Rural-Urban Disparity in Premature Cancer Mortality in Young People Aged 15-44 Years in China, 2004-2021.

IF 2.6 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

International Journal of Public Health Pub Date : 2025-02-12 eCollection Date: 2025-01-01 DOI:10.3389/ijph.2025.1608133

Chunrong Chen, Xing Xing, Shaojie Li, Bo Qu, Chunyu Liu, He Zhu

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引用次数: 0

Abstract

Objective: This study aims to examine and compare premature cancer mortality in young people aged 15-44 years old between rural and urban areas to inform early-onset cancer prevention.

Methods: The data were obtained from the China Death Surveillance Datasets from 2004 to 2021. The study sample consisted of cancer deaths of young people aged 15-44 years old. Age-standardized mortality rates (ASMRs) were calculated, and joinpoint regressions were used to examine trends in ASMRs.

Results: There were overall decreasing trends in ASMRs for all cancers in both rural and urban young people in China from 2004 to 2021. However, the decrease was relatively slower in rural areas, where ASMRs for pancreatic and ovarian cancers showed increasing trends. The five leading types of cancer deaths consistently remained liver, lung, leukemia, stomach, and other cancers in both rural and urban areas after 2013.

Conclusion: Our findings indicate that there were rural-urban disparities in cancer mortality in young people, which showed a different pattern compared to other age groups. More efforts are needed to develop effective early-onset cancer prevention strategies, with particular emphasis on liver cancer and rural areas.

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2004-2021年中国15-44岁青年早期癌症死亡率的城乡差异

目的：本研究旨在调查和比较农村和城市地区15-44岁年轻人的早发性癌症死亡率，为早发性癌症预防提供依据。方法：数据来源于2004 - 2021年中国死亡监测数据集。研究样本包括年龄在15-44岁之间因癌症死亡的年轻人。计算年龄标准化死亡率（ASMRs），并使用联合点回归来检查ASMRs的趋势。结果：从2004年到2021年，中国农村和城市年轻人所有癌症的asmr总体呈下降趋势。然而，农村地区的下降速度相对较慢，胰腺癌和卵巢癌的asmr呈上升趋势。2013年以后，在农村和城市地区，肝癌、肺癌、白血病、胃癌和其他癌症一直是癌症死亡的五大类型。结论：我们的研究结果表明，年轻人的癌症死亡率存在城乡差异，与其他年龄组相比，这种差异表现出不同的模式。需要作出更多努力，制定有效的早发性癌症预防战略，特别强调肝癌和农村地区。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.20

自引率

2.20%

发文量

269

审稿时长

12 months

期刊介绍： The International Journal of Public Health publishes scientific articles relevant to global public health, from different countries and cultures, and assembles them into issues that raise awareness and understanding of public health problems and solutions. The Journal welcomes submissions of original research, critical and relevant reviews, methodological papers and manuscripts that emphasize theoretical content. IJPH sometimes publishes commentaries and opinions. Special issues highlight key areas of current research. The Editorial Board''s mission is to provide a thoughtful forum for contemporary issues and challenges in global public health research and practice.