美国农村县上呼吸道和消化道癌症的发病趋势。
Incidence trends for upper aerodigestive tract cancers in rural United States counties.
机构信息
Department of Otolaryngology - Head and Neck Surgery, University of Iowa, Iowa City, Iowa.
Department of Epidemiology, University of Iowa, Iowa City, Iowa.
出版信息
Head Neck. 2019 Aug;41(8):2619-2624. doi: 10.1002/hed.25736. Epub 2019 Mar 7.
Abstract
BACKGROUND
Recent declines in cancer incidence and mortality have not been distributed equally across the United States. Factors such as tobacco cessation and human papillomavirus presence might differentially affect urban and rural portions of the country.
METHODS
We used the Surveillance, Epidemiology, and End Results database to assess cancer incidence rates and trends from 1973 to 2015. We compared incidence rates for oral cavity, oropharynx, and larynx cancer in urban and rural counties and identified trends using Joinpoint software.
RESULTS
Incidence of larynx and oral cavity cancer are decreasing faster in urban areas than in rural areas, while incidence of oropharynx cancer is increasing faster in rural areas than urban areas.
CONCLUSIONS
Relative trends in incidence of larynx, oral cavity, and oropharynx cancer over the past 40 years are unfavorable for rural United States counties compared with urban areas. Cancer control programs should take this into account.
摘要
背景
近年来，美国的癌症发病率和死亡率呈下降趋势，但分布并不均衡。例如，戒烟和人乳头瘤病毒的存在可能会对该国的城乡地区产生不同的影响。
方法
我们使用监测、流行病学和最终结果数据库来评估 1973 年至 2015 年的癌症发病率和趋势。我们比较了城乡县口腔、口咽和喉癌的发病率，并使用 Joinpoint 软件识别了趋势。
结果
与农村地区相比，城市地区喉癌和口腔癌的发病率下降速度更快，而农村地区口咽癌的发病率上升速度更快。
结论
与城市地区相比，过去 40 年来，喉癌、口腔癌和口咽癌发病率的相对趋势对美国农村地区不利。癌症控制计划应考虑到这一点。
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