Patterson C C, Kee F
Department of Epidemiology & Public Health, Queen's University of Belfast, Royal Victoria Hospital.
Ulster Med J. 1991 Oct;60(2):137-49.
Cancer mortality in the 35-74 year age-range for selected sites during the period 1979-88 was investigated for the 26 district council areas of Northern Ireland. Trends in rates during the period were also studied and compared with trends in an earlier period, and with trends reported from the rest of the United Kingdom. Statistically significant differences between the age-standardised death rates in the 26 areas were observed for stomach cancer (women only), pancreatic cancer (women only), lung cancer (men and women) and for all cancers (men and women). Some evidence of spatial aggregation of rates was apparent for ovarian cancer even though rates in the 26 areas did not differ significantly. The patterns are illustrated with maps and some difficulties of interpretation are discussed. Mortality rates for oesophageal cancer increased during the period in both sexes while rates for stomach cancer decreased. Colon cancer rates increased significantly only in men, while an increase in lung cancer rates was confined to women. The mortality from all cancers increased significantly during the period by 0.8% per annum in men and 0.9% per annum in women. These trends were found to be broadly comparable with those reported elsewhere in the United Kingdom.
对北爱尔兰26个区议会地区1979 - 1988年期间35 - 74岁年龄段特定部位的癌症死亡率进行了调查。还研究了该时期内的发病率趋势，并与早期趋势以及英国其他地区报告的趋势进行了比较。观察到26个地区胃癌（仅女性）、胰腺癌（仅女性）、肺癌（男性和女性）以及所有癌症（男性和女性）的年龄标准化死亡率存在统计学上的显著差异。尽管26个地区的卵巢癌发病率没有显著差异，但仍有一些发病率空间聚集的迹象。文中用地图展示了这些模式，并讨论了一些解释上的困难。该时期内食管癌死亡率在男女两性中均有所上升，而胃癌死亡率则有所下降。结肠癌发病率仅在男性中显著上升，而肺癌发病率的上升仅限于女性。该时期内所有癌症的死亡率显著上升，男性每年上升0.8%，女性每年上升0.9%。这些趋势与英国其他地方报告的趋势大致相当。
