河南居民肺癌流行趋势分析

目的　研究河南人口肺癌流行情况 ,为预防提出建议。方法　收集 2 0世纪 70～ 90年代河南人口肺癌死亡相关资料 ,分析其流行特征 ,并对未来趋势进行预测。结果　肺癌是河南居民所患主要癌症之一。近 2 0多年来 ,河南肺癌呈上升趋势 ,居民肺癌死亡率从 70年代初期的 4.15× 10 -5上升到 90年代末的 12 .13× 10 -5;占恶性肿瘤死亡的比例也由 70年代的 5 .0 9%上升到 90年代末的 14 .0 9% ;按此速率 ,若不采取干预措施 ,到 2 0 10年男性肺癌死亡率有可能达到 2 5× 10 -5左右 ,女性达到 15× 10 -5左右。无论男性和女性 ,城市居民肺癌死亡率都明显高于农村居民。结论　河南居民肺癌危害日益加重 ,应积极开展健康教育和健康促进等肿瘤防治工作

Trends in the epidemiology of lung cancer in Henan, China

Objective To evaluate the epidemiological trends of lung cancer in Henan, China. Methods Cancer mortality data were collected from 1974 to 1999. The mortality trends of lung cancer were studied. Secular trend on lung cancer form 1974 to 2010 with regression used for spatial analysis. Results The data showed that lung cancer was the dominating cause of all cancer related deaths in Henan. During the period of 1974 to 1999, marked changes took place in Henan in the mortality rate of lung cancer. Lung cancer mortality rates increased from 4.15 per 100 000 in the early seventies to 12.13 per 100 000 in the late nineties, lung cancer accounted for 5.09% of all cancer related deaths in the early seventies and 14.09% in the late nineties. In general, men had higher mortality rate than women, and urban area had higher mortality rates than rural area. The mortality rate for male and female would be about 25 per 100 000 and 15 per 100 000 respectively in 2010 if no intervention strategy was taken.Conclusion The overall age adjusted mortality rate of lung cancer in Henan has increased during the past two decades, strengthening education for health is very important in cancer control.