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2005-2013年中国女性乳腺癌发病及死亡趋势分析

何明艳,  朱碧琪,  钟媛,  王雷,  杨柳,  廖先珍,  让蔚清

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文章导航 > 中华疾病控制杂志  > 2019 >  23(1): 10-14
何明艳, 朱碧琪, 钟媛, 王雷, 杨柳, 廖先珍, 让蔚清. 2005-2013年中国女性乳腺癌发病及死亡趋势分析[J]. 中华疾病控制杂志, 2019, 23(1): 10-14. doi: 10.16462/j.cnki.zhjbkz.2019.01.003
引用本文: 何明艳, 朱碧琪, 钟媛, 王雷, 杨柳, 廖先珍, 让蔚清. 2005-2013年中国女性乳腺癌发病及死亡趋势分析[J]. 中华疾病控制杂志, 2019, 23(1): 10-14. doi: 10.16462/j.cnki.zhjbkz.2019.01.003
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HE Ming-yan, ZHU Bi-qi, ZHONG Yuan, WANG Lei, YANG Liu, LIAO Xian-zhen, RANG Wei-qing. Analysis of the incidence and mortality trend of breast cancer in Chinese women from 2005 to 2013[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2019, 23(1): 10-14. doi: 10.16462/j.cnki.zhjbkz.2019.01.003
Citation: HE Ming-yan, ZHU Bi-qi, ZHONG Yuan, WANG Lei, YANG Liu, LIAO Xian-zhen, RANG Wei-qing. Analysis of the incidence and mortality trend of breast cancer in Chinese women from 2005 to 2013[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2019, 23(1): 10-14. doi: 10.16462/j.cnki.zhjbkz.2019.01.003
shu

2005-2013年中国女性乳腺癌发病及死亡趋势分析

doi: 10.16462/j.cnki.zhjbkz.2019.01.003
  • 1.

    421001 衡阳, 南华大学公共卫生学院

  • 2.

    410013 长沙, 湖南省肿瘤医院肿瘤防治办公室

基金项目: 

国家自然科学基金 81673107

湖南省教育厅重点项目 16A185

湖南省普通高等学校教学改革课题 Xiangjiaotong [2013] No.223

2017年湖南省研究生科研创新项目 CX2017B558

详细信息
    通讯作者:

    廖先珍, E-mail: 125844068@qq.com

    让蔚清, E-mail: nhurwqktz@163.com

  • 中图分类号: R181

Analysis of the incidence and mortality trend of breast cancer in Chinese women from 2005 to 2013

  • 1.

    School of Public Health, University of South China, Hengyang 421001, China

  • 2.

    Cancer Prevention Office, Hunan Provincial Tumor Hospital, Changsha 410013, China

Funds: 

National Natural Science Foundation of China 81673107

Key Project of Education Department of Hunan Province 16A185

Educational Reform Project of Provincial Ordinary Colleges and Universities Xiangjiaotong [2013] No.223

Hunan Provincial Innovation Project For Postgraduate in 2017 CX2017B558

More Information

    摘要
  • 摘要:   目的  分析《中国肿瘤登记年报》中2005-2013年女性乳腺癌发病率与死亡率的变化趋势，为开展乳腺癌防治提供参考。  方法  提取2005-2013年中国女性乳腺癌发病率与死亡率的全部记录；运用Joinpoint回归模型分析中国女性乳腺癌发病率与死亡率的变化趋势。  结果  2005-2013年我国城市女性乳腺癌发病率水平高于农村，城市发病率变化趋势平稳（t=-0.2，P=0.828），农村发病率呈现上升趋势（t=7.8，P<0.001）；城市和农村发病率高峰分别为50~岁、45~岁年龄组。2005-2013年我国城市女性乳腺癌死亡率水平高于农村，城市死亡率变化趋势平稳（t=0.8，P=0.458），农村死亡率上升趋势明显（t=3.3，P=0.014）；城市女性死亡率在30岁之后开始上升，75岁之后加速上升，农村女性死亡率在30岁之后开始上升，55~69岁变化趋于平稳，70岁后又开始上升。  结论  2005-2013年我国城市女性乳腺癌发病率及死亡率均高于农村女性，农村女性乳腺癌发病率与死亡率上升趋势明显，应积极制定并完善乳腺癌防治措施。
    Abstract:   Objective  To Analyze the change trend of the incidence and mortality of breast cancer in Chinese women from 2005 to 2013 in the Chinese Cancer Registry Annual Report in order to provide references for the implement of the prophylaxis and treatment of breast cancer.  Methods  Extracted all the records of the incidence and mortality of breast cancer in Chinese women from 2005 to 2013, applied the Joinpoint regression model to analyze the change trend of the incidence and mortality of breast cancer in Chinese women.  Results  The incidence levels of breast cancer among urban women in China was higher than that in rural from 2005 to 2013, the change trend of urban incidence was stable(t=-0.2, P=0.828), the rural incidence showed an increasing trend(t=7.8, P<0.001). The peaks of urban and rural incidence were in the age group of 50-and the age group of 45-respectively.The mortality of breast cancer among urban women in China was higher than that in rural from 2005 to 2013, the change trend of urban mortality was stable(t=0.8, P=0.458), and the rising trend of rural mortality was obvious(t=3.3, P=0.014). The mortality of urban women began to rise after the age of 30, accelerating to rise after the age of 75, the mortality of rural women began to rise after the age of 30, the change tended to be stable at the age of 55-69, and began to rise after the age of 70 again.  Conclusions  The incidence and mortality of breast cancer among urban women in China were all higher than that in rural from 2005 to 2013, the rising trend of the incidence and mortality of breast cancer among rural women was obvious, so the prophylaxis and treatment measures of breast cancer should be actively formulated and perfected.
    • HTML全文

