DOI QR코드

DOI QR Code

Geographic Distribution and Epidemiology of Lung Cancer During 2011 in Zhejiang Province of China

  • Lin, Xia-Lu (Medical School of Ningbo University, Zhejiang Provincial Key Laboratory of Pathological and Physiological Technology) ;
  • Chen, Yan (Public Health School of Zhejiang University, Hangzhou Red Cross Hospital) ;
  • Gong, Wei-Wei (Zhejiang Provincial Center for Disease Control and Prevention) ;
  • Wu, Zhao-Fan (School of Public Health, Fudan University) ;
  • Zou, Bao-Bo (Medical School of Ningbo University, Zhejiang Provincial Key Laboratory of Pathological and Physiological Technology) ;
  • Zhao, Jin-Shun (Medical School of Ningbo University, Zhejiang Provincial Key Laboratory of Pathological and Physiological Technology) ;
  • Gu, Hua (Zhejiang Provincial Center for Disease Control and Prevention) ;
  • Jiang, Jian-Min (Zhejiang Provincial Center for Disease Control and Prevention)
  • 발행 : 2014.07.15

초록

Background: To explore etiology for providing scientific clues for the prevention of lung cancer. Materials and Methods: Data for lung cancer incidence and meteorological geographic factors from 25 counties in Zhejiang province of China during 2011 were studied. Stepwise multiple regression and correlation analysis were performed to analyze the geographic distribution and epidemiology of lung cancer. Results: 8,291 new cases (5,998 in males and 2,293 females) of lung cancer during 2011 in Zhejiang province were reported in the 25 studied counties. Reported and standardized incidence rates for lung cancer were 58.0 and 47.0 per 100,000 population, respectively. The incidence of lung cancer increased with age. Geographic distribution analysis shows that the standardized incidence rates of lung cancer in northeastern Zhejiang province were higher than in the southwestern part, such as in Nanhu, Fuyang, Wuxing and Yuyao counties, where the rates were more than 50 per 100,000 population. In the southwestern Zhejiang province, for instance, in Yueqing, Xianju and Jiande counties, the standardized incidence rates of lung cancer were lower than 37 per 100,000 population. Spearman correlation tests showed that forest coverage rate, air quality index (AQI), and annual precipitation level are associated with the incidence of lung cancer. Conclusions: Lung cancer in Zhejiang province shows obvious regional differences. High incidence appears associated with low forest coverage rate, poor air quality and low annual precipitation. Therefore, increasing the forest coverage rate and controlling air pollution may play an important role in lung cancer prevention.

