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中国人群中与前列腺癌风险相关的环境和心理社会因素:一项病例对照研究。

Environmental and psycho-social factors related to prostate cancer risk in the Chinese population: a case-control study.

作者信息

Li Mei Ling, Lin Ji, Hou Jian Guo, Xu Lei, Cui Xin Gang, Xu Xing Xing, Yu Yong Wei, Han Xue, Wang Guo Min, Guo Jian Ming, Xu Dan Feng, Thompson Timothy C, Cao Guang Wen, Zhang Hong Wei

机构信息

Department of Epidemiology, Secondary Military Medical University, Shanghai 200433, China.

Department of Urology, Changhai Hospital, Second Military Medical University, Shanghai 200433, China.

出版信息

Biomed Environ Sci. 2014 Sep;27(9):707-17. doi: 10.3967/bes2014.089.

Abstract

OBJECTIVE

To study the risk environmental and psycho-social factors associated to prostate cancer (PCa) in Chinese population.

METHODS

250 PCa patients and 500 controls were enrolled in this case-control study. Information was collected and logistic regression analysis was used to estimate the odds ratios (OR) and 95% confidence intervals (95% CI) for relationship between lifestyle, eating habits and psycho-social factors with PCa risk.

RESULTS

Green vegetables and green tea were associated with a decreased risk of PCa (OR=0.39, 95% CI: 0.28-0.53; OR=0.59, 95% CI: 0.40-0.87, respectively). Family history of PCa (OR=7.16, 95% CI: 2.01-25.49), history of prostate diseases (OR=2.28, 95% CI: 1.53-3.41), alcohol consumption (OR=1.97, 95% CI: 1.33-2.90), red meat consumption (OR=1.74, 95% CI: 1.20-2.52), barbecued (OR=2.29, 95% CI: 1.11-4.73) or fried (OR=2.35, 95% CI: 1.24-4.43) foods were related with increased PCa risk. Negative psycho-social factors including occupational setbacks (OR=1.61, 95% CI: 1.00-2.59), marital separation (OR=1.94, 95% CI: 1.29-2.91), self-contained suffering (OR=2.37, 95% CI: 1.58-3.55), and high sensitivity to the personal comments (OR=1.73, 95% CI: 1.18-2.54) were related to PCa.

CONCLUSION

Regular consumption of green vegetables and green tea may suggest protective effects on PCa. Alcohol consumption, red meat consumption and barbecued or fried foods were associated with PCa. Negative psycho-social factors may also play a role in the incidence of PCa in Chinese population.

摘要

目的

研究中国人群中与前列腺癌(PCa)相关的风险环境因素和心理社会因素。

方法

本病例对照研究纳入了250例PCa患者和500例对照。收集信息并采用逻辑回归分析来估计生活方式、饮食习惯和心理社会因素与PCa风险之间关系的比值比(OR)及95%置信区间(95%CI)。

结果

绿色蔬菜和绿茶与PCa风险降低相关(OR分别为0.39,95%CI:0.28 - 0.53;OR为0.59,95%CI:0.40 - 0.87)。PCa家族史(OR = 7.16,95%CI:2.01 - 25.49)、前列腺疾病史(OR = 2.28,95%CI:1.53 - 3.41)、饮酒(OR = 1.97,95%CI:1.33 - 2.90)、红肉消费(OR = 1.74,95%CI:1.20 - 2.52)、烧烤(OR = 2.29,95%CI:1.11 - 4.73)或油炸(OR = 2.35,95%CI:1.24 - 4.43)食品与PCa风险增加相关。负面心理社会因素包括职业挫折(OR = 1.61,95%CI:1.00 - 2.59)、婚姻分居(OR = 1.94,95%CI:1.29 - 2.91)、自我承受痛苦(OR = 2.37,95%CI:1.58 - 3.55)以及对个人评价高度敏感(OR = 1.73,95%CI:1.18 - 2.54)与PCa相关。

结论

经常食用绿色蔬菜和绿茶可能对PCa有保护作用。饮酒、红肉消费以及烧烤或油炸食品与PCa相关。负面心理社会因素在中国人群PCa发病中可能也起作用。

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