  • 图  1  2005-2013年城市与农村女性乳腺癌年龄别发病率

    Figure  1.  The Age-specific incidence of breast cancer among urban and rural women from 2005 to 2013

    下载: 全尺寸图片 幻灯片

    图  2  2005-2013年城市与农村女性乳腺癌年龄别死亡率

    Figure  2.  The Age-specific mortality of breast cancer among urban and rural women from 2005 to 2013

    下载: 全尺寸图片 幻灯片

    表  1  2005-2013年中国女性乳腺癌标化发病率的APC和AAPC(%)

    Table  1.   APC and AAPC of breast cancer age-adjusted incidence rates in Chinese women from 2005 to 2013(%)

    地区 年份 年度变化 平均年度变化
    APC(95% CI)值 t值 P值 AAPC(95% CI)值 t值 P值
    城市 2005-2013 -0.1(-1.1~0.9) -0.2 0.828 -0.1(-1.1~0.9) -0.2 0.828
    农村 2005-2011 10.4(7.3~13.6) 9.6 0.001 7.8(5.8~9.9) 7.8 < 0.001
    2011-2013 0.4(-5.8~7.0) 0.2 0.880
    全国 2005-2013 -0.7(-1.8~0.3) -1.7 0.141 -0.7(-1.8~0.3) -1.7 0.141
    下载: 导出CSV

    表  2  2005-2013年中国女性乳腺癌标化发病率与标化死亡率(/10万)

    Table  2.   The age-adjusted incidence and age-adjusted mortality of female breast cancer in China from 2005 to 2013(/100 000)

    年份 标化发病率 标化死亡率
    城市 农村 全国 城市 农村 全国
    2005 35.7 13.3 30.5 7.5 5.2 7.0
    2006 35.6 14.3 31.5 6.9 4.8 6.5
    2007 36.7 16.8 32.2 6.9 5.2 6.5
    2008 38.4 16.7 34.1 7.3 4.9 6.9
    2009 36.9 18.3 31.2 7.7 5.1 6.9
    2010 34.6 21.4 30.1 7.7 5.8 7.1
    2011 35.3 24.1 31.1 7.5 6.6 7.2
    2012 36.9 23.2 30.5 7.1 6.1 6.7
    2013 36.0 23.9 30.2 7.5 5.9 6.8
    下载: 导出CSV

    表  3  2005-2013年中国女性乳腺癌标化死亡率的APC和AAPC(%)

    Table  3.   APC and AAPC of breast cancer age-adjusted mortality rates in Chinese women from 2005 to 2013(%)

    地区 年份 年度变化 平均年度变化
    APC(95% CI)值 t值 P值 APC(95% CI)值 t值 P值
    城市 2005-2013 0.4(-0.9~1.8) 0.8 0.458 0.4(-0.9~1.8) 0.8 0.458
    农村 2005-2013 3.2(0.9~5.6) 3.3 0.014 3.2(0.9~5.6) 3.3 0.014
    全国 2005-2013 0.2(-0.9~1.4) 0.5 0.617 0.2(-0.9~1.4) 0.5 0.617
    下载: 导出CSV
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