南京高校教职工近10年恶性肿瘤发病情况研究

Research on Incidence of Malignant Tumor Among Teachers and Staff Members at Universities in Nanjing During the Last Ten Years

目的了解南京高校教职工恶性肿瘤发病情况,为该特定人群恶性肿瘤发病规律和防治研究提供线索。方法收集南京2所高校2003-2012年恶性肿瘤发病情况的监测数据,病例按照国际疾病分类(ICD-10)进行编码,分析恶性肿瘤的发病率、年龄及时间趋势、肿瘤种类构成情况。结果近10年期间,2所高校恶性肿瘤总的平均年发病率为424.49/10万;A高校年发病率为452.98/10万,B高校年发病率为387.15/10万,差异有统计学意义(χ2=3.710,p<0.05)。A高校男性恶性肿瘤年发病率明显高于女性,差异有统计学意义(χ2=25.08,p<0.01);B高校男、女性之间恶性肿瘤年发病率比较,差异无统计学意义(χ2=3.54,p>0.05)。2所高校发病率居前4位的恶性肿瘤为肺癌、肠癌、前列腺癌、乳腺癌。2003年2所高校教职工发病率为284.96/10万,2012年上升至550.26/10万。结论近年来恶性肿瘤发病率呈上升趋势,已对高校教职工的健康造成严重危害,应针对肺癌、肠癌、前列腺癌、乳腺癌等主要肿瘤进行综合防治。

Objective To have knowledge about the incidence of malignant tumor among teachers and staff members at universities in Nanjing so as to provide clues for researches on incidence regularity and prevention of malignant tumor in specific population. Method Monitoring data on incidence of malignant tumor among two universities in Nanjing from 2003 to 2012 were collected, the cases were encoded in light of international classification of diseases （ICD-10）, and incidence rate, age, time trend and species composition of the malignant tumor were analyzed. Results Generally, annual mean incidence rate of malignant tumor among two universities in Nanjing was 424.49/100 000 during the last ten years; annual incidence rate in University A was 452. 98/100 000 while that in University B was 387. 15/100 000, and the differences were statistically significant （X^2= 3. 710, p〈0. 05）. Annual incidence rate of malignam tumor in the male at University A was significantly higher than the female, and the differences were statistically sig nificant （X^2= 25.08, p〈0.01）, There was no statistically significant difference in annual incidence rate of malignant tumor between the male and female at University B （X^2=3.54,p〉0.05）. Malignant tumors with incidence rate rank ing in the top four at the two universities were lung cancer, eolorectal cancer, prostate cancer and breast cancer. Inci dence rate in teachers and staff members at the two universities in 2003 was 284.96/100 000, which was increased to 550.26/100 000 in 2012. Conclusion Incidence rate of malignant tumor shows an increasing tendency in recent years, which has harmed the health of teachers and staff members in universities,so integrated prevention and control measures shall be taken to fight principal tumors such as lung cancer,colorectal cancer, prostate cancer and breast cancer.