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巴士拉的癌症发病率:一项家庭调查的结果

Incidence of cancer in Basrah: results of a household survey.

作者信息

Hussain Riyadh Abdul-Ameer, Habib Omran S

机构信息

Department of Community Medicine, College of Medicine University of Basrah, Basrah, Iraq E-mail :

出版信息

Asian Pac J Cancer Prev. 2015;16(1):163-7. doi: 10.7314/apjcp.2015.16.1.163.

DOI:10.7314/apjcp.2015.16.1.163
PMID:25640345
Abstract

BACKGROUND

Cancer is a major health problem at global level. It is increasingly registered in Iraq and Basrah but the epidemiological situation, though becoming better documented, is still questionable regarding the adequacy of data.

OBJECTIVE

The study aimed to measure the incidence of cancer in Basrah.

MATERIALS AND METHODS

The results presented in this paper are part of a large household survey carried out in Basrah governorate-southern Iraq over a 12 month period (January to December 2013). It involved a detailed interview with adult respondents from each and every household enrolled in the study during a three-year recall period about the incidence of cancer. A total of 6,999 households were covered yielding 40,684 persons.

RESULTS

The total number of new cancer cases reported over the three- year recall period (2010-2012) was 112. The average annual incidence rate of all cancers was 91.8 per 100,000 population with a higher rate for females (109.7) compared to males (74.3) The overall age standardized rate was 150.7 per 100,000. The highest incidence rate was recorded for the Southern part of the governorate (Abul-Khasib and Fao ) at 138.8 per 100,000 and the lowest was for East of Basrah (Shatt-Arab District) at 78.0 per 100,000. With respect to cancer types, the main cancers were those of breast, lung, larynx-pharynx, leukaemia, colon-rectum and urinary bladder. These six cancers accounted for 51.5% of all reported cases. Other important cancers were those of brain, bones, pancreas and liver, accounting for a further 17.9%.

CONCLUSIONS

The pattern of cancer in Basrah is generally similar to the pattern at the national level in terms of age, sex and topography but the incidence rate according to the present household survey is higher than any previously reported figures. Household surveys for cancer seem feasible albeit difficult and costly.

摘要

背景

癌症是全球范围内的一个主要健康问题。在伊拉克和巴士拉,癌症登记数量日益增加,但尽管数据记录情况有所改善,就数据的充分性而言,流行病学状况仍存在疑问。

目的

本研究旨在测量巴士拉的癌症发病率。

材料与方法

本文所呈现的结果是在伊拉克南部巴士拉省进行的一项为期12个月(2013年1月至12月)的大型家庭调查的一部分。该调查包括在三年回顾期内对参与研究的每个家庭中的成年受访者就癌症发病率进行详细访谈。总共覆盖了6999个家庭,涉及40684人。

结果

在三年回顾期(2010 - 2012年)内报告的新癌症病例总数为112例。所有癌症的年均发病率为每10万人91.8例,女性发病率(109.7)高于男性(74.3)。总体年龄标准化发病率为每10万人150.7例。该省南部(阿布勒 - 卡西卜和法奥)的发病率最高,为每10万人138.8例,最低的是巴士拉东部(阿拉伯河地区),为每10万人78.0例。就癌症类型而言,主要癌症是乳腺癌、肺癌、喉咽癌、白血病、结直肠癌和膀胱癌。这六种癌症占所有报告病例的51.5%。其他重要癌症是脑癌、骨癌、胰腺癌和肝癌,占比另外为17.9%。

结论

巴士拉的癌症模式在年龄、性别和地形方面总体上与全国水平相似,但根据本次家庭调查得出的发病率高于此前报告的任何数据。癌症家庭调查似乎可行,尽管困难且成本高昂。

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