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中国癌症流行的国际比较

International Comparison of Cancer Incidence and Mortality in China

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【作者】 高婷李超梁锌郑荣寿邱亭林

【Author】 GAO Ting;LI Chao;LIANG Xin;National Cancer Center,Cancer Hospital,Chinese Academy of Medical Science and Peking Union Medical College;Beijing Hospital;

【机构】 国家癌症中心/中国医学科学院北京协和医学院肿瘤医院北京医院

【摘要】 [目的]分析中国癌症发病死亡数据,比较我国与全球其他国家或地区的癌症流行情况。[方法]通过国际癌症研究所(IARC)发布的全球癌症数据库,获取中国及世界部分地区或国家的癌症发病、死亡数据资料,分析比较中国及全球不同地区的癌症负担情况。[结果]中国人口约占全球人口的19.3%,癌症发病占全球癌症发病的21.8%,和世界癌症平均发病水平持平。欠发达国家或地区以82.4%的人口负担全球癌症发病的56.97%,发达国家或地区的癌症发病水平和发病风险相对较高,以17.66%的人口占全球癌症发病的43.03%,为欠发达国家或地区的1.8倍;中国癌症死亡约占全球癌症死亡26.9%,死亡率水平相对较高。全球每年癌症死亡中发达国家约占35.10%,欠发达国家或地区约占64.90%。[结论]癌症发病水平与社会经济发展相关,目前中国的癌症发病水平与世界平均水平持平,但中国的癌症预后效果相对较差,应针对性提高人群癌症防控意识,提高人群癌症生存率。

【Abstract】 [Purpose] To compare the cancer burden between China and other regions of the world based on the global cancer incidence and mortality database. [Methods] The incidence and mortality of cancer in China and other regions of the world from the global cancer database published by the International Agency for Research on Cancer(IARC) were analyzed and comparised. [Results] Number of new caner cases in China accounts for 21.8% of global cancer incidence,with covered about 19.3% of the global population in China. The cancer incidence in China was similar to the average level of the world’s cancer incidence. The cancer burden in less developed regions was relatively large with accounting for about 56.97 percent,and the more developed regions,which accounted for only 17.66% of the world population but accounts for about 43.03% of cancer incidence. Cancer deaths in China was with a relatively high level of mortality,accounted for 26.9% of global cancer deaths. The more developed regions accounted for 35.10% of the world cancer deaths,and the less developed regions accounted for 64.90%. [Conclusion] The level of cancer incidence relates to the socio-economic development. Cancer incidence in China is close to the world average level,but relatively high of cancer deaths. This demonstrated that prevention and control should be implemented to raise the awareness of cancer,and improve the cancer survival in China.

【关键词】 癌症; 发病率; 死亡率; 中国;

【Key words】 cancer; incidence; mortality; China;

【分类号】R73;R181.37;R-054;

【基金】 中国癌症基金会北京希望马拉松专项基金(LC2014B07)

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