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1999 - 2018年黔南州女性乳腺癌发病和死亡趋势分析
引用本文:黄军1,蒙光化1,李季冬2,王德秀2,李霞1,罗再琴1. 1999 - 2018年黔南州女性乳腺癌发病和死亡趋势分析[J]. 现代预防医学, 2019, 0(18): 3328-3332
作者姓名:黄军1  蒙光化1  李季冬2  王德秀2  李霞1  罗再琴1
作者单位:1.贵州省黔南州中医医院肿瘤科 贵州 都匀 558000;2.贵州省黔南州中医医院普外科 贵州 都匀 558000
摘    要:目的 分析1999 - 2018年黔南州女性乳腺癌发病和死亡率变化趋势,为女性乳腺癌的防治提供依据。方法 利用黔南州肿瘤登记报告系统和居民全死因登记报告系统中1999 - 2018年女性乳腺癌发病和死亡登记资料,分别计算发病(死亡)率、中标化发病(死亡)率、年龄别发病(死亡)率和年均变化百分比等。结果 1999 - 2018年黔南州女性乳腺癌新发病例22 958例,发病率为33.41/10万,中标率为15.17/10万。20年中发病率APC3.75%,中标发病率APC 2.73%。城市女性发病率在35岁以后快速上升,50~54岁达到高峰(115.34/10万)。农村女性发病率在30岁以上快速上升,45~49岁达到高峰(86.42/10万)。城市女性乳腺癌发病率(43.31/10万)高于农村(19.39/10万);1999 - 2018年黔南州女性乳腺癌死亡病例7 330例,死亡率为11.27/10万,中标率为4.65/10万。20年中死亡率APC 3.62%,中标化死亡率APC 2.51%。城市女性乳腺癌死亡率70岁以后快速上升,85岁~达到高峰(79.64/10万);农村女性乳腺癌死亡率30岁以后快速上升,55~69岁变化趋于平稳,70岁以后又快速上升,85岁以后达到高峰(39.78/10万)。城市女性乳腺癌死亡率(18.67/10万)高于农村女性(9.28/10万)。结论 1999 - 2018年黔南州女性居民乳腺癌发病和死亡率呈明显上升趋势,应引起高度重视。

关 键 词:乳腺癌  流行病学  发病率  死亡率  民族地区

Analysis on morbidity and mortality of female breast cancer and its trend in Qiannan of Guizhou province from 1999 to 2018
HUANG Jun,MENG Guang-hua,LI Ji-dong,WANG De-xiu,LI Xia,LUO Zai-qin. Analysis on morbidity and mortality of female breast cancer and its trend in Qiannan of Guizhou province from 1999 to 2018[J]. Modern Preventive Medicine, 2019, 0(18): 3328-3332
Authors:HUANG Jun  MENG Guang-hua  LI Ji-dong  WANG De-xiu  LI Xia  LUO Zai-qin
Affiliation:*Department of Oncology, Qiannan TCM Hospital, Duyun Guizhou 558000, China
Abstract:Objective The aim of this study was to analyze the morbidity and mortality of female breast cancer in Qiannan of Guizhou province from 1999 to 2018, so as to provide reference for scientific decision-making. Methods The data from the malignant tumor registration and registration system for all death causes of residents in Qiannan from 1999 to 2018 were collected, and the rate of morbidity(death), the rate of standardized onset(death), the rate of different age(death), the percentage change at the end of the year were calculated, and the trend was analyzed . Results The female breast cancer incidence were 22958. The morbidity rate was 33.41/105. The age-standardized incidence rate by Chinese population was 15.17/105. The morbidity rate and the standardized rate of APC were 37.5% and 2.73%, respectively. The incidence of breast cancer in urban women increased rapidly after the age of 35 years old. The peak age ranged from 51 to 54 years(115.34/105). The incidence of breast cancer in rural women increased rapidly after the age of 30 years old. The peak age ranges from 45 to 49 years(86.42/105). The incidence of breast cancer in urban women(43.31/105) was higher than that in rural women (19.39/105), and breast cancer in rural women increased significantly. The female breast cancer death cases were 7330. The mortality rate was 11.27/105. The age-standardized mortality rate by Chinese population was 4.65/105. The mortality rate and the standardized rate of APC were3.62% and 2.51%, respectively. The mortality rate of urban women breast cancer increased rapidly after the age of 70 years old. The peak age ranges over 85 years old(79.64/105). The incidence of breast cancer in rural women rose rapidly after the age of 30 years old. The trend of change was stable from 55 to 69 years of age, and rose rapidly after the age of 70. The peak age ranged over 85 years old (39.78/105). The mortality rate of breast cancer in urban women (18.67/105) was higher than that in rural women (9.28/105), and mortality rate of breast cancer in rural women was obviously increasing. Conclusion The incidence and death of female breast cancer increased in Qiannan area of Guizhou province from 1999 to 2018. More attention should be paid to the incidence and death trend of female breast cancer.
Keywords:Breast cancer  Epidemiology  Morbidity  Mortality  Ethnic minority areas
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