키워드

참고문헌

  1. Ahari SS, Agdam FB, Amani F, et al (2013). Analysis of the relationships between esophageal cancer cases and climatic factors using a geographic information system (GIS): a case study of Ardabil province in Iran. Asian Pac J Cancer Prev, 14, 2071-7. https://doi.org/10.7314/APJCP.2013.14.3.2071
  2. Ahsan H, Thomas DC (2004). Lung cancer etiology: independent and joint effects of genetics, tobacco, and arsenic. JAMA, 292, 3026-9. https://doi.org/10.1001/jama.292.24.3026
  3. Alberg AJ, Samet JM (2003). Epidemiology of lung cancer. Chest, 123, 21-49. https://doi.org/10.1378/chest.123.1_suppl.21S
  4. Alberg A J, Wallace K, Silvestri G A, Brock M V (2013). Invited commentary: the etiology of lung cancer in men compared with women. Am J Epidemiol, 177, 613-6. https://doi.org/10.1093/aje/kws444
  5. Babacan N A, Yucel B, Kilickap S, et al (2014). Lung cancer in women: a single institution experience with 50 patients. Asian Pac J Cancer Prev, 15, 151-4. https://doi.org/10.7314/APJCP.2014.15.1.151
  6. Bhaskarapillai B, Kumar SS, Balasubramanian S (2012). Lung cancer in Malabar cancer center in Kerala--a descriptive analysis. Asian Pac J Cancer Prev, 13, 4639-43. https://doi.org/10.7314/APJCP.2012.13.9.4639
  7. Cao J, Yang C, Li J, et al (2011). Association between long-term exposure to outdoor air pollution and mortality in China: a cohort study, J Hazard Mater, 186, 1594-600. https://doi.org/10.1016/j.jhazmat.2010.12.036
  8. Crawford TV, Mcgrowder DA, Barnett JD, et al (2012). Tobacco-related chronic illnesses: A public health concern for Jamaica. Asian Pac J Cancer Prev, 13, 4733-8. https://doi.org/10.7314/APJCP.2012.13.9.4733
  9. Demirci E, Daloglu F, Gundogdu C, et al (2013). Incidence and clinicopathologic features of primary lung cancer: a North-Eastern Anatolia region study in Turkey (2006-2012). Asian Pac J Cancer Prev, 14, 1989-93. https://doi.org/10.7314/APJCP.2013.14.3.1989
  10. Hajmanoochehri F, Mohammadi N, Zohal M A, et al (2014). Epidemiological and clinicopathological characteristics of lung cancer in a teaching hospital in Iran. Asian Pac J Cancer Prev, 15, 2495-500. https://doi.org/10.7314/APJCP.2014.15.6.2495
  11. Jemal A, Bray F, Forman D, et al (2012). Cancer burden in Africa and opportunities for prevention. Cancer, 118, 4372-84. https://doi.org/10.1002/cncr.27410
  12. Katayama K, Yokoyama K, Yako-Suketomo H, et al (2014). Breast cancer clustering in Kanagawa, Japan: a geographic analysis. Asian Pac J Cancer Prev, 15, 455-60. https://doi.org/10.7314/APJCP.2014.15.1.455
  13. Lu Y, Hu X, Zhao J (2003). Jiangsu province lung cancer deaths and air pollution analyed by geographic information systems. China Cancer, 12, 373-7.
  14. Luqman M, Javed MM, Daud S, et al (2014). Risk factors for lung cancer in the Pakistani population. Asian Pac J Cancer Prev, 15, 3035-9. https://doi.org/10.7314/APJCP.2014.15.7.3035
  15. Mao W, Shu Y, Chen W (2002 ). The trend on morbidity and mortality of lung cancer during recent 30 years in Zhejiang province. Bull Chinese Cancer, 11, 216-7.
  16. Mao W, Shu Y, Chen W (2006). Lung cancer incidence and mortality trends in the past 30 years in Zhejiang Province. China Cancer, 4, 216-7.
  17. Phukan RK, Saikia BJ, Borah PK, et al (2014). Role of household exposure, dietary habits and glutathione s-transferases M1, T1 polymorphisms in susceptibility to lung cancer among women in Mizoram India. Asian Pac J Cancer Prev, 15, 3253-60. https://doi.org/10.7314/APJCP.2014.15.7.3253
  18. Raaschou-Nielsen O, Andersen ZJ, Hvidberg M, et al (2011). Lung cancer incidence and long-term exposure to air pollution from traffic. Environ Health Perspect, 119, 860-5. https://doi.org/10.1289/ehp.1002353
  19. Shah SA, Neoh HM, Rahim SS, et al (2014). Spatial analysis of colorectal cancer cases in Kuala Lumpur. Asian Pac J Cancer Prev, 15, 1149-54. https://doi.org/10.7314/APJCP.2014.15.3.1149
  20. Shen Y, Yu X, Xu X (2006). Haining air quality and lung cancer incidence. China Cancer. 10, 10-3.
  21. Wu W, Yin ZH, Guan P, et al (2014). Association of oral contraceptives use and lung cancer risk among women: an updated meta-analysis based on cohort and case-control studies. Asian Pac J Cancer Prev, 15, 1205-10. https://doi.org/10.7314/APJCP.2014.15.3.1205
  22. Zeng H, Zheng R, Zhang S, et al (2008). Lung cancer incidence and mortality in China. Thoracic Cance, 4, 53-8.
  23. Zeng H, Zheng R, Zhang S, et al (2013). 'Lung cancer incidence and mortality in China. Thoracic Cancer, 9, 53-8.
  24. Zhang Z L, Sun J, Dong JY, et al (2012). Residential radon and lung cancer risk: an updated meta- analysis of case-control studies. Asian Pac J Cancer Prev, 13, 2459-65. https://doi.org/10.7314/APJCP.2012.13.6.2459

피인용 문헌

  1. Association of a p53 Codon 72 Gene Polymorphism with Environmental Factors and Risk of Lung Cancer: a Case Control Study in Mizoram and Manipur, a High Incidence Region in North East India vol.15, pp.24, 2015, https://doi.org/10.7314/APJCP.2014.15.24.10653