Torre Lindsey A, Siegel Rebecca L, Ward Elizabeth M, Jemal Ahmedin
Authors' Affiliation: American Cancer Society Intramural Research, Atlanta, Georgia
Authors' Affiliation: American Cancer Society Intramural Research, Atlanta, Georgia.
Cancer Epidemiol Biomarkers Prev. 2014 Jun;23(6):1025-36. doi: 10.1158/1055-9965.EPI-13-1220. Epub 2014 May 16.
There is no recent comprehensive global analysis of lung cancer mortality in women. We describe contemporary mortality rates and trends among women globally.
We used the World Health Organization's Cancer Mortality Database covering 65 populations on six continents to calculate age-standardized (1960 Segi world standard) lung cancer death rates during 2006 to 2010 and annual percent change in rates for available years from 1985 to 2011 and for the most recent five data years by population and age group (30-49 and 50-74 years).
Lung cancer mortality rates (per 100,000) among young women (30-49 years) during 2006 to 2010 ranged from 0.7 in Costa Rica to 14.8 in Hungary. Rates among young women were stable or declining in 47 of 52 populations examined. Rates among women 50 to 74 years ranged from 8.8 in Georgia and Egypt to 120.0 in Scotland. In both age groups, rates were highest in parts of Europe (Scotland, Hungary, Denmark) and North America and lowest in Africa, Asia, and Latin America. Rates in older women were increasing for more than half (36/64) of populations examined, including most countries in Southern, Eastern, and Western Europe and South America.
Although widespread reductions in lung cancer in young women provide evidence of tobacco control success, rates continue to increase among older women in many countries.
More concentrated efforts to initiate or expand tobacco control programs in these countries globally will be required to attenuate the future lung cancer burden. Cancer Epidemiol Biomarkers Prev; 23(6); 1025-36. ©2014 AACR.
目前尚无关于全球女性肺癌死亡率的最新全面分析。我们描述了全球女性当前的死亡率及趋势。
我们使用了世界卫生组织的癌症死亡率数据库，该数据库涵盖六大洲的65个人口群体，以计算2006年至2010年期间年龄标准化（1960年Segi世界标准）的肺癌死亡率，以及1985年至2011年各可用年份及最近五个数据年份按人群和年龄组（30 - 49岁和50 - 74岁）划分的死亡率年变化百分比。
2006年至2010年期间，年轻女性（30 - 49岁）的肺癌死亡率（每10万人）从哥斯达黎加的0.7到匈牙利的14.8不等。在所检查的52个人口中，47个年轻女性群体的死亡率稳定或下降。50至74岁女性的死亡率从格鲁吉亚和埃及的8.8到苏格兰的120.0不等。在这两个年龄组中，欧洲部分地区（苏格兰、匈牙利、丹麦）和北美的死亡率最高，非洲、亚洲和拉丁美洲最低。在超过一半（36/64）的受检人群中，老年女性的死亡率在上升，包括南欧、东欧、西欧和南美洲的大多数国家。
尽管年轻女性肺癌发病率普遍下降证明了烟草控制的成功，但许多国家老年女性的发病率仍在上升。
需要在全球这些国家更集中地努力启动或扩大烟草控制项目，以减轻未来的肺癌负担。《癌症流行病学、生物标志物与预防》；23(6)；1025 - 36。©2014美国癌症研究协会。
