Mowls Dana S, McCaffree D Robert, Beebe Laura A
Department of Biostatistics & Epidemiology, College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, United States of America.
Oklahoma Tobacco Research Center, Oklahoma City, Oklahoma, United States of America.
PLoS One. 2015 Apr 22;10(4):e0119251. doi: 10.1371/journal.pone.0119251. eCollection 2015.
Lung cancer is the second most frequently diagnosed cancer among men and women in the United States. With cigarette smoking causing the majority of cases, patterns in lung cancer are often monitored to understand the impact of anti-tobacco efforts. The purpose of this research was to investigate trends in lung cancer incidence rates for the period 2005-2010 in Oklahoma.
Data on Oklahoma's incident cases of lung cancer (2005-2010) were obtained from the Centers for Disease Control and Prevention WONDER system. Annual percent change (APC) was calculated by linear regression to characterize trends in lung cancer incidence rates over time for the overall population, by gender, by age group, and by age group within gender. Rates were considered to increase or decrease if the p-value for trend was <0.05.
From 2005 through 2010, lung cancer incidence rates declined from 81.96 to 68.19 per 100,000 population, with an APC of -3.58% (p-value: 0.0220). When subgroups were examined, declines were observed among all males (APC: -4.25%; p-value: 0.0270), males <65 years (APC: -5.32%; p-value: 0.0008), females <65 years (APC: -4.85%; p-value: 0.0044), and persons aged 55-64 years (APC: -6.38%; p-value: 0.0017).
Declines in lung cancer incidence rates occurred during 2005-2010 among the overall population and within select demographic groups in Oklahoma. Although trends were stable for several demographic groups, rates of lung cancer incidence were lower in 2010 compared to 2005. Continued evidence-based tobacco control efforts are needed to ensure further reductions in lung cancer incidence rates in the state of Oklahoma.
肺癌是美国男性和女性中第二大最常被诊断出的癌症。由于大多数肺癌病例是由吸烟导致的,因此经常监测肺癌模式以了解控烟努力的影响。本研究的目的是调查2005 - 2010年期间俄克拉荷马州肺癌发病率的趋势。
俄克拉荷马州肺癌发病病例数据(2005 - 2010年)来自疾病控制与预防中心的WONDER系统。通过线性回归计算年度百分比变化(APC),以描述总体人群、按性别、按年龄组以及按性别内年龄组划分的肺癌发病率随时间的趋势。如果趋势的p值<0.05,则认为发病率上升或下降。
从2005年到2010年,肺癌发病率从每10万人81.96例降至68.19例,年度百分比变化为-3.58%(p值:0.0220)。在检查亚组时,所有男性(年度百分比变化:-4.25%;p值:0.0270)、65岁以下男性(年度百分比变化:-5.32%;p值:0.0008)、65岁以下女性(年度百分比变化:-4.85%;p值:0.0044)以及55 - 64岁人群(年度百分比变化:-6.38%;p值:0.0017)的发病率均出现下降。
2005 - 2010年期间,俄克拉荷马州总体人群以及特定人口群体的肺癌发病率出现下降。尽管几个特定人口群体的趋势较为稳定,但2010年的肺癌发病率仍低于2005年。需要持续开展基于证据的控烟努力,以确保俄克拉荷马州的肺癌发病率进一步降低。