摘要
[目的]利用地理信息技术制作苏州市肝癌地图,探索苏州市肝癌发病、死亡的空间分布与变化规律,为防治肝癌提供本土化的科学依据。[方法]应用苏州市肿瘤登记系统中2006—2015肝癌数据进行趋势分析;利用Geo Da软件的Moran’s I方法进行空间自相关分析,形成苏州市肝癌高低发地图。[结果]2006—2015年,无论标化发病率还是标化死亡率,苏州市肝癌均呈现下降趋势,只是死亡率的下降幅度更大(APC发病=-2.73%,APC死亡=-5.09%,P<0.05);无论发病率还是死亡率,均为男性显著高于女性,但男性下降速度均超过女性(APC男性发病=-3.23%,APC女性发病=-1.51%,APC男性死亡=-5.31%,APC女性死亡=-4.59%,P<0.05)。空间相关分析显示张家港市是肝癌发病、死亡聚集高发地区;姑苏区无论发病还是死亡均呈现低发聚集。[结论]2006—2015年苏州市肝癌无论标化发病率还是死亡率均呈下降趋势。苏州市各乡镇肝癌发病、死亡均呈现明显的空间聚集特征。
[Purpose]To explore the spatial-temporal distribution of liver cancer in Suzhou with the geographical information system.[Methods]Trend analysis was conducted on the incidence and mortality of liver cancer from 2006 to 2015 in Suzhou using the cancer registration system.The spatial auto correlation analysis was conducted with Moran’s I method of GeoDa software and the map of high and low incidence of liver cancer was developed.[Results]From 2006 to 2015,the age-standardized incidence rate and mortality rate of liver cancer in Suzhou showed a downward trend,while the rate of mortality decreased faster(APCincidence=-2.73%,APCmortality=-5.09%,P<0.05).Both incidence and mortality rates were significantly higher in men than those in women,but the downward trend in male was higher than that in women(APCmale incidence=-3.23%,APCfemale incidence=-1.51%,APCmale mortality=-5.31%,APCfemale mortality=-4.59%,P<0.05).The spatial correlation analysis showed that Zhangjiagang City was a high-incidence and mortality area of liver cancer;while Gusu district was a low-incidence and mortality area.[Conclusion]From 2006 to 2015,the age-standardized incidence and mortality of liver cancer in Suzhou showed a declining trend.Different areas of Suzhou city have distinct spatial-temporal aggregation characteristics.
作者
王临池
胡一河
黄春妍
黄桥梁
华钰洁
陆艳
WANG Lin-chi;HU Yi-he;HUANG Chun-yan;HUANG Qiao-liang;HUA Yu-jie;LU Yan(Suzhou Center for Disease Control and Prevention,Suzhou 215004,China)
出处
《中国肿瘤》
CAS
CSCD
北大核心
2020年第7期481-485,共5页
China Cancer
基金
苏州市医学重点学科(Szxk201816)
苏州市科技局民生科技(医疗卫生应用基础研究)项目(SYS2018098)
苏州市科技局民生科技(科技示范)项目(SS201807)
江苏省预防医学科研课题(Y2018032)
苏州市重大疾病、传染病预防和控制关键技术(研究)项目(GWZX201901)。
关键词
肝癌
地理信息系统
流行病学
空间分布
江苏
liver cancer
geographic information system
epidemiology
spatial-temporal distribution
Jiangsu
作者简介
通讯作者:陆艳,E-mail:673261024@qq.com。
