| 蒋曦依,胡韵清,叶丁,李其龙,陈坤,金明娟.浙江省嘉善县1990-2014年恶性肿瘤发病和死亡的性别差异分析[J].中华流行病学杂志,2017,38(6):772-778 |
| 浙江省嘉善县1990-2014年恶性肿瘤发病和死亡的性别差异分析 |
| Disparities of sex on cancer incidence and mortality in Jiashan county, Zhejiang province,1990-2014 |
| 收稿日期:2016-11-01 出版日期:2017-06-19 |
| DOI：10.3760/cma.j.issn.0254-6450.2017.06.017 |
| 中文关键词: 恶性肿瘤 发病率 死亡率 性别差异 |
| 英文关键词: Cancer Incidence Mortality Gender inequality |
| 基金项目:国家重点基础研究发展计划（973计划）（2015CB554003） |
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| 中文摘要: |
| 目的 描述和分析浙江省嘉善县居民恶性肿瘤发病和死亡的性别差异。方法 1990－2014年嘉善县恶性肿瘤发病和死亡资料源自当地肿瘤登记报告系统。以2010年全国人口为标准人口，计算标准化发病率和标准化死亡率，并计算相应性别发病率比值、死亡率比值及其95% CI。结果 1990－2014年嘉善县所有恶性肿瘤的标准化发病率为226.13/10万，其中男性为266.04/10万，女性为187.22/10万，男、女性发病率比值为1.42（95% CI：1.39～1.46），发病差异有统计学意义（P<0.05）。所有恶性肿瘤的标准化死亡率为155.39/10万，其中男性为206.55/10万，女性为104.98/10万，性别死亡率比值为1.97（95% CI：1.91～2.03），男、女性死亡差异同源有统计学意义（P<0.05）。分析恶性肿瘤类型发现，除胆囊癌及甲状腺癌以外，其他恶性肿瘤的发病率和死亡率均为男性高于女性。结论 浙江省嘉善县居民恶性肿瘤的发病和死亡均为男性高于女性，且存在显著性别差异。 |
| 英文摘要: |
| Objective This study aimed to describe the sex disparities on cancer incidence and mortality in Jiashan population. Methods All data concerning incident and death cases of cancers were gathered from the database of Cancer Registry in Jiashan county. Data from the 2010 China census was used as the standard population. Sex-specific age-standardized incidence rates (ASIRs), mortality rates (ASMRs) per 100 000 persons for all cancers and types of each cancer were calculated for the years of 1990 to 1999, 2000 to 2009, 2010 to 2014, and 1990 to 2014. In addition, the corresponding male-to-female incidence rate ratios (IRRs) and mortality rate ratios (MRRs) were also calculated. Results The ASIR of all cancers was 226.13/105 for the whole period of 1990 to 2014, with 266.04/105 for males and 187.22/105 for females, respectively. The corresponding IRR was 1.42 (95%CI:1.39-1.46), with significant difference noticed in the incidence rates between males and females (P<0.05). The ASMR of all cancers was 155.39/105, with 206.55/105 for males and 104.98/105 for females, respectively. The corresponding MRR was 1.97 (95%CI:1.91-2.03), with significant difference between males and females (P<0.05). Among all the cancer types, only gallbladder cancer and thyroid cancer showed female predominance in both incidence and mortality, with male predominance in all the remaining cancers. Conclusion Finding from our study suggested that a male predominance in both incidence and mortality for a majority of cancers in Jiashan population. |
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