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中国初级卫生保健:2018,32(6):41-43
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深圳市宝安区2001—2016年肿瘤发病变化情况分析
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中文摘要: 目的 了解深圳市宝安区2001—2016年肿瘤发病率和发病顺位的变化情况,为进一步制定和调整肿瘤防治对策提供理论依据。方法 利用2001—2016年间每5年的肿瘤发病监测数据,采用描述性的统计方法,分析肿瘤发病趋势和发病顺位的变化情况。结果 2001年、2006年、2011年和2016年粗率分别为25.67/10万、29.61/10万、47.31/10万和113.22/10万,2000年中标人口的标化率分别为231.28/10万、177.27/10万、229.54/10万和440.32/10万,0~74岁累积率分别为12.36%、10.93%、17.37%和38.96%,平均发病年龄为53.4岁、50.5岁、49.7岁和49.8岁;男性粗率和中标率高于女性,而女性增长幅度和年轻化趋势高于男性;15年来总体上发病前10位的癌种基本一致,构成比由2001年的82.2%降至近十年来的70%左右,甲状腺癌和宫颈原位癌取代食管癌和神经系统肿瘤进入前10位。结论 宝安区2001—2016年肿瘤发病粗率较低,而中标率较高,且呈现上升和年轻化的趋势,尤其是在女性中;白血病和鼻咽癌发病顺位位居前10位,呈现地方特色,值得特别关注。甲状腺恶性肿瘤呈现快速上升趋势,是未来防治工作的重点。
中文关键词: 肿瘤  发病率  发病顺位  变化情况
Abstract:OBJECTIVE To investigate the incidence trend and rank order of cancer during 2001-2016 in Baoan district of Shenzhen,so as to evaluate the development of relevant policies and strategies. METHODS Data was obtained from Shenzhen Cancer Register and descriptive method was performed to assess the trend of incidence and rank order of cancer from 2001-2016. RESULTS The crude incidences of cancer were 25.67, 29.61, 47.31 and 113.22/105 and 0-74 cumulative rates were 12.36, 10.93, 17.37 and 38.96% in 2001, 2006, 2011 and 2016, respectively. And the corresponding age-standardized rates by 2000 Chinese population (ASRC) were 231.28, 177.27, 229.54 and 458.10/105. The average ages of diagnosis were 53.4, 50.5, 49.7and 49.8 years old. During the past fifteen years, the crude and age-standardized rates were higher in males than in females, but the increased and younger trends were more obvious in females than in males. The type of cancers in the top 10 kept stable in the past 15 years with constituent ratio decreasing from 82.2% in 2001 to 70% in 2016, expect that esophageal and neurological tumors replaced by thyroid cancer and carcinoma in situ. CONCLUSIONS The crude incidence rates of cancer were low but the ASRCs high, with increasing and younger trend, especially for females. Leukemia and nasopharyngeal cancer were in the top 10 and were endemic in Baoan district. Some effective measures were making to halt the fast increasing trend of thyroid cancer.
文章编号:3201806015     中图分类号:R73-31    文献标志码:
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