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预防医学  2026, Vol. 38 Issue (5): 478-482    DOI: 10.19485/j.cnki.issn2096-5087.2026.05.011
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2015—2022年温州市女性乳腺癌发病趋势分析
姜雪霞, 叶振淼, 樊丽辉, 郑宇航, 罗永园, 李慧君, 夏喆铮
温州市疾病预防控制中心(温州市卫生监督所),浙江 温州 325000
Trend of the female breast cancer incidence in Wenzhou City from 2015 to 2022
JIANG Xuexia, YE Zhenmiao, FAN Lihui, ZHENG Yuhang, LUO Yongyuan, LI Huijun, XIA Zhezheng
Wenzhou Center for Disease Control and Prevention (Wenzhou Institute of Public Health Supervision), Wenzhou, Zhejiang 325000, China
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摘要 目的 分析2015—2022年浙江省温州市女性乳腺癌发病率变化趋势,为优化乳腺癌防治策略提供依据。方法 通过温州市慢性病协同管理系统收集2015—2022年温州市女性乳腺癌发病资料,计算粗发病率、35~64岁截缩发病率和0~74岁累积发病率,采用2000年第五次全国人口普查标准人口年龄构成、Segi's世界标准人口年龄构成分别计算中国人口标化发病率(中标发病率)、世界人口标化发病率(世标发病率)。采用平均年度变化百分比(AAPC)分析2015—2022年女性乳腺癌发病率变化趋势。结果 2015—2022年温州市女性乳腺癌粗发病率、中标发病率、世标发病率、35~64岁截缩发病率和0~74岁累积发病率分别为61.19/10万、42.73/10万、39.73/10万、104.50/10万和4.23%,呈上升趋势(AAPC=5.950%、4.535%、4.592%、4.011%和4.897%,均P<0.05)。城市女性粗发病率(P<0.05)、中标发病率、世标发病率、35~64岁截缩发病率(P<0.05)和0~74岁累积发病率(P<0.05)均高于农村。2015—2022年城市女性粗发病率、中标发病率和世标发病率呈上升趋势(AAPC=2.899%、1.837%和1.794%,均P<0.05),35~64岁截缩发病率、0~74岁累积发病率趋势无统计学意义(均P>0.05);农村女性粗发病率、中标发病率、世标发病率、35~64岁截缩发病率和0~74岁累积发病率呈上升趋势(AAPC=6.981%、5.457%、5.648%、5.172%和6.087%,均P<0.05)。2015—2022年温州市、城市和农村女性乳腺癌粗发病率随年龄增长先上升后下降,温州市、农村女性乳腺癌粗发病率在55~<60岁达峰值,分别为136.07/10万、128.16/10万;城市女性乳腺癌粗发病率有2个高峰,分别为45~<50岁的142.08/10万、55~<60岁的161.95/10万。结论 2015—2022年温州市女性乳腺癌发病率较高且呈上升趋势,城市发病率较高,农村增长幅度较大,55~<60岁为发病高峰。
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姜雪霞
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罗永园
李慧君
夏喆铮
关键词 乳腺癌发病率平均年度变化百分比    
AbstractObjective To analyze the changing trend of female breast cancer incidence in Wenzhou City, Zhejiang Province from 2015 to 2022, so as to provide the evidence for optimizing breast cancer prevention and control strategies. Methods Data on female breast cancer incidence in Wenzhou City from 2015 to 2022 were collected through the Wenzhou Chronic Disease Collaborative Management System. The crude incidence, truncated incidence for 35-64 years, and cumulative incidence for 0-74 years were calculated. The Chinese population age-standardized incidence and the world population age-standardized incidence were calculated using the age composition of the standard population from the Fifth National Population Census in 2000 and Segi's world standard population structure, respectively. The average annual percent change (AAPC) was used to analyze trend in female breast cancer incidence from 2015 to 2022. Results From 2015 to 2022, the crude incidence, Chinese population age-standardized incidence, world population age-standardized incidence, truncated incidence for 35-64 years, and cumulative incidence for 0-74 years in Wenzhou City were 61.19/105, 42.73/105, 39.73/105, 104.50/105, and 4.23%, respectively, showing upward trends (AAPC=5.950%, 4.535%, 4.592%, 4.011%, and 4.897%, all P<0.05). The crude incidence (P<0.05), Chinese population age-standardized incidence, world population age-standardized incidence, truncated incidence for 35-64 years (P<0.05), and cumulative incidence for 0-74 years (P<0.05) among urban female were all higher than those in rural areas. From 2015 to 2022, the crude incidence, Chinese population age-standardized incidence, and world population age-standardized incidence among urban female showed upward trends (AAPC=2.899%, 1.837%, and 1.794%, all P<0.05), while the trends in the truncated incidence for 35-64 years, and cumulative incidence for 0-74 years were not statistically significant (both P>0.05). Among rural female, the crude incidence, Chinese population age-standardized incidence, the world population age-standardized incidence, truncated incidence for 35-64 years, and cumulative incidence for 0-74 years all showed upward trends (AAPC=6.981%, 5.457%, 5.648%, 5.172%, and 6.087%, all P<0.05). From 2015 to 2022, the crude incidence of breast cancer among female in Wenzhou City, urban areas, and rural areas first increased and then decreased with age. The crude incidence of breast cancer in Wenzhou City and rural areas peaked in the 55-<60 age group, at 136.07/105 and 128.16/105, respectively. The crude incidence of breast cancer among urban female exhibited two peaks: 142.08/105 in the 45-<50 age group and 161.95/105 in the 55-<60 age group. Conclusion From 2015 to 2022, the incidence of breast cancer among female in Wenzhou City was relatively high and showed an upward trend; the incidence was higher in urban areas, while the incidence of increase was more pronounced in rural areas, with the peak incidence occurring among female aged 55-<60 years.
Key wordsbreast cancer    incidence    average annual percent change
收稿日期: 2026-01-07      修回日期: 2026-03-23     
中图分类号:  R737.9  
基金资助:温州市科技计划项目(Y2023332)
作者简介: 姜雪霞,硕士,主管医师,主要从事慢性病监测工作
通信作者: 叶振淼,E-mail:195253355@qq.com   
引用本文:   
姜雪霞, 叶振淼, 樊丽辉, 郑宇航, 罗永园, 李慧君, 夏喆铮. 2015—2022年温州市女性乳腺癌发病趋势分析[J]. 预防医学, 2026, 38(5): 478-482.
JIANG Xuexia, YE Zhenmiao, FAN Lihui, ZHENG Yuhang, LUO Yongyuan, LI Huijun, XIA Zhezheng. Trend of the female breast cancer incidence in Wenzhou City from 2015 to 2022. Preventive Medicine, 2026, 38(5): 478-482.
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https://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2026.05.011      或      https://www.zjyfyxzz.com/CN/Y2026/V38/I5/478
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