文章摘要
李威,王德征,沈成凤,张颖,江国虹.天津市2007-2013年宫颈癌发病趋势及流行特征分析[J].中华流行病学杂志,2016,37(5):699-701
天津市2007-2013年宫颈癌发病趋势及流行特征分析
Incidence trends of cervical cancer in Tianjin, 2007-2013
收稿日期:2015-11-17  出版日期:2016-05-13
DOI:10.3760/cma.j.issn.0254-6450.2016.05.023
中文关键词: 宫颈癌  发病率  发病特征
英文关键词: Cervical cancer  Incidence  Epidemiological characteristic
基金项目:
作者单位E-mail
李威 300011 天津市疾病预防控制中心非传染病预防控制所  
王德征 300011 天津市疾病预防控制中心非传染病预防控制所  
沈成凤 300011 天津市疾病预防控制中心非传染病预防控制所  
张颖 300011 天津市疾病预防控制中心非传染病预防控制所  
江国虹 300011 天津市疾病预防控制中心非传染病预防控制所 jiangguohongtjcdc@126.com 
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中文摘要:
      目的 分析天津市宫颈癌发病趋势及流行特征。方法 利用天津市疾病预防控制中心肿瘤发病登记监测系统2007-2013年宫颈癌发病资料结合人口学资料,参照国际疾病分类(ICD-10)编码进行分类,计算宫颈癌发病率和年龄别发病率,并进行趋势分析。结果 2007-2013年天津市宫颈癌新发病例3362例,平均发病年龄为48.11岁,平均发病率为9.85/10万,标化发病率为6.65/10万。城市地区人群整体发病构成高于农村地区,但发病构成呈逐年下降的趋势(χ2=21.92,P=0.001),而农村地区人群发病呈上升趋势(χ2=12.70,P=0.048),差异有统计学意义。城市地区人群发病率总体保持平稳,年度变化百分比(APC)值为2.7%(95%CI:-9.1%~16.2%),差异无统计学意义(Z=0.564,P=0.597);农村地区人群发病率则呈上升趋势,APC值为13.4%(95%CI:3.5%~24.2%),差异有统计学意义(Z=3.549,P=0.016)。年龄别发病率曲线出现双峰,分别为40~44岁及75~79岁。结论 2007-2013年天津市宫颈癌发病率总体仍保持平稳,发病主要集中在中老年人群,其中农村地区发病率升高的趋势值得关注。
英文摘要:
      Objective To investigate the change of incidence and age distribution of cervical cancer in Tianjin from 2007 to 2013. Methods The incidence data of cervical cancer and population data were collected from the cancer registry system of Tianjin Center for Disease Control and Prevention and Tianjin Municipal Public Security Bureau, respectively. The crude incidence, and age-standardized incidence of cervical cancer were calculated by using SPSS software. The Join Point Regression Program software was used to detect the trend of cervical cancer incidence. Results A total of 3 362 cervical cancer patients were diagnosed during 2007 to 2013. The average age of the patients was 48.11 years. The crude incidence was 9.85/100 000. The annual world standard age specific incidence was 6.65/100 000. The incidence in urban area was higher than that in rural area, but the proportion of the cases in urban area showed a downward trend (trend χ2=21.92, P=0.001) and the proportion of the cases in rural area showed a upward trend (trend χ2=12.70, P=0.048). The difference was significant. The incidence was generally stable in urban area, the APC value was 2.7% (95%CI:-9.1%-16.2%), the difference was not significant (Z=0.564, P=0.597); The incidence rate in rural area showed an upward trend, APC value was 13.4% (95%CI:3.5%-24.2%), the difference was significant (Z=3.549, P=0.016). The two incidence peaks were in age groups 40-44 years and 75-79 years. Conclusion The overall incidence of cervical cancer in Tianjin was still stable during 2007-2013, and the disease mainly occurred in middle-aged and elderly population. More attention should be paid to the increased incidence of cervical cancer in rural area.
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