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Effectiveness of DTaP Against Pertussis in ≤2-Year-Old Children - Linyi Prefecture, Shandong Province, China, 2017-2019. 对百日咳的有效性DTaP≤2岁的孩子——临沂,山东,中国,2017 - 2019。
China CDC Weekly Pub Date : 2023-04-28 DOI: 10.46234/ccdcw2023.071
Pinpin Zhu, Dan Wu, Yan Wang, Xiaoxue Liu, Lance E Rodewald, Yixing Li, Hui Zheng, Lei Cao, Yifan Song, Li Song, Xiaodong Zhao, Jianyi Yao, Fuzhen Wang, Mingshuang Li, Qian Zhang, Tingting Yan, Zundong Yin
{"title":"Effectiveness of DTaP Against Pertussis in ≤2-Year-Old Children - Linyi Prefecture, Shandong Province, China, 2017-2019.","authors":"Pinpin Zhu,&nbsp;Dan Wu,&nbsp;Yan Wang,&nbsp;Xiaoxue Liu,&nbsp;Lance E Rodewald,&nbsp;Yixing Li,&nbsp;Hui Zheng,&nbsp;Lei Cao,&nbsp;Yifan Song,&nbsp;Li Song,&nbsp;Xiaodong Zhao,&nbsp;Jianyi Yao,&nbsp;Fuzhen Wang,&nbsp;Mingshuang Li,&nbsp;Qian Zhang,&nbsp;Tingting Yan,&nbsp;Zundong Yin","doi":"10.46234/ccdcw2023.071","DOIUrl":"https://doi.org/10.46234/ccdcw2023.071","url":null,"abstract":"<p><strong>What is already known about this topic?: </strong>Vaccine effectiveness (VE) is positively correlated with the number of administered co-purified diphtheria, tetanus, and acellular pertussis vaccine (DTaP) doses. A matched case-control study conducted in Zhongshan City revealed that the co-purified DTaP VE against pertussis-related illnesses in children aged 4-11 months was 42% for one dose, 88% for two doses, and 95% for three doses, respectively.</p><p><strong>What is added by this report?: </strong>The results of this study contribute to the current body of research. We found that the VE of co-purified DTaP against pertussis-related illness and hospitalization increased substantially, ranging from 24%-26% after one dose to 86%-87% after four doses.</p><p><strong>What are the implications for public health practice?: </strong>The results of this study underscore the significance of prompt and comprehensive immunization using co-purified DTaP to decrease the incidence of pertussis. Additionally, these findings offer evidence supporting the modification of China's pertussis vaccination approach.</p>","PeriodicalId":9867,"journal":{"name":"China CDC Weekly","volume":"5 17","pages":"374-378"},"PeriodicalIF":0.0,"publicationDate":"2023-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f3/df/ccdcw-5-17-374.PMC10184384.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9857947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Coverage of 13-Valent Pneumococcal Conjugate Vaccine Among Children 0-15 Months of Age - 9 Provinces, China, 2019-2021. 2019-2021年中国9个省份0-15月龄儿童13价肺炎球菌结合疫苗接种率
China CDC Weekly Pub Date : 2023-04-28 DOI: 10.46234/ccdcw2023.072
Lijun Liu, Zhaonan Zhang, Xixi Zhang, Changsha Xu, Yifan Song, Li Li, Jiakai Ye, Zhiguo Wang, Hui Liang, Weiyan Zhang, Ling Lin, Ning Li, Shujun Zhang, Qianli Ma, Wen Du, Yongzhuo Jiao, Lingsheng Cao, Qi Qi, Lei Cao, Wenzhou Yu
{"title":"Coverage of 13-Valent Pneumococcal Conjugate Vaccine Among Children 0-15 Months of Age - 9 Provinces, China, 2019-2021.","authors":"Lijun Liu,&nbsp;Zhaonan Zhang,&nbsp;Xixi Zhang,&nbsp;Changsha Xu,&nbsp;Yifan Song,&nbsp;Li Li,&nbsp;Jiakai Ye,&nbsp;Zhiguo Wang,&nbsp;Hui Liang,&nbsp;Weiyan Zhang,&nbsp;Ling Lin,&nbsp;Ning Li,&nbsp;Shujun Zhang,&nbsp;Qianli Ma,&nbsp;Wen Du,&nbsp;Yongzhuo Jiao,&nbsp;Lingsheng Cao,&nbsp;Qi Qi,&nbsp;Lei Cao,&nbsp;Wenzhou Yu","doi":"10.46234/ccdcw2023.072","DOIUrl":"https://doi.org/10.46234/ccdcw2023.072","url":null,"abstract":"<p><strong>What is already known on this topic?: </strong>Limited data exist regarding the coverage of the 13-valent pneumococcal conjugate vaccine (PCV13) in China. A lack of official statistics, coupled with an insufficient body of published literature, hinders the accurate depiction of the current situation.</p><p><strong>What is added by this report?: </strong>This study investigated the utilization of PCV13 and estimated its coverage in nine provinces across eastern, central, and western China between 2019 and 2021. Despite an annual increase in PCV13 usage during this period, the overall coverage remained suboptimal.