Páldy Anna, Pintér Alán, Nádor Gizella, Vincze István, Málnási Tibor
Fodor József Országos Közegészségügyi Központ, Országos Környezetegészségügyi Intézet, Budapest.
Orv Hetil. 2003 Jun 22;144(25):1227-33.
The mortality of the Hungarian population is very unfavourable in relation to other European countries. Mortality from malignant diseases is the second most frequent cause of death in both sexes. The most frequent localisation of cancer is that of the bronchi and the lungs, followed by colorectal, breast and oral cavity cancers.
Of the publication was to demonstrate the spatial distribution of mortality from malignant diseases of all sites, bronchi and the lungs, as well as mortality from cancer of the thyroid gland and leukaemias, and to evaluate the possible impact of the Chernobyl nuclear accident on the frequency of cancer mortality.
The spatial distribution of mortality in the country is evaluated by computing standardized mortality ratio on settlement level, using geographical information system. In case of frequent mortality events a region analysis was carried out, in the opposite case--a cluster analysis.
Regarding the spatial distribution of mortality from all malignant diseases of 0-64 year-old males there are regions with excess mortality in almost each county. In case of women of this age group, there is a significantly higher mortality in Budapest, in three counties in the Eastern part of the country, and in some settlements in Transdanubia. Mortality from the cancer of the bronchi and the lungs significantly accumulates in both sexes in four counties in Eastern Hungary. Mortality from cancer of the thyroid gland and leukaemias does not show typical spatial accumulation as well.
The premature mortality from all malignant diseases and of cancer of the bronchi and lungs of the Hungarian male and female population shows an increasing tendency. Mortality from the latter cause shows a typical spatial accumulation, which causes should be investigated in analytical epidemiological studies. The potential causative role of the Chernobyl accident could not be proven in any case.
匈牙利人口的死亡率与其他欧洲国家相比非常不利。恶性疾病导致的死亡率是男女第二大常见死因。癌症最常见的发病部位是支气管和肺部，其次是结直肠癌、乳腺癌和口腔癌。
本出版物旨在展示所有部位、支气管和肺部恶性疾病的死亡率空间分布，以及甲状腺癌和白血病的死亡率，并评估切尔诺贝利核事故对癌症死亡率频率的可能影响。
通过使用地理信息系统在定居点层面计算标准化死亡率来评估该国死亡率的空间分布。对于频繁发生的死亡事件进行区域分析，反之则进行聚类分析。
关于0至64岁男性所有恶性疾病的死亡率空间分布，几乎每个县都有死亡率过高的地区。对于这个年龄组的女性，布达佩斯、该国东部的三个县以及外多瑙河地区的一些定居点的死亡率明显更高。匈牙利东部四个县的男女支气管和肺癌死亡率显著聚集。甲状腺癌和白血病的死亡率也没有表现出典型的空间聚集。
匈牙利男性和女性所有恶性疾病以及支气管和肺癌的过早死亡率呈上升趋势。后一种原因导致的死亡率表现出典型的空间聚集，应在分析性流行病学研究中对其原因进行调查。在任何情况下都无法证明切尔诺贝利事故的潜在致病作用。
