本文關(guān)鍵詞： 子宮頸癌 死亡率 Joinpoint回歸 趨勢　出處：《中國癌癥雜志》2017年08期 　論文類型：期刊論文

【摘要】：背景與目的:子宮頸癌是女性生殖系統(tǒng)最常見的惡性腫瘤之一,嚴(yán)重威脅著女性的健康。密切掌握中國女性子宮頸癌死亡現(xiàn)況及近30年間的變化趨勢,為子宮頸癌的防控策略提供科學(xué)依據(jù)。方法:匯總1987—2014年中國女性子宮頸癌死亡率數(shù)據(jù),描述年齡標(biāo)化率和截縮率的特征及趨勢,利用Joinpoint回歸模型估計(jì)子宮頸癌死亡率的變化趨勢。結(jié)果:1987—2014年,農(nóng)村女性子宮頸癌死亡率整體高于城市,城市及農(nóng)村年均變化均呈現(xiàn)下降趨勢,且農(nóng)村平均下降速度顯著快于城市,城市平均每年下降1.79%(P0.01),農(nóng)村平均每年下降3.94%(P0.01)。城鄉(xiāng)差距逐漸減小,2010年之后城市截縮率超過農(nóng)村。城市30~54歲女性子宮頸癌死亡率隨年份上升,城市高齡女性及農(nóng)村30~54歲女性隨年份下降。結(jié)論:1987—2014年,中國女性子宮頸癌死亡情況整體好轉(zhuǎn),但城市中青年人群持續(xù)上升,城鄉(xiāng)高齡人群在近10年也出現(xiàn)明顯的上升趨勢。
[Abstract]:Background & objective: cervical cancer is one of the most common malignant tumors in the female reproductive system, which is a serious threat to the health of women. Methods: the mortality data of cervical cancer in China from 1987 to 2014 were collected, and the characteristics and trends of age standardized rate and truncation rate were described. Joinpoint regression model was used to estimate the trend of cervical cancer mortality. Results from 1987 to 2014, the mortality rate of cervical cancer in rural women was higher than that in urban areas, and the average annual changes in urban and rural areas showed a decreasing trend. The average rate of decline in rural areas was significantly faster than that in urban areas. The average annual decline of 1.79g / a in urban areas and 3.94 / year in rural areas was significantly faster than that in urban areas. The gap between urban and rural areas gradually decreased, and after 2010, the rate of contraction in urban areas was higher than that in rural areas. The mortality rate of cervical cancer in women aged 30 to 54 in urban areas increased with the year. Conclusion from 1987 to 2014, the death rate of cervical cancer among Chinese women has improved overall, but the number of middle-aged and young people in urban areas has continued to rise, and the elderly in urban and rural areas have also shown an obvious upward trend in the past 10 years.
【作者單位】： 武漢大學(xué)健康學(xué)院流行病與衛(wèi)生統(tǒng)計(jì)學(xué)系;武漢大學(xué)全球健康研究中心;
【基金】：國家自然科學(xué)基金(81641123)
【分類號(hào)】：R737.33
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本文編號(hào)：1545931