Trends in incidence and mortality of lung cancer in Kaihua County from 2011 to 2022
XIANG Caiying, WANG Debing
Department of Non-communicable Diseases Control and Prevention, Kaihua County Center for Diseases Control and Prevention, Kaihua, Zhejiang 324300, China
Abstract:Objective To investigate the trends in incidence and mortality of lung cancer in Kaihua County, Zhejiang Province from 2011 to 2022, so as to provide insights into improving lung cancer prevention and control strategy. Methods The incidence and mortality of lung cancer in Kaihua County from 2011 to 2022 were collected through Zhejiang Provincial Chronic Disease Surveillance Information Management System. The crude incidence, standardized incidence, crude mortality and standardized mortality of lung cancer were analyzed, and the trends in incidence and mortality of lung cancer were evaluated using average annual percent change (AAPC). Results The crude and standardized incidence of lung cancer appeared a tendency towards an increase (AAPC=5.409% and 2.957%, both P<0.05) from 2011 to 2022, with an average annual crude incidence of 75.17/105 and average annual standardized incidence of 44.37/105. Average annual crude incidence (100.16/105 vs. 48.55/105) and standardized incidence (58.03/105 vs. 30.61/105) of lung cancer was higher in males than in females (both P<0.05). The crude incidence of lung cancer in males appeared a tendency towards an increase (AAPC=2.878%, P<0.05), with no significant changing patterns seen in standardized incidence (P>0.05). The crude and standardized incidence of lung cancer in females showed a tendency towards an increase (AAPC=11.596% and 10.464%, both P<0.05). The crude incidence of lung cancer increased rapidly among residents at ages of 45 years and older, and peaked among residents at ages of 80 to 84 years (32.11/105). The crude and standardized mortality of lung cancer appeared a tendency towards a rise and decline (AAPC=1.554% and -2.491%, both P<0.05) from 2011 to 2022, with an average annual crude and standardized mortality of 52.83/105 and 29.09/105. Average annual crude mortality (77.92/105 vs. 26.10/105) and standardized mortality (43.66/105 vs. 14.33/105) of lung cancer was higher in males than in females (both P<0.05). The crude mortality of lung cancer in males appeared a tendency towards a rise, while the standardized mortality appeared a tendency towards a decline (AAPC=1.436% and -2.553%, both P<0.05). No significant changing patterns were seen in crude and standardized mortality of lung cancer in females (both P>0.05). The crude mortality of lung cancer increased rapidly among residents at ages of 50 years and older, and peaked among residents at ages of 80 to 84 years (37.26/105). Conclusion The incidence and mortality of lung cancer appeared a tendency towards an increase in Kaihua County from 2011 to 2022, and a rapid increase was seen in the incidence of lung cancer in females.
项彩英, 汪德兵. 2011—2022年开化县肺癌发病和死亡趋势分析[J]. 预防医学, 2023, 35(10): 885-889.
XIANG Caiying, WANG Debing. Trends in incidence and mortality of lung cancer in Kaihua County from 2011 to 2022. Preventive Medicine, 2023, 35(10): 885-889.
[1] 肖佳龙,郑莹.全球肺癌的流行及预防进展[J].中国癌症杂志,2020,30(10):721-725. [2] SUNG H,FERLAY J,SIEGEL R L,et al.Global cancer statistics 2020:globocan estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J].CA Cancer J Clin,2021,71(3):209-249. [3] XIA C F,DONG X S,LI H,et al.Cancer statistics in China and United States,2022:profiles,trends,and determinants[J].Chin Med J(Engl),2022,135(5):584-590. [4] 李翔,高申.1990—2019年中国居民肺癌发病、患病和死亡趋势分析[J].中国慢性病预防与控制,2021,29(11):821-826. [5] 郑荣寿,张思维,孙可欣,等.2016年中国恶性肿瘤流行情况分析[J].中华肿瘤杂志,2023,45(3):212-220. [6] 李金,黄文,陈奇峰.2014—2019年绍兴市肺癌发病趋势分析[J].预防医学,2021,33(9):889-892. [7] 胡如英,展元元,王蒙,等.浙江省成人吸烟行为趋势研究[J].预防医学,2018,30(12):1189-1193,1198. [8] GBD 2019 Respiratory Tract Cancers Collaborators.Global,regional,and national burden of respiratory tract cancers and associated risk factors from 1990 to 2019:a systematic analysis for the Global Burden of Disease Study 2019BD 2019 Respiratory Tract Cancers Collaborators.Global,regional,and national burden of respiratory tract cancers and associated risk factors from 1990 to 2019:a systematic analysis for the Global Burden of Disease Study 2019[J].Lancet Respir Med,2021,9(9):1030-1049. [9] 王临池,周金意,韩仁强,等.江苏省2015年肺癌流行现况与2006—2015年变化趋势分析[J].中国肿瘤,2020,29(8):579-585. [10] MENG Y,LIU X H,LU S Y,et al.A review on occurrence and risk of polycyclic aromatic hydrocarbons(PAHs)in lakes of China[J].Sci Total Environ,2019,651:2497-2506. [11] 林秀琴,徐健,许树红,等.ADH、ALDH基因多态性与饮酒的交互作用对肺癌的影响研究[J].预防医学,2021,33(10):1022-1025,1029. [12] SAMUELSSON L B,BOVBJERG D H,ROECKLEIN K A,et al.Sleep and circadian disruption and incident breast cancer risk:an evidence-based and theoretical review[J].Neurosci Biobehav Rev,2018,84:35-48.