李媛秋,刘剑君,么鸿雁.肺癌发病和死亡流行情况与人类发展指数的关系分析[J].中国肿瘤,2019,28(9):646-650.
肺癌发病和死亡流行情况与人类发展指数的关系分析
Relationship of Lung Cancer Incidence and Mortality with National Levels of Human Development Index
投稿时间:2018-10-11  
DOI:10.11735/j.issn.1004-0242.2019.09.A002
中文关键词:  肺癌  人类发展指数  发病率  死亡率
英文关键词:lung cancer  human development index  incidence  mortality
基金项目:中国CDC公共卫生应急反应机制的运行(131031001000150001)
作者单位
李媛秋 中国疾病预防控制中心流行病学办公室 
刘剑君 中国疾病预防控制中心流行病学办公室 
么鸿雁 中国疾病预防控制中心流行病学办公室 
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中文摘要:
      摘 要:[目 的] 分析各国肺癌发病率和死亡率与人类发展指数(human development index ,HDI)的关系。[方 法] 利用全球癌症数据库GLOBOCAN 2018中的171个国家肺癌发病和死亡数据,分析比较4个水平(极高、高、中和低)HDI地区肺癌的发病率、死亡率。[结 果] 从全球范围来看,肺癌的发病率和死亡率均与HDI水平呈正相关关系。极高HDI的地区肺癌的发病率最高,但死亡率略有不同,以高HDI的地区肺癌死亡率最高。肺癌发病和死亡与HDI的关系呈现出男女差异。HDI的4个子指标(预期寿命、25岁以上人在校受教育平均年数、学龄儿童预期受教育年数和人均国民收入)与肺癌标化发病率、死亡率的相关均有显著性意义。[结 论] 经济发展水平与肺癌疾病负担密切相关,我国应加强烟草干预工作的力度,遏制肺癌等慢性病的流行,以防止出现社会经济发展与疾病负担倒挂的现象。
英文摘要:
      Abstract:[Purpose] To assessed the relation of lung cancer incidence and mortality with national human development index(HDI).[Methods] The data of 171 countries in GLOBOCAN 2018 were applied,the age-standardized incidence rates(ASIRs) and age-standardized mortality rates(ASMRs) of lung cancer were assessed by four levels (low,medium,high,very high) of the HDI. [Results] A positive relationship between lung cancer incidence and mortality and HDI levels was observed worldwide. The ASIRs in very high HDI regions and the ASMRs in high HDI regions were highest compared with the other regions. There was a slight gender difference in the relationship between the ASIRs/ASMRs and HDI level. Significant positive correlations existed between the age-specific incidence and mortality with components of the HDI (life expectancy at birth,expected years of schooling,mean years of schooling and gross national income per capita).[Conclusion] The article highlights the strong associations between lung cancer incidence/mortality and social economic development.
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