2000 - 2015年巴西不同城市环境中的肺癌死亡率趋势
Lung cancer mortality trends in different urban settings in Brazil, 2000-2015.
作者信息
Souza Gustavo Dos Santos, Junger Washington Leite, Silva Gulnar Azevedo E
机构信息
Universidade do Estado do Rio de Janeiro, Instituto de Medicina Social, Rio de Janeiro, RJ, Brasil.
出版信息
Epidemiol Serv Saude. 2019 Sep 23;28(3):e2018421. doi: 10.5123/S1679-49742019000300003. eCollection 2019.
OBJECTIVE
to analyze lung cancer mortality trends in Brazil, 2000-2015.
METHODS
this was a time series study; lung cancer death records were corrected; linear autoregressive models were used to calculate regression coefficients (β1) and 95% confidence intervals (95%CI) in trend analysis according to sex, in the 30 and over age group, for 19 metropolitan areas (MAs) and the interior regions of 14 Brazilian states; positive β1 indicates upward trends while negative β1 indicates downward trends.
RESULTS
increases were found in males from interior regions of North and Northeastern Brazilian states, especially in Rio Grande do Norte state (β1=1.03 - 95%CI0.47;1.58); downward trends were also found in males, notably in the Porto Alegre MA (β1=-2.55 - 95%CI-2.79;-2.31); the highest increase in females was found in the interior of Ceará state (β1=0.86 - 95%CI0.79;0.92).
CONCLUSION
differentiated patterns according to location and sex were revealed; cancer control measures should be considered above all for women and the interior regions of Brazil.
目的
分析2000 - 2015年巴西肺癌死亡率趋势。
方法
这是一项时间序列研究；校正肺癌死亡记录；使用线性自回归模型，按性别在30岁及以上年龄组中，对19个大城市地区（MAs）和巴西14个州的内陆地区计算趋势分析中的回归系数（β1）和95%置信区间（95%CI）；β1为正表明呈上升趋势，β1为负表明呈下降趋势。
结果
在巴西北部和东北部州内陆地区的男性中发现死亡率上升，尤其是在北大河州（β1 = 1.03 - 95%CI 0.47；1.58）；男性中也发现有下降趋势，特别是在阿雷格里港大城市地区（β1 = -2.55 - 95%CI -2.79；-2.31）；女性中死亡率上升最高的是在塞阿拉州内陆地区（β1 = 0.86 - 95%CI 0.79；0.92）。
结论
揭示了根据地点和性别存在的不同模式；巴西应首先考虑针对女性和内陆地区采取癌症控制措施。
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