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[年轻乳腺癌女性的流行病学及社会文化特异性]

[Epidemiology and socio-cultural specificities of young women with breast cancer].

作者信息

Lanta Quitterie, Arveux Patrick, Asselain Bernard

机构信息

Responsable de l'espace de rencontres et d'information, DISSPO, 25, rue d'Ulm, 75005 Paris, France.

Clinical Investigation Center, Clinical Epidemiology/Clinical Trials Unit, Dijon University Hospital, Dijon, France.

出版信息

Bull Cancer. 2019 Dec;106(12S1):S4-S9. doi: 10.1016/S0007-4551(20)30041-2.

Abstract

Breast cancer, with 58,459 new cases in France in 2018, is the most common cancer among women. Breast cancer, of young women, defined by consensus as women under 40 years of age, represents only 5% of breast cancer cases in France and 7% worldwide. Epidemiology: The incidence rate of breast cancer increased in France between 1990 and 2018, with an average increase of +1.1% per year. An overall upward trend is also found in Europe and the United States. The mortality rate (MPR) follows an inverse trend with an average decrease of -1.3% per year between 1990 and 2018. Survival is 90% at 5 years for young women, slightly lower than for women aged 45 to 74 (92-93%). Socio-cultural specificities The testimonies collected in the Meeting and Information Spaces show that young women experience the disease in a very different way from women usually affected by the disease. The consequences of cancer and treatment have a strong impact on their lives as women, couples, mothers, but also on their social, professional and civic lives. Returning to work is particularly difficult for young women, who are often away from the company for more than 10 months and 1 in 5 of whom report feeling penalized in their careers because of the disease. This aspect of the post-disease period, although crucial, is often overlooked and underestimated.

摘要

2018年,法国有58459例乳腺癌新发病例,乳腺癌是女性中最常见的癌症。年轻女性乳腺癌,经共识定义为40岁以下女性,在法国仅占乳腺癌病例的5%,在全球占7%。流行病学:1990年至2018年间,法国乳腺癌发病率上升,年均增幅为+1.1%。欧洲和美国也呈现出总体上升趋势。死亡率(MPR)呈相反趋势,1990年至2018年间年均下降-1.3%。年轻女性的5年生存率为90%,略低于45至74岁女性(92%-93%)。社会文化特殊性在会议和信息空间收集的证词表明,年轻女性对这种疾病的体验与通常受该疾病影响的女性非常不同。癌症和治疗的后果对她们作为女性、伴侣、母亲的生活产生了强烈影响,也对她们的社会、职业和公民生活产生了影响。重返工作岗位对年轻女性来说尤其困难,她们通常离开公司超过10个月,五分之一的人报告称因疾病而在职业生涯中受到不利影响。疾病后期的这一方面虽然至关重要,但往往被忽视和低估。

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