School of Public Health, Shandong Second Medical University, Weifang, China.
School of Management, Shandong Second Medical University, Weifang, China.
Thorac Cancer. 2024 Oct;15(29):2079-2089. doi: 10.1111/1759-7714.15438. Epub 2024 Sep 1.
This study aimed to delineate the temporal patterns of esophageal cancer epidemic trends and spatial clustering patterns among male populations in China's mainland from 1990 to 2021. This analysis aimed to provide a scientific rationale and empirical data to facilitate the formulation of targeted prevention and control strategies.
Data on the number of cases and deaths, crude and age-standardized incidence and mortality rates of esophageal cancer in men were collected from the Global Burden of Disease Study and the Chinese Cancer Registry Annual Report. Global and local Moran's I spatial autocorrelation index was employed to quantify spatial clustering, and a disease map was drawn.
From 1990 to 2021, the cumulative incidence and mortality of esophageal cancer in men were 6 100 342 and 5 972 294, respectively. The crude incidence and death rates increased in 2021, yet the age-standardized rates decreased significantly. Cixian County in Hebei Province had the highest age-standardized rates. The disease displayed spatial clustering, with relatively high rates in Shandong, Jiangsu, and Hebei Provinces.
Since 1990, the incidence and mortality of esophageal cancer among men in mainland China have remained high, imposing a considerable burden. Although age-adjusted rates have declined, they are still relatively high overall, especially in Shandong, Hebei, and Jiangsu Provinces.
本研究旨在描绘 1990 年至 2021 年间中国大陆男性食管癌的流行趋势时间模式和空间集聚模式。本分析旨在为制定有针对性的预防和控制策略提供科学依据和经验数据。
从全球疾病负担研究和中国癌症登记年报中收集了男性食管癌病例和死亡人数、粗发病率和年龄标准化发病率和死亡率的数据。采用全局和局部 Moran's I 空间自相关指数来量化空间集聚，并绘制疾病图。
1990 年至 2021 年，男性食管癌的累积发病率和死亡率分别为 6100342 和 5972294。2021 年粗发病率和死亡率有所上升，但年龄标准化率显著下降。河北省磁县的年龄标准化率最高。该疾病呈现空间集聚，山东省、江苏省和河北省的发病率相对较高。
自 1990 年以来，中国大陆男性食管癌的发病率和死亡率仍然很高，负担沉重。尽管年龄调整后的发病率有所下降，但总体仍相对较高，特别是在山东、河北和江苏三省。
