Lung Cancer Mortality in China: Spatial and Temporal Trends Among Subpopulations.

作者: Ning Wang , Kerrie Mengersen , Shilu Tong , Michael Kimlin , Maigeng Zhou

DOI: 10.1016/J.CHEST.2019.07.023

关键词: Joinpoint regressionSeasonal decompositionOddsLung cancerChinaPsychological interventionDemographyMedicineMortality rateProvincial capital

摘要: Background : This study aimed to identify changing spatial and temporal trends of lung cancer mortality rates (LCMRs) among subpopulations in China (according region, age, sex). Methods Data on LCMRs from 2006 2015 were extracted the Chinese National Death Surveillance. Joinpoint regression seasonal decomposition used assess trends. A geographic information system kriging interpolation examine Results men aged 30 49 years significantly declined nationally 2009 (annual percentage change, –2.7%; P < .05), but they continued rise ≥ 70 women 50 east, people 69 south, most groups southwest. Among provincial capital cities, Shenyang, Changsha, Hohhot had highest 10-year average LCMR for years, respectively; all ages women, Harbin LCMR. Over 10 odds increases decreased by 3% 7% with longitudes or latitudes increasing 1° (ORs ranged 0.93 [95% CI, 0.90-0.95) 0.97 0.95-0.99]). Conclusions Disparities highlight need investigation into potential drivers, especially southwest China. These findings may help health authorities target interventions those reduce burden

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