封开地区农村妇女乳腺癌十年发病规律调查研究

Survey on Ten Years Morbidity Regularity of Breast Cancer Among Rural Women in Fengkai

目的:探讨封开地区农村妇女乳腺癌患者的发病规律,为做好乳腺癌的防治工作提供科学依据。方法:回顾性分析两院于2002年1月-2011年12月收治的367例农村妇女乳腺癌的临床资料。按时间段将患者分为A、B、C三组,比较分析三组乳腺癌发病率、病死率及暴露危险因素的变化情况。结果:A组、B组和C组乳腺癌患者的发病率分别为18.75/10万、25.23/10万和36.20/10万,其增长率分别为2.16%、2.36%和2.74%。A组、B组和C组乳腺癌患者的病死率分别为5.75/10万、9.55/10万和15.20/10万,其增长率分别为1.27%、1.31%和1.41%。多因素条件Logistic回归分析结果显示:体质指数、接触有害物质、被动吸烟、佩戴不合适胸罩和精神压抑是本地区农村妇女乳腺癌的重要危险因素。结论:近十年本地区农村妇女乳腺癌的发病率和病死率呈上升趋势。做好农村妇女的乳腺癌健康教育工作,提高妇女自我保健意识,对乳腺癌防治有重要意义。

Objective： To explore morbidity regularity of breast cancer among rural women in Fengkai, in order to provide scientific basis for prevention of breast cancer. Methods： A retrospective study was conducted in 367 rural women with breast cancer, who were admitted two hospitals from January 2002 to December 2011. According to the time, they were divided into group A , group B and group C, the incidence, mortality and risk factors of three groups were comparative analysis. Results：The incidence of breast cancer patients were 18. 75/100 thousand in group A, 25. 23/100 thousand in group B and 36. 20/100 thousand in group C, the growth rate were 2. 16% ,2. 36% and 2. 74% ;the mortality of breast cancer patients were 5. 75/100 thousand in group A,9. 55/100 thousand in group B and 15. 20/100 thousand in group C, the growth rate were 1.27%, 1.31% and 1.41%. Multi-factor Logistic regression analysis showed that the risk factors included BMI, exposure to harmful substances, passive smoking, wearing inappropriate bra and mental depression. Conclusion：The incidence and mortality of breast cancer among rural women were on the rise Do breast cancer health education and raise awareness of self-care were very important for breast cancer prevention.