摘要
目的了解滕州市食管癌(esophagus cancer,EC)发病特征及影响因素,为制定防控对策提供参考。方法依据滕州市"肿瘤发病死亡监测报告信息管理系统"EC病例资料,采用描述流行病学方法分析发病特征,利用条件logistic回归分析影响因素。结果2005—2019年15年间年均报告粗发病率为37.06/10万,标化发病率为35.93/10万。多因素条件logistic回归分析结果显示,吸烟(OR=2.423)、饮酒(OR=3.525)、经常进食腌制食品(OR=2.081)、热烫饮食(OR=2.947)、干硬食物(OR=3.125)、进食快(OR=2.756)、三餐不规律(OR=1.963)、生闷气(OR=1.814)、有肿瘤家族史(OR=2.847)和经常食用新鲜果蔬(OR=0.423)10个因素是EC发生的影响因素(P<0.05)。结论减少对食管"辛辣、热烫、快、咸、硬"的物理刺激,多食新鲜果蔬,开展农村50岁及以上男性为重点的EC筛查,可有效降低EC发病。
Objective To know the incidence characteristics and influencing factors of esophageal cancer(EC)in Tengzhou City to provide references for the formulation of prevention and control countermeasures.Methods According to the EC case data of Tengzhou"Cancer Mortality Monitoring and Reporting Information Management System",descriptive epidemiological analysis was used to analyze the characteristics,and conditional logistic regression model was used to analyze the influencing factors.Results The average annual crude incidence in Tengzhou was 37.06/100000,the standardized incidence was 35.93/100000.Multivariate conditional logistic regression model analysis showed that smoking(OR=2.423),drinking(OR=3.525),pickled food(OR=2.081),hot diet(OR=2.947),dry and hard food(OR=3.125),fast eating(OR=2.756),irregular meals(OR=1.963),frequent sulking(OR=1.814)and family tumor history(OR=2.847)and frenuent fresh fruits and vegetables uptake(OR=0.423)were influencing factors for EC(P<0.05)Conclusion The incidence of EC can be effectively reduced by reducing"acrid,hot,fast,salty and hard"physical stimulation eating habits,having more frsh fruits and vegetables,and regularly carrying out EC screening for men over 50 years old in rural areas.
作者
张峰
张淑华
ZHANG Feng;ZHANG Shu-hua(Tengzhou City Health Comprehensive Administrative Law Enforcement Brigade,Tengzhou,Shandong 277500,China;不详)
出处
《中国公共卫生管理》
2021年第4期501-505,共5页
Chinese Journal of Public Health Management
关键词
居民
食管癌
流行特征
影响因素
滕州市
resident
esophageal cancer
epidemic characteristics
influencing factor
Tengzhou City
