江苏省射阳县胃癌危险因素病例对照研究

郝瑞婷; 董少霞; 王丽; 钱乐; 戴曙光; 张仁忠; 张岚

doi:10.13421/j.cnki.hjwsxzz.2019.01.010

江苏省射阳县胃癌危险因素病例对照研究

A Case-control Study on Risk Factors of Gastric Cancer in Sheyang County of Jiangsu Province

摘要

摘要:
目的探讨江苏省射阳县的胃癌主要危险因素，为预防射阳县人群胃癌的发生提供线索，为制定胃癌的预防控制策略和措施提供基础数据。
方法采用以人群为基础的病例对照研究方法，将病例和对照按照年龄和性别进行成组匹配，对189名胃癌患者和189名健康人群进行问卷调查。用单因素、多因素非条件Logistic回归方法进行分析。
结果超重（BMI>23.9）（OR=9.002）、饮食偏咸（OR=3.290）、食用腌菜每周（1~3）次（OR=6.892）、食用腌菜每周超过3次（OR=3.851）、经历不幸事件（OR=4.699）、患胃部疾病（OR=3.973）是胃癌发生的危险因素，高年收入相比年收入低（OR=0.533）、饮水量大相比每天饮水少（OR=0.622）是胃癌的保护因素。
结论超重、饮食偏咸、食用腌菜、患胃部疾病等因素影响胃癌的发生，应加强体育锻炼、改变不良生活习惯、多饮水和放松心情来预防胃癌的发生。

Abstract:
Objectives To explore the main risk factors of gastric cancer in Sheyang County of Jiangsu Province, and to provide clues for preventing the occurrence of gastric cancer in Sheyang County, and to provide basic data for formulating the prevention and control strategies and measures of gastric cancer.
Methods A population-based case-control study was conducted to investigate 189 cases of gastric cancer and 189 healthy controls by matching cases and controls according to age and gender. Univariate and multivariate unconditional Logistic regression method were used to analyze.
Results Overweight (BMI > 23.9) (OR=9.002), salty diet (OR=3.290), eating pickles (1~3) times a week (OR=6.892), eating pickles more than three times a week (OR=3.851), experiencing unfortunate events (OR=4.699), and suffering from gastric diseases (OR=3.973) were risk factors of gastric cancer. Higher annual income (OR=0.533), increased daily water intake (OR=0.622) were protective factors of gastric cancer.
Conclusions Overweight, salty diet, eating pickles, suffering from stomach diseases and other factors affect the occurrence of gastric cancer, we should strengthen physical exercise, change bad living habits, drink more water, relax moods to prevent the occurrence of gastric cancer.

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