摘要
目的分析我国各省成年居民胃癌归因于钠摄入过量的发病和死亡负担。方法根据2012年中国居民营养与健康状况监测获得的膳食钠消费量数据,结合协同克里金空间插值的方法估算各省成年居民的膳食钠暴露水平。2015年胃癌发病和死亡数据来自《肿瘤登记年报》,按照比例风险评估理论,分省计算胃癌发病和死亡归因于钠摄入过量的归因分值。结果2015年成年居民高钠饮食对胃癌发病和死亡的人口归因比例分别为29.94%和28.95%,归因于高钠饮食的胃癌发病数和死亡数分别为80718人和56578人,发病率和死亡率分别为8.04/10万和5.64/10万。甘肃省归因于高钠饮食的胃癌发病率和死亡率最高,分别为24.85/10万和14.51/10万。归因于高钠饮食发病率最低的省份是广东省(2.51/10万),西藏自治区居民归因于高钠饮食的胃癌死亡率最低(0.29/10万)。结论2015年我国成年居民胃癌归因于高钠饮食的发病和死亡负担处于较高的水平,各省间差异大。
Objective To study the burden of gastric cancer attributable to overconsumption of sodium among Chinese adults.Methods Based on the data of dietary sodium consumption obtained from the China National Nutrition and Health Surveillance 2012,the dietary sodium intake of adults in each province was estimated by using the method of Cooperative Kriging.Data on the incidence and death of gastric cancer in 2015 were obtained from Annals of the Cancer Registry.According to the proportional risk assessment theory,the Population Attributable Fraction of the incidence and death of gastric cancer attributable to high sodium intake was calculated by province.Results In 2015,the Population Attributable Fraction of overconsumption of sodium to the incidence and death of gastric cancer in adult was 29.94%and 28.95%.The number of incidence and death of gastric cancer attributable to overconsumption of dietary sodium were 80718 and 56578,and the morbidity and mortality were 8.04/100000 and 5.64/100000.Gansu had the highest morbidity and mortality of gastric cancer attributable to overconsumption of sodium(24.85/100000 and 14.51/100000 respectively).The lowest morbidity of gastric cancer attributed to high sodium diet was found in Guangdong(2.51/100000),and the lowest mortality of gastric cancer attributed to high sodium diet was found in Tibet(0.29/100000).Conclusion In 2015,the morbidity and mortality burden of gastric cancer in Chinese adults due to overconsumption of dietary sodium was at a high level,with great differences among provinces.
作者
方柯红
房玥晖
连怡遥
逯晓娣
何宇纳
FANG Ke-hong;FANG Yue-hui;LIAN Yi-yao;LU Xiao-di;HE Yu-na(National Institute of Nutrition and Health,Chinese Center for Disease Control and Prevention,Beijing 100050,China;Health Risk Factors Monitoring Institute,Hangzhou Center for Disease Control and Prevention,Hangzhou 310021,China)
出处
《中华疾病控制杂志》
CAS
CSCD
北大核心
2022年第1期1-6,共6页
Chinese Journal of Disease Control & Prevention
基金
国家重点研发计划(2018YFC1315303)。
关键词
胃癌
钠
疾病负担
Gastric cancer
Sodium
The burden of disease
