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女性乳腺癌个体危险度评估
引用本文:姚燕,杨芳,王冠军,于雅琴,李薇,佟瑶.女性乳腺癌个体危险度评估[J].吉林大学学报(医学版),2011,0(5):880-884.
作者姓名:姚燕  杨芳  王冠军  于雅琴  李薇  佟瑶
作者单位:1. 吉林大学公共卫生学院流行病与卫生统计学教研室,吉林 长春 130021;2. 吉林大学第一医院健康管理中心,吉林 长春 130021;3. 吉林大学第一医院肿瘤中心,吉林 长春 130021
基金项目:卫生部部属(管)医院临床学科重点项目资助课题,中央高校基本科研业务费专项资金资助课题
摘    要:目的:建立女性乳腺癌个体危险度评估模型,预测个体乳腺癌发生风险。方法:查阅2009-2011年发表的有关我国女性乳腺癌危险因素的系统评价或大样本的重大项目研究报道,筛选阳性结果变量为研究指标,最终纳入观察的指标包括初潮年龄、初产年龄、流产次数、是否哺乳喂养、绝经年龄、主动/被动吸烟、良性乳腺疾病史、肿瘤家族史、是否服用...

关 键 词:乳腺肿瘤  比例危险度模型  危险性评估
收稿时间:2011-05-30

Individual health risk appraisal model of breast cancer among women
YAO Yan,YANG Fang,WANG Guan-jun,YU Ya-qin,LI Wei,TONG Yao.Individual health risk appraisal model of breast cancer among women[J].Journal of Jilin University: Med Ed,2011,0(5):880-884.
Authors:YAO Yan  YANG Fang  WANG Guan-jun  YU Ya-qin  LI Wei  TONG Yao
Institution:1.Department of Epidemiology and Health Statistics,School of Public Health,Jilin University,Changchun 130021,China;2. Center of Health Management,First Hospital,Jilin University,Changchun 130021,China;3.Tumor Center,First Hospital,Jilin University,Changchun 130021,China
Abstract:Objective To establish an individual health risk appraisal model of breast cancer among women so as to predict the risk of breast cancer of a specific individual in the future.Methods Systemic review and reports of major scientific projects with big sample size which were related with risk factors of breast cancer among women in China were searched to select positive index.Age of menarche,age of first delivery,times of abortion,feeding style,age of menopause,smoking,benign breast diseases,family history of cancer,intake of contraceptive and educational level were choose to built a mathematical model.The mathematical model was used to build a risk score table and individual health risk appraisal model.Results The risk scores were obtained in individuals with different characteristics,with the results of 1.10 for age of the first menstrual period less than 17 years old,1.31 for age at first delivery more than 25 years old,2.56 for two or more times of abortions,0.90 for breast feeding,1.01 for age of menopause younger than 44 years old,1.49 for smoking,2.41 for having benign breast diseases,1.93 for having family history of cancer,1.39 for having intake of contraceptive and 2.04 for high educational level.Conclusion The newly established individual health risk appraisal model of breast cancer can fit for woman with different characteristics in age of menarche,age of first delivery,times of abortion,feeding style,age of menopause,smoking,benign breast diseases,family history of cancer,intake of contraceptive and educational level in China.
Keywords:breast neoplasms  proportional hazards models  risk assessment
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