| 毛树存,陈 琼,刘曙正,等.2020年河南省女性乳腺癌流行特征及2010—2020年变化趋势分析[J].中国肿瘤,2025,34(7):507-512. |
| 2020年河南省女性乳腺癌流行特征及2010—2020年变化趋势分析 |
| Epidemiological Characteristics of Female Breast Cancer in Henan Province in 2020 and Its Temporal Trends from 2010 to 2020 |
| 投稿时间：2025-01-08 |
| DOI：10.11735/j.issn.1004-0242.2025.07.A002 |
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| 中文关键词: 乳腺癌 发病率 死亡率 变化趋势 河南 |
| 英文关键词:breast cancer incidence mortality change trends Henan |
| 基金项目:河南省科技攻关项目（232102310166，232102310242） |
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| 中文摘要: |
| 摘 要：［目的］ 分析2020年河南省女性乳腺癌的发病率和死亡率以及2010—2020年河南省女性乳腺癌的流行特征。［方法］ 依据河南省2020年肿瘤登记地区女性乳腺癌分城乡、年龄的发病和死亡情况，同时基于2020年全省户籍人口数据，测算河南省2020年女性乳腺癌发病及死亡情况，包括新发/死亡例数、粗发病/死亡率及其中标率、世标率以及累积率等指标。采用Joinpoint 回归模型计算相关指标的年度变化百分比（annual percentage change，APC）、平均年度变化百分比（average annual percentage change，AAPC）及95%置信区间（confidence interval，CI），分析2010—2020年变化趋势。［结果］ 2020年河南省女性乳腺癌估计新发病例24 744例，粗发病率为46.96/10万，中标率和世标率分别为38.43/10万和35.71/10万。河南省女性乳腺癌估计死亡病例为4 989例，粗死亡率为9.47/10万，中标率和世标率分别为6.80/10万和6.72/10万。与农村地区相比，城市地区发病率与死亡率均处于较高水平。女性乳腺癌年龄别发病率在50~54岁组达到高峰，死亡率在85岁及以上组达到高峰。2010—2020年，河南省女性乳腺癌总体中标发病率呈现缓慢上升态势，中标死亡率呈现显著下降趋势（发病率：AAPC=2.09%，95%CI：0.62%~3.58%，P=0.010；死亡率：AAPC=-3.49%，95%CI：-5.62%~-1.30%，P=0.005）。［结论］ 河南省女性乳腺癌发病与死亡仍处于较高水平，亟需制订相应的预防措施和防控策略，切实降低乳腺癌对女性群体的健康危害。 |
| 英文摘要: |
| Abstract：［Purpose］ To analyze the incidence and mortality rates of female breast cancer in Henan Province in 2020 and the trends from 2010 to 2020. ［Methods］ Breast cancer incidence and mortality data stratified by urban and rural areas and age groups were collected from Henan Provincial tumor registry， and the province’s household population statistics were used. The crude incidence/mortality rate， age-standardized incidence/mortality rate by Chinese standard population (ASIRC/ASMRC) and world standard population (ASIRW/ASMRW)， cumulative rate (0~74 year old) were calculated. The annual percentage change(APC)， average annual percentage change (AAPC) and 95% confidence interval (CI) were calculated using Joinpoint software to analyze the trends of the incidence and mortality from 2010 to 2020. ［Results］ In 2020， 24 744 new cases and 4 989 deaths of female breast cancer were documented in Henan Province， with a crude incidence rate of 46.96/105， ASIRC of 38.43/105 and ASIRW of 35.71/105； a crude mortality rate of 9.47/105， ASMRC of 6.80/105 and ASMRW of 6.72/105， respectively. The above indicators in urban areas were significantly higher than those in rural areas. The highest incidence was observed in the age group of 50~54 years old， while the highest mortality reached in the age group of 85 years old and above. From 2010 to 2020， the overall incidence of female breast cancer showed a slow upward trend (AAPC=2.09%， 95%CI： 0.62%~3.58%， P=0.010)， while the mortality rate exhibited a significant downward trend (AAPC=-3.49%， 95%CI：-5.62%~-1.30%， P=0.005). ［Conclusion］ The incidence and mortality rates of female breast cancer in Henan Province are still at a high level， and corresponding preventive measures and control strategies are needed to effectively reduce the health hazards of breast cancer to women. |
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