</p><p><strong>What are the implications for public health practice?: </strong>Consideration should be given to incorporating vaccines into the Expanded Program of Immunization, reducing vaccine prices, and addressing the vaccination coverage gap between eastern and western regions when there is an adequate supply of PCV13, particularly with domestic vaccines.</p>","PeriodicalId":9867,"journal":{"name":"China CDC Weekly","volume":"5 17","pages":"379-384"},"PeriodicalIF":0.0,"publicationDate":"2023-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c3/03/ccdcw-5-17-379.PMC10184383.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9841128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Effectiveness of COVID-19 Vaccination Against SARS-CoV-2 Omicron Variant Infection and Symptoms - China, December 2022-February 2023. COVID-19疫苗对SARS-CoV-2组粒变异感染和症状的有效性——中国,2022年12月至2023年2月。
China CDC Weekly Pub Date : 2023-04-28 DOI: 10.46234/ccdcw2023.070
Di Fu, Guanhao He, Huanlong Li, Haomin Tan, Xiaohui Ji, Ziqiang Lin, Jianxiong Hu, Tao Liu, Jianpeng Xiao, Xiaofeng Liang, Wenjun Ma
{"title":"Effectiveness of COVID-19 Vaccination Against SARS-CoV-2 Omicron Variant Infection and Symptoms - China, December 2022-February 2023.","authors":"Di Fu,&nbsp;Guanhao He,&nbsp;Huanlong Li,&nbsp;Haomin Tan,&nbsp;Xiaohui Ji,&nbsp;Ziqiang Lin,&nbsp;Jianxiong Hu,&nbsp;Tao Liu,&nbsp;Jianpeng Xiao,&nbsp;Xiaofeng Liang,&nbsp;Wenjun Ma","doi":"10.46234/ccdcw2023.070","DOIUrl":"https://doi.org/10.46234/ccdcw2023.070","url":null,"abstract":"<p><strong>What is already known about this topic?: </strong>A considerable percentage of the population has received both primary and booster vaccinations, which could potentially provide protection against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Omicron infections and related symptoms.</p><p><strong>What is added by this report?: </strong>The self-reported infection rate, as determined from an online survey, reached its peak (15.5%) between December 19 and 21, 2022, with an estimated 82.4% of individuals in China being infected as of February 7, 2023. During the epidemic, the effectiveness of booster vaccinations against SARS-CoV-2 Omicron infection was found to be 49.0% within three months of vaccination and 37.9% between 3 and 6 months following vaccination. Furthermore, the vaccine effectiveness of the booster vaccination in relation to symptom prevention varied from 48.7% to 83.2% within three months and from 25.9% to 69.0% between 3 and 6 months post-booster vaccination.</p><p><strong>What are the implications for public health practice?: </strong>The development and production of efficacious vaccines, together with prompt vaccinations or emergency vaccinations, have the potential to mitigate the epidemic's impact and safeguard public health.</p>","PeriodicalId":9867,"journal":{"name":"China CDC Weekly","volume":"5 17","pages":"369-373"},"PeriodicalIF":0.0,"publicationDate":"2023-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3c/c7/ccdcw-5-17-369.PMC10184382.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9541358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Effects of Three Major Immunization Interventions on Measles Control - China, 1952-2021. 三大免疫干预措施对麻疹控制的影响——1952-2021年中国。
China CDC Weekly Pub Date : 2023-04-28 DOI: 10.46234/ccdcw2023.073
Quanwei Song, Chao Ma, Lixin Hao, Fuzhen Wang, Zhijie An, Zundong Yin, Huaqing Wang
{"title":"Effects of Three Major Immunization Interventions on Measles Control - China, 1952-2021.","authors":"Quanwei Song,&nbsp;Chao Ma,&nbsp;Lixin Hao,&nbsp;Fuzhen Wang,&nbsp;Zhijie An,&nbsp;Zundong Yin,&nbsp;Huaqing Wang","doi":"10.46234/ccdcw2023.073","DOIUrl":"https://doi.org/10.46234/ccdcw2023.073","url":null,"abstract":"Measles, an acute respiratory infectious disease caused by the measles virus, was responsible for millions of deaths annually before the introduction of the measles vaccine (MV) ( 1 ). Widespread availability of measles vaccines and the initiation of the Expanded Program on Immunization, approved at the 27th World Health Assembly in 1974 ( 2 ), have significantly improved global measles control. In China, measles has been","PeriodicalId":9867,"journal":{"name":"China CDC Weekly","volume":"5 17","pages":"385-390"},"PeriodicalIF":0.0,"publicationDate":"2023-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/65/db/ccdcw-5-17-385.PMC10184381.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9541362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Expectations of Improvement of Socioeconomic Status Throughout the Life Course as a Component for Promoting Fertility Intentions. 在整个生命过程中社会经济地位改善的期望是促进生育意愿的一个组成部分。
