范围是2.64 ～3.54),20年比值变化差异无统计学意义(P=0.150);肝癌的城乡发病比值由1989年的0.51上升到2008年的0.61(P ＜0.01).1989年男性肝癌平均发病年龄为57.14岁,女性为61.69岁,2008年男性肝癌平均发病年龄为60.34岁,女性为66.47岁,20年间肝癌平均发病年龄升高(P＜0.01).结论 中国1989-2008年肝癌发病率男女差异变化不明显,城乡差异在缩小,平均发病年龄在后移.
目的 利用1989-2008年中國腫瘤登記地區人群肝癌髮病數據,研究不同年份肝癌髮病的性彆、城鄉地區差異和變化,併對平均髮病年齡進行分析.方法 利用全國腫瘤登記中心肝癌髮病數據,1989-2008年肝癌共髮病181 097例,登記覆蓋人口閤計為711 843 051人年.根據不同性彆和地區進行分層,運用Poisson迴歸模型,分析髮病率性彆比值、城鄉比值和平均年齡的變化特徵.結果 調整年齡因素後,中國腫瘤登記地區肝癌男女髮病比為3.0左右(範圍是2.64 ～3.54),20年比值變化差異無統計學意義(P=0.150);肝癌的城鄉髮病比值由1989年的0.51上升到2008年的0.61(P ＜0.01).1989年男性肝癌平均髮病年齡為57.14歲,女性為61.69歲,2008年男性肝癌平均髮病年齡為60.34歲,女性為66.47歲,20年間肝癌平均髮病年齡升高(P＜0.01).結論 中國1989-2008年肝癌髮病率男女差異變化不明顯,城鄉差異在縮小,平均髮病年齡在後移.
목적 이용1989-2008년중국종류등기지구인군간암발병수거,연구불동년빈간암발병적성별、성향지구차이화변화,병대평균발병년령진행분석.방법 이용전국종류등기중심간암발병수거,1989-2008년간암공발병181 097례,등기복개인구합계위711 843 051인년.근거불동성별화지구진행분층,운용Poisson회귀모형,분석발병솔성별비치、성향비치화평균년령적변화특정.결과 조정년령인소후,중국종류등기지구간암남녀발병비위3.0좌우(범위시2.64 ～3.54),20년비치변화차이무통계학의의(P=0.150);간암적성향발병비치유1989년적0.51상승도2008년적0.61(P ＜0.01).1989년남성간암평균발병년령위57.14세,녀성위61.69세,2008년남성간암평균발병년령위60.34세,녀성위66.47세,20년간간암평균발병년령승고(P＜0.01).결론 중국1989-2008년간암발병솔남녀차이변화불명현,성향차이재축소,평균발병년령재후이.
Objective Using the incidence data from 1989 to 2008 of liver cancer from population in cancer registration areas in China,the differences and changes of gender,urban and rural areas for liver cancer incidence in different years were studied,and the mean age of incidence was analyzed.Methods The incidence data of liver cancer from National Cancer Registration database were sorted and checked.A total of 181 097 new liver cancer cases were collected,covering 711 843 051 person years from 1989 to 2008.Using Poisson regression model,Stratified by gender and areas,changes of incidence gender ratio,ratio of urban and rural,and mean age were analyzed.Results After adjusting the age,the liver cancer incidence in male was about 3 times higher than that in females (ranging from 2.64-3.54),and the ratio change between male and female for the 20 years did not have statistically significant (P =0.150).The incidence ratio between urban and rural areas has increased from 0.51 in 1989 to 0.61 in 2008(P ＜ 0.01).The mean ages of diagnosis for male and female increased from 57.14 years to 60.34 years,61.69 years to 66.47 years,respectively from 1989 to 2008.The mean age of liver cancer diagnosis has increased in the 20 years (P ＜ 0.01).Conclusion The liver cancer incidence between male and female did not change significantly among 20 years.The difference of liver cancer incidence between urban and rural areas has reduced,and the mean age of diagnosis was defered.
