Trama Annalisa, Boffi Roberto, Contiero Paolo, Buzzoni Carlotta, Pacifici Roberta, Mangone Lucia
Evaluative Epidemiology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan - Italy.
Tobacco Control Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan - Italy.
Tumori. 2017 Nov 23;103(6):543-550. doi: 10.5301/tj.5000684. Epub 2017 Sep 21.
The epidemiology of lung cancer is changing worldwide, with smoking being the key driver of lung cancer incidence and mortality. Our aim is to analyze the incidence, survival and mortality trends in Italy in the framework of the 2017 survey on smoking behavior in Italy.
AIRTUM 2017 reports on cancer survival and incidence; 2017 survey on smoking behavior in Italy.
Men achieved progress in lung cancer control characterized by a decrease in incidence and mortality and an increase in survival. The decreasing use of tobacco in men (from 60% in the 1960s to 24% in 2017) was most likely responsible for the decreasing incidence and mortality. Women showed no progress: although survival improved slightly, the incidence and mortality were both on the rise. This was most likely due to the increasing smoking rates in women in the 1970s and 80s. Of major concern is the accelerated rise in the number of smoking women from 4.6 million in 2016 to 5.7 million in 2017 compared to the decrease observed in men (from 6.9 to 6 million).
The incidence and mortality trends in males clearly demonstrate that primary prevention is the most effective way to reduce lung cancer mortality. By contrast, a 24% increase in the prevalence of smoking among women in just 1 year is extremely worrying for the future, and calls for immediate action by targeted strategies to reduce tobacco consumption in women and avert the dreadful prospect of a lung cancer epidemic in Italy.
全球肺癌流行病学正在发生变化，吸烟是肺癌发病率和死亡率的主要驱动因素。我们的目的是在2017年意大利吸烟行为调查的框架内分析意大利的发病率、生存率和死亡率趋势。
AIRTUM 2017报告癌症生存率和发病率；2017年意大利吸烟行为调查。
男性在肺癌控制方面取得了进展，其特征是发病率和死亡率下降，生存率提高。男性烟草使用率的下降（从20世纪60年代的60%降至2017年的24%）很可能是发病率和死亡率下降的原因。女性没有取得进展：尽管生存率略有提高，但发病率和死亡率都在上升。这很可能是由于20世纪70年代和80年代女性吸烟率上升所致。最令人担忧的是，与男性吸烟人数下降（从690万降至600万）相比，吸烟女性人数从2016年的460万加速增至2017年的570万。
男性的发病率和死亡率趋势清楚地表明，一级预防是降低肺癌死亡率的最有效方法。相比之下，女性吸烟率在短短1年内上升24%，这对未来极为令人担忧，需要立即采取针对性策略来减少女性烟草消费，避免意大利肺癌流行的可怕前景。