China CDC Weekly Pub Date : 2023-04-21 DOI: 10.46234/ccdcw2023.069
Chao Guo, Peisen Yang, Yuhan Mu
{"title":"Expectations of Improvement of Socioeconomic Status Throughout the Life Course as a Component for Promoting Fertility Intentions.","authors":"Chao Guo,&nbsp;Peisen Yang,&nbsp;Yuhan Mu","doi":"10.46234/ccdcw2023.069","DOIUrl":"https://doi.org/10.46234/ccdcw2023.069","url":null,"abstract":"The 33rd World Population Day focuses on the theme, “A World of 8 Billion: Toward a Resilient Future for All — Harnessing Opportunities and Ensuring Rights and Choices for All.” As the global population approaches 8 billion, the United Nations urges individuals to consider the implications for the future. The life course paradigm emphasizes that past, present, and future experiences are interconnected and mutually reinforcing, with individuals’ expectations and confidence in the future being influenced by previous and current behaviors and serving as important determinants of current decision-making (1). Within the context of an aging global population, childbearing represents the starting point and significant driver of a nation’s demographic development and structure. It is one of the most critical decisions in an individual’s life and involves long-term family planning. Fertility intentions, one of the key determinants of birth rates and demand for reproductive health services, are typically measured by the desired number of children (2). These intentions reflect sociocultural norms surrounding fertility and individuals’ perceptions of childbearing, often employed to summarize group differences in fertility conceptions and measure overall fertility levels. Fertility intentions are influenced not only by individuals’ current situation and family circumstances but also by their life course experiences and expectations for the future life course (3). Socioeconomic status (SES) serves as a multifaceted index encompassing factors such as income, occupation, and education. Research has identified SES as one of the main factors affecting fertility (4). An individual’s family SES during childhood, their current SES, and expectations for future SES can all impact their fertility intentions. THE IMPACT OF SES THROUGHOUT THE LIFE COURSE ON FERTILITY INTENTIONS","PeriodicalId":9867,"journal":{"name":"China CDC Weekly","volume":"5 16","pages":"365-367"},"PeriodicalIF":0.0,"publicationDate":"2023-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a5/72/ccdcw-5-16-365.PMC10182907.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9491198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Healthy Lifestyles and Chronic Pain with New-Onset Metabolic-Related Multimorbidity among Older Adults - China, 2011-2018. 中国老年人健康生活方式与慢性疼痛伴新发代谢相关多病的研究
China CDC Weekly Pub Date : 2023-04-21 DOI: 10.46234/ccdcw2023.068
Ziyang Ren, Yihao Zhao, Guanyu Niu, Xinyao Lian, Xiaoying Zheng, Shiyong Wu, Jufen Liu
{"title":"Healthy Lifestyles and Chronic Pain with New-Onset Metabolic-Related Multimorbidity among Older Adults - China, 2011-2018.","authors":"Ziyang Ren,&nbsp;Yihao Zhao,&nbsp;Guanyu Niu,&nbsp;Xinyao Lian,&nbsp;Xiaoying Zheng,&nbsp;Shiyong Wu,&nbsp;Jufen Liu","doi":"10.46234/ccdcw2023.068","DOIUrl":"https://doi.org/10.46234/ccdcw2023.068","url":null,"abstract":"<p><strong>What is already known about this topic?: </strong>Chronic pain has been identified as a risk factor for cardiovascular diseases. Evidence shows that adopting a healthy lifestyle can help reduce the cardiometabolic risks associated with chronic pain.</p><p><strong>What is added by this report?: </strong>Results from this cohort study suggest a positive association between chronic pain and the development of new-onset metabolic-related multimorbidity, specifically metabolic multimorbidity and cardiometabolic comorbidity, within middle-aged and older Chinese adults. Furthermore, adopting healthy lifestyles can potentially mitigate or even reverse these associations.