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中美乳腺癌流行病学特征对比及防控策略分析

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目的 通过对比中美女性乳腺癌发病和死亡情况的流行病学特征差异,分析中美预防和筛查策略差异,探索中国的女性乳腺癌防控措施.方法 基于2020年全球疾病负担、中国国家癌症中心、中国卫生健康统计年鉴等发布的相关数据,分别估计2023年中美女性乳腺癌新增病例及死亡病例,并分析中美女性乳腺癌发病率、死亡率及其时间趋势.结果 在中国,预计2023年女性乳腺癌新增病例376 789人,新增死亡病例116 791人.在美国,预计2023年新诊断出的女性乳腺癌患者约297 790人,约占新发癌症病例数的15.2%;死于乳腺癌的女性人数约43 170人,约占总癌症死亡病例的7.1%.1975-2020年期间美国女性乳腺癌的发病率逐渐升高后趋于稳定;相比之下,1990-2020年期间中国女性乳腺癌发病率逐年上升.近年来,中国女性乳腺癌发病率、死亡率增幅均高于美国,且在中国内部城乡差异较大.结论 中美两国均面临着较大的女性乳腺癌疾病负担,中国女性乳腺癌疾病特征正向美国趋近.减轻中国女性乳腺癌疾病负担应在加强乳腺癌宣教、提高公共卫生意识、改善饮食结构、培养健康生活方式、加大筛查力度、提高医疗水平等各方面作出进一步的努力.
Comparison of epidemiological characteristics and prevention of breast cancer in China and the United States
Objective By comparing the epidemiological characteristics of the incidence and death of female breast cancer in China and the United States,the differences in prevention and screening strategies between China and the United States were analyzed to explore the prevention and control measures of female breast cancer in China.Methods Based on the relevant data released by the Global Burden of Disease in 2020,the National Cancer Center of China,and the China Health Statistical Yearbook,the new cases and deaths of breast cancer in Chinese and American women in 2023 were estimated respectively,and the incidence,mortality and time trend of breast cancer in Chinese and American women were analyzed.Results In China,376 789 new cases of female breast cancer and 116 791 deaths were expected in 2023.In the United States,approximately 297 790 women were expected to be newly diagnosed with breast cancer in 2023,representing approximately 15.2%of new cancer cases.About 43 170 women died from breast cancer,accounting for about 7.1%of all cancer deaths.The incidence of breast cancer in women in the United States during the period 1975-2020 gradually increased and then stabilized;In contrast,the incidence of breast cancer among Chinese women increased year by year during the period 1990-2020.In recent years,the incidence and mortality rates of breast cancer in Chinese women had increased more than those in the United States,and there was a large difference between urban and rural areas in China.Conclusions Both China and the United States face a large burden of female breast cancer,and the characteristics of female breast cancer in China are similar to those in the United States.To reduce the burden of breast cancer in Chinese women,further efforts should be made in various aspects,such as strengthening breast cancer education,raising public health awareness,improving diet structure,cultivating healthy lifestyle,increasing screening efforts,and improving medical level.

female breast cancerincidencemortalityrisk factorprevention

熊洁、段志财、左怀全

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西南医科大学附属医院四川省妇科与乳腺疾病中心(乳腺外科)(四川泸州 646000)

女性乳腺癌 发病率 死亡率 危险因素 预防

2024

中国普外基础与临床杂志
四川大学华西医院

中国普外基础与临床杂志

CSTPCD
影响因子:0.858
ISSN:1007-9424
年,卷(期):2024.31(1)
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