安徽省铜陵市2009—2011年恶性肿瘤流行病学调查

目的了解2009—2011年安徽省铜陵市主要恶性肿瘤发病的分布及构成情况，以及影响消化道肿瘤发病的相关因素。方法通过该市疾病预防控制中心及社区卫生服务中心，收集2009—2011年各类肿瘤的发病资料；并随机抽取100位消化道肿瘤患者及100位健康对照进行病例对照研究。结果2009—2011年新发恶性肿瘤5288例，男3451例，占65．26％；女1837例，占34．74％。年均标化发病率为190．15／10万，男性年标化发病率为250．37／10万，女性年标化发病率为133．18／10万。病例对照研究结果显示消化道肿瘤的危险因素为：吸烟史、饮用生水、腌制品摄入和水产类摄入；保护因素为：水果摄入和豆、奶类摄入。结论消化道肿瘤是威胁该市居民健康的最主要肿瘤，不良饮食习惯是消化道肿瘤的危险因素，应作为当前肿瘤防治工作的重点。

Epidemiological investigation on cancer incidences between 2009 and 2011 in Tongling City in Anhui Province

Objective To explore the incidence and the spectrum of cancers in Tongling City in Anhui Province in 2009-2011, and to identify the influential factors of gastrointestinal cancer. Methods The information of the cancer cases was obtained by interviewing the Centers for Disease Control Prevention of and all the community health service centers in the city. 100 cases of gastrointestinal cancer and 100 controls were selected to implement a case-control study. Results A total of 5 288 cancer cases （3 451 male that occupied 65.26% of all the cases, and 1 837 female that occupied 34.74% ） were identified in 2009-2011. The average overall standardized cancer incidence was 190. 15/100 000 （250. 37/100 000 for male and 133.18/100 000 for female）. The results of the case-control study of the gastrointestinal cancer indicated that the risk factors were smoking, drinking raw water, ingesting more pickle and fish, and the protective factors were ingesting more fruits, eggs, bean and milk. Conclusions Gastrointestinal cancer is the leading cancer in the population of Tongling City, and unhealthy diet is the main risk factor for gastrointestinal cancer.