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1990年至2019年中国女性癌症疾病负担及危险因素趋势

Trends in the Disease Burden and Risk Factors of Women's Cancers in China From 1990 to 2019.

作者信息

Ning Wei, Liu Jinnan, Lu Yongbo, Zhu Bin, Zhang Wei-Hong, Mao Ying

机构信息

School of Public Policy and Administration, Xi'an Jiaotong University, Xi'an, China.

International Centre for Reproductive Health, Ghent University, Ghent, Belgium.

出版信息

Int J Public Health. 2024 Dec 4;69:1607245. doi: 10.3389/ijph.2024.1607245. eCollection 2024.

Abstract

OBJECTIVES

To examine age-specific trends and risk factors in the burden of women's cancers (WCs) in China from 1990 to 2019 to inform strategies.

METHODS

Data were sourced from the Global Burden of Disease 2019 and World Population Prospects 2019. Time trends, age differences, and key factors for breast, cervical, and ovarian cancers (BC, CC, and OC) were analyzed based on age-standardized incidence rate (ASIR) and disability-adjusted life years (DALYs) rate.

RESULTS

ASIRs for BC and CC increased over the study period, with a slower growth rate for CC after 2005, likely due to targeted HPV prevention. OC showed the highest ASIR and DALY increases, indicating a growing concern. Peak ASIR for BC and CC was in women aged 50-55, while OC showed a higher burden in women aged 70-79. Lower DALYs in women born after 1985 suggest improved healthcare access.

CONCLUSION

This study highlights significant trends in cancer burden among Chinese women, driven by age and reproductive health policies. Future efforts should enhance screening, health literacy, and age-targeted risk reduction for specific cancer types.

摘要

目的

研究1990年至2019年中国女性癌症负担的年龄特异性趋势和风险因素,为制定策略提供依据。

方法

数据来源于《2019年全球疾病负担》和《2019年世界人口展望》。基于年龄标准化发病率(ASIR)和伤残调整生命年(DALYs)率,分析乳腺癌、宫颈癌和卵巢癌(BC、CC和OC)的时间趋势、年龄差异和关键因素。

结果

在研究期间,BC和CC的ASIRs有所增加,2005年后CC的增长率较慢,这可能是由于针对性的HPV预防措施。OC的ASIR和DALY增幅最高,表明人们对此日益关注。BC和CC的ASIR峰值出现在50-55岁的女性中,而OC在70-79岁的女性中负担更高。1985年后出生的女性DALYs较低,表明医疗保健可及性有所改善。

结论

本研究突出了中国女性癌症负担的显著趋势,这是由年龄和生殖健康政策驱动的。未来的努力应加强筛查、健康素养,并针对特定癌症类型进行有针对性的风险降低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc5a/11652174/5a1b01a2c846/ijph-69-1607245-g001.jpg

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