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山东大学学报 (医学版) ›› 2022, Vol. 60 ›› Issue (2): 102-108.doi: 10.6040/j.issn.1671-7554.0.2021.0672

• 公共卫生与管理学 • 上一篇    下一篇

淄博市2018年恶性肿瘤的流行特征及影响因素

程传龙1*,杨淑霞2*,佘凯丽1,房启迪1,韩闯1,刘盈1,崔峰2,李秀君1   

  1. 1.山东大学齐鲁医学院公共卫生学院生物统计学系, 山东 济南 250012;2. 淄博市疾病预防控制中心, 山东 淄博 255026
  • 发布日期:2022-01-25
  • 通讯作者: 李秀君. E-mail:xjli@sdu.edu.cn 崔峰. E-mail:cuifeng@126.com*共同第一作者
  • 基金资助:
    国家自然科学基金(81673238);国家重点研发计划(2019YFC1200500,2019YFC1200502)

Epidemiological characteristics and influencing factors of malignant tumors in Zibo, 2018

CHENG Chuanlong1*, YANG Shuxia2*, SHE Kaili1, FANG Qidi1, HAN Chuang1, LIU Ying1, CUI Feng2, LI Xiujun1   

  1. 1. Department of Biostatistics, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan 250012, Shandong, China;
    2. Zibo Center for Disease Control and Prevention, Zibo 255026, Shandong, China
  • Published:2022-01-25

摘要： 目的 探讨山东省淄博市恶性肿瘤的流行特征,分析发病率与影响因素的相关性,为淄博市恶性肿瘤防控及相关政策的制定提供参考依据。 方法 基于淄博市2018年恶性肿瘤发病报告数据,采用空间自相关统计方法进行全局及局部聚集性分析,分析淄博市恶性肿瘤流行特征;采用Spearman等级相关分析发病率与影响因素的相关性。 结果 淄博市2018年恶性肿瘤报告发病人数为17 379人,粗发病率为383.55/10万,发病主要集中在55岁及以上年龄组,高发职业人群为农、林、牧、渔、水利业生产者。淄博市各乡镇恶性肿瘤发病例数存在一定的空间聚集性,聚集热点集中在张店区和桓台县的部分乡镇,且与PM2.5高浓度区域空间分布一致。相关分析结果显示,人均可支配收入与恶性肿瘤发病率呈正相关(rs=0.86,P=0.01),高GDP地区PM2.5浓度与恶性肿瘤发病率呈正相关(rs=1.00,P<0.01)。 结论 淄博市恶性肿瘤发病数和发病率仍较高,但分布区域相对集中,建议重点地区重点关注。当地应加强环境治理,针对重点人群进行早诊早治,降低恶性肿瘤的病死率和疾病负担。

关键词: 恶性肿瘤, 淄博市, 流行特征, 空间自相关

Abstract: Objective To explore the epidemiological characteristics of malignant tumors in Zibo City, Shandong Province, and to analyze the correlation between the incidence and influencing factors, so as to provide a scientific basis for the prevention and control of malignant tumors and the formulation of relevant policies. Methods Based on the incidence data of malignant tumors in Zibo City in 2018, global and local aggregation analyses were performed with spatial autocorrelation statistical method to reveal the epidemiological characteristics of malignant tumors. Spearman rank correlation was used to analyze the correlation between the incidence and the influencing factors. Results The number of reported cases of malignant tumors was 17,379 in 2018, and the crude incidence was 383.55/100,000. The high risk group were 55 years and above, mainly working in agriculture, forestry, animal husbandry, fishing and water conservancy. The number of malignant tumor cases in each township of Zibo City had a certain spatial aggregation, especially in Zhangdian District and Huantai County, consistent with the spatial distribution of PM2.5 high concentration area. Correlation analysis showed that the per capita disposable income was positively correlated with the incidence of malignant tumors(rs=0.86, P=0.01), and PM2.5 concentration was highly correlated with the incidence of malignant tumors in high GDP areas(rs=1.00, P<0.01). Conclusion The number of cases and incidence of malignant tumors are still high in Zibo City, but the distribution area is relatively concentrated, so it is suggested to pay more attention to the key areas. Local environmental governance should be strengthened and early diagnosis and early treatment should be carried out for high risk groups to reduce the fatality rate and disease burden of malignant tumors.

Key words: Malignant tumors, Zibo City, Epidemiological characteristics, Spatial autocorrelation

中图分类号: 

  • R181
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