深圳市南山区2011—2019年胃癌发病特征及趋势

目的：了解2011—2019年深圳市南山区胃癌发病特征及趋势,为针对性开展胃癌防控工作提供依据。方法：利用深圳市慢性病防治管理系统收集2011—2019年深圳市南山区常住户籍居民的胃癌发病资料,计算胃癌的粗发病率、年龄别发病率、中标率和世标率,采用Joinpoint回归模型分析年度变化百分比(APC)变化及95% CI,以评价胃癌发病趋势。结果：2011—2019年深圳市南山区新发胃癌498例,其中男性298例,女性200例。胃癌粗发病率为7.21/10万,中标率为13.99/10万,世标率为15.18/10万;其中男性粗发病率为8.35/10万,中标率为18.09/10万,世标率为20.09/10万;女性粗发病率为5.99/10万,中标率为11.71/10万,世标率为13.16/10万。从年龄分布来看,45岁以后发病率迅速上升,在80~85岁达到峰值(发病率为90.87/10万)。从时间趋势来看,发病率趋势无明显变化(P>0.05)。结论：2011—2019年深圳市南山区胃癌发病率趋势无明显变化,男性发病率高于女性,应加强45岁以上男性高危人群的胃癌防治工作。

Incidence and trend of stomach cancer in Nanshan District of Shenzhen from 2011 to 2019

OBJECTIVE: To investigate incidence characteristics and trends of stomach cancer in the Nanshan District of Shenzhen city from 2011 to 2019, and to provide bases for prevention and control strategies of gastric cancer. METHODS: Based on the data of stomach cancer which were collected by the Shenzhen Chronic Disease Prevention and Management Office,the incidence and age-standardized rates (ASR) of stomach cancers were calculated. The annual percent change (APC) was used to evaluate the trend of stomach cancer in the District. RESULTS: From 2011 to 2019,there were 498 new cases of stomach cancer. The incidence rate was 7.21×10^-5,the ASR China was 1.399×10^-4,and the ASR world was 1.518×10^-4. The incidence rate of male was 8.35×10^-5,the age-standardized incidence rates for standard Chinese population and for world population were 1.809×10^-4 and 2.090×10^-4,respectively. The incidence rate of female was 5.99×10^-5, the age-standardized incidence rates for standard Chinese population and for world population were 11.71/10⁵ and 1.316×10^-4,respectively. The incidence for male was significantly higher. In terms of age distribution,the incidence began to rise rapidly after the age of 45 and reached a peak at the age group of 80-85 years old, when the incidence was 9.087×10^-4. Over time,the incidence of stomach cancer was stable. CONCLUSION: The incidence of stomach cancer in the Nanshan District of Shenzhen City was stable. The data indicate that strengthening prevention and control on stomach cancer in high-risk male groups over 45 years old is needed.