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目的分析绍兴市2009-2016年女性人群中乳腺癌发病率,为开展乳腺癌的防治工作提供建议。方法采用2009-2016年绍兴户籍女性居民乳腺癌发病资料,统计分析历年粗发病率、中标率、世标率、35~64岁截缩率。采用年度变化百分比(APC)模型分析发病率的时间变化趋势,运用对数直线回归法对APC进行统计学分析。结果绍兴女性乳腺癌粗发病率、中标率、世标率、35~64岁截缩率分别由2009年的32.45/10万、23.38/10万、21.87/10万、55.77/10万上升到2016年的69.07/10万、43.19/10万、40.25/10万、101.74/10万,APC分别为11.63%,9.64%,9.53%、9.20%,差异均有统计学意义(均P<0.01)。比较历年各年龄组女性乳腺癌发病率情况,30~岁组到75~岁组之间的年龄组乳腺癌发病率呈历年逐渐上升趋势,APC分别为10.08%、10.08%、7.25%、10.41%、7.36%、9.75%、11.52%、12.52%、11.40%、22.51%,差异均有统计学意义(均P<0.05)。结论绍兴市女性乳腺癌发病率呈不断上升趋势,乳腺癌对绍兴女性居民生命健康造成威胁,应加强女性乳腺癌的防治宣传和早期筛查。
Objective To analyze the incidence of breast cancer among female population in Shaoxing from 2009 to 2016 and provide suggestions for the prevention and treatment of breast cancer. Methods The data of incidence of breast cancer among female residents in Shaoxing from 2009 to 2016 were collected. The crude incidence rate, successful rate, world standard rate and the rate of truncation of 35-64 years were analyzed statistically. The annual change percentage (APC) model was used to analyze the time trend of incidence, and the logistic regression was used to analyze the APC. Results The incidence of breast cancer in Shaoxing, the successful rate, the world standard rate and the 35- to 64-year-old rate of cut-off increased from 32.45 / 100000, 23.38 / 100000, 21.87 / 100000 and 55.77 / 100000 respectively in 2009 to 2016 The average annual APT was 69.07 / 100000, 43.19 / 100000, 40.25 / 100000 and 101.74 / 100000, respectively. The APC were 11.63%, 9.64%, 9.53% and 9.20% respectively. There were significant differences between the two groups (all P <0.01). Compared with the incidence of breast cancer in all age groups over the years, the incidence of breast cancer in the age group of 30 to 75 years old gradually increased over the years with APC of 10.08%, 10.08%, 7.25% and 10.41% , 7.36%, 9.75%, 11.52%, 12.52%, 11.40% and 22.51%, respectively (all P <0.05). Conclusion The incidence of breast cancer in Shaoxing City is on an upward trend. Breast cancer poses a threat to the life and health of female inhabitants in Shaoxing. Prevention and control of breast cancer should be strengthened and early screening should be strengthened.