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    戴丹, 王志强, 郑莉, 贾尚春, 徐伟, 陈叶纪, 查震球, 刘志荣. 2011—2016年淮河流域(安徽省5县区)食管癌发病与死亡趋势分析[J]. 环境卫生学杂志, 2022, 12(7): 488-492. DOI: 10.13421/j.cnki.hjwsxzz.2022.07.003
    引用本文: 戴丹, 王志强, 郑莉, 贾尚春, 徐伟, 陈叶纪, 查震球, 刘志荣. 2011—2016年淮河流域(安徽省5县区)食管癌发病与死亡趋势分析[J]. 环境卫生学杂志, 2022, 12(7): 488-492. DOI: 10.13421/j.cnki.hjwsxzz.2022.07.003
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    DAI Dan, WANG Zhi-qiang, ZHENG Li, JIA Shang-chun, XU Wei, CHEN Ye-ji, ZHA Zhen-qiu, LIU Zhi-rong. Esophageal cancer incidence and mortality in the Huai River Basin (five counties in Anhui Province), China, 2011—2016[J]. Journal of Environmental Hygiene, 2022, 12(7): 488-492. DOI: 10.13421/j.cnki.hjwsxzz.2022.07.003
    Citation: DAI Dan, WANG Zhi-qiang, ZHENG Li, JIA Shang-chun, XU Wei, CHEN Ye-ji, ZHA Zhen-qiu, LIU Zhi-rong. Esophageal cancer incidence and mortality in the Huai River Basin (five counties in Anhui Province), China, 2011—2016[J]. Journal of Environmental Hygiene, 2022, 12(7): 488-492. DOI: 10.13421/j.cnki.hjwsxzz.2022.07.003
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    2011—2016年淮河流域(安徽省5县区)食管癌发病与死亡趋势分析

    Esophageal cancer incidence and mortality in the Huai River Basin (five counties in Anhui Province), China, 2011—2016

      摘要
    • 摘要:
      目的 分析淮河流域安徽省5县区2011—2016年食管癌发病和死亡趋势，为制定食管癌防治措施提供参考数据。
      方法 将安徽省2011—2016年淮河流域5县区上报数据按照性别分层计算食管癌发病率、死亡率，采用2000年中国人口普查标准人口构成计算中国人口标化发病率/死亡率，并进行发病率和死亡率的年度趋势分析。
      结果 2011—2016年安徽省淮河流域5县区食管癌粗发病率为21.74/10万（男性粗发病率为30.95/10万，女性粗发病率为12.15/10万），中标率为14.93/10万（男性中标率为22.07/10万，女性中标率为7.74/10万）。2011—2016年安徽省淮河流域5县区食管癌粗死亡率为15.95/10万（男性粗死亡率为22.85/10万，女性粗死亡率为8.77/10万），中标率为10.53/10万（男性中标率为15.80/10万，女性中标率为5.30/10万）。2011—2016年度安徽省淮河流域5县区食管癌发病标化率有下降趋势，年度变化趋势具有统计学意义（APC=-8.09%，P<0.05）；男性发病标化率呈下降趋势，年度变化趋势具有统计学意义（APC=-8.01%，P<0.05）；女性食管癌发病标化率年度变化无统计学意义（APC=-8.72%，P>0.05）。安徽省淮河流域5县区食管癌死亡标化率2011—2016年呈现下降趋势，年度变化趋势具有统计学意义（APC=-7.76%，P<0.05），其中男性死亡标化率呈现下降趋势，年度变化趋势具有统计学意义（APC=-8.38%，P<0.05），女性死亡率年度变化无统计学意义（APC=-6.93%，P>0.05）。
      结论 2011—2016年淮河流域安徽省5县区食管癌发病与死亡均呈现下降趋势，安徽省淮河流域癌症综合防治工作取得了一定成效，今后应继续推进淮河流域综合防治工作，减轻因食管癌发病与死亡造成的疾病负担。

       

      Abstract:
      Objective To analyze the incidence and mortality of esophageal cancer in five counties in the Huai River Basin in Anhui Province, China, 2011-2016, and to provide basic data for esophageal cancer prevention policy development.
      Methods Reported data from five counties in Huai River Basin from 2011 to 2016 were stratified by gender and used to calculate esophageal cancer incidence and mortality. Population census data of China in 2000 were used to calculate age-standardized incidence/mortality for trend analysis.
      Results The crude incidence of esophageal cancer was 21.74/100 000 (male 30.95/100 000 and female 12.15/100 000), and the age-standardized incidence by Chinese population was 14.93/100 000 (male 22.07/100 000 and female 7.74/100 000). The crude mortality of esophageal cancer was 15.95/100 000 (male 22.85/100 000 and female 8.77/100 000), and the age-standardized mortality by Chinese population was 10.53/100 000 (male 15.80/100 000 and female 5.30/100 000). The incidence of esophageal cancer in Huai River Basin significantly declined from 2011 to 2016 (APC=-8.09%, P<0.05); the incidence significantly decreased in males (APC=-8.01%, P<0.05), but showed no significant change in females (APC=-8.72%, P>0.05). The mortality of esophageal cancer in Huai River Basin significantly declined from 2011 to 2016 (APC=-7.76%, P<0.05); the mortality significantly decreased in males (APC=-8.38%, P<0.05), but showed no significant change in females (APC=-6.93%, P>0.05).
      Conclusion Both incidence and mortality of esophageal cancer declined from 2011 to 2016 in the five counties in Huai River Basin. The cancer prevention and control in Huai River Basin in Anhui Province were effective and should be promoted to reduce the burden caused by esophageal cancer.

       

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