</p><p><strong>What are the implications for public health practice?: </strong>The results of our study emphasize the importance of promoting healthy lifestyles among older Chinese adults as a preventative measure against the medical burdens and cardiometabolic risks associated with chronic pain.</p>","PeriodicalId":9867,"journal":{"name":"China CDC Weekly","volume":"5 16","pages":"358-364"},"PeriodicalIF":0.0,"publicationDate":"2023-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c0/d4/ccdcw-5-16-358.PMC10182906.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9491199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Parental and Social Factors' Contribution to Adverse Pregnancy Outcomes with Urban-Rural Disparities - Four Provinces, China, 2011-2020. 父母和社会因素对不良妊娠结局的影响及其城乡差异——中国四省,2011-2020。
China CDC Weekly Pub Date : 2023-04-21 DOI: 10.46234/ccdcw2023.067
Ning Zhang, Jianli Ye, Xiaoping Pan, Jilei Wu
{"title":"Parental and Social Factors' Contribution to Adverse Pregnancy Outcomes with Urban-Rural Disparities - Four Provinces, China, 2011-2020.","authors":"Ning Zhang,&nbsp;Jianli Ye,&nbsp;Xiaoping Pan,&nbsp;Jilei Wu","doi":"10.46234/ccdcw2023.067","DOIUrl":"https://doi.org/10.46234/ccdcw2023.067","url":null,"abstract":"<p><strong>What is already known about this topic?: </strong>The prevalence of adverse pregnancy outcomes (APOs) exhibits a disparity between urban and rural areas, which is commonly associated with various factors, such as demographic and socio-environmental factors. However, the specific contribution of each factor has not yet been elucidated.</p><p><strong>What is added by this report?: </strong>This study demonstrates that the primary factors contributing to urban-rural differences in the prevalence of APOs are population structure, parental age, parity, and regional development.</p><p><strong>What are the implications for public health practice?: </strong>Future prevention and control measures should be directed toward considering population structure and regional differences. Accurate interventions will enhance the efficiency of public health services.</p>","PeriodicalId":9867,"journal":{"name":"China CDC Weekly","volume":"5 16","pages":"353-357"},"PeriodicalIF":0.0,"publicationDate":"2023-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c3/a1/ccdcw-5-16-353.PMC10182909.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9469689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Burdens Attributable to Intimate Partner Violence in Women Aged 15 Years or Older - China, 1990-2019. 15岁及以上妇女因亲密伴侣暴力造成的负担——中国,1990-2019
China CDC Weekly Pub Date : 2023-04-21 DOI: 10.46234/ccdcw2023.066
Leiwen Fu, Tian Tian, Zhen Lu, Bingyi Wang, Xinyi Li, Weijie Zhang, Yanxiao Gao, Yinghui Sun, Huachun Zou
{"title":"Burdens Attributable to Intimate Partner Violence in Women Aged 15 Years or Older - China, 1990-2019.","authors":"Leiwen Fu,&nbsp;Tian Tian,&nbsp;Zhen Lu,&nbsp;Bingyi Wang,&nbsp;Xinyi Li,&nbsp;Weijie Zhang,&nbsp;Yanxiao Gao,&nbsp;Yinghui Sun,&nbsp;Huachun Zou","doi":"10.46234/ccdcw2023.066","DOIUrl":"https://doi.org/10.46234/ccdcw2023.066","url":null,"abstract":"<p><strong>What is already known about this topic?: </strong>Intimate partner violence (IPV) represents a significant global public health concern.</p><p><strong>What is added by this report?: </strong>The burden of HIV/AIDS related to IPV demonstrated an upward trend from 1990 to 2019, exhibiting an annual growth of 4.66% in age-standardized death rates (ASDR) and 4.42% in age-standardized disability-adjusted life years (DALYs) rates. Notably, the age groups 30-34 and 50-54 experienced a higher IPV burden compared to other age groups.</p><p><strong>What are the implications for public health practice?: </strong>There is a pressing need for public health policymakers to develop efficacious interventions aimed at bolstering the surveillance and prevention of IPV targeted at women in China.</p>","PeriodicalId":9867,"journal":{"name":"China CDC Weekly","volume":"5 16","pages":"347-352"},"PeriodicalIF":0.0,"publicationDate":"2023-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/24/51/ccdcw-5-16-347.PMC10182908.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9491202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Breast Cancer Screening Coverage - China, 2018-2019. 乳腺癌筛查覆盖-中国,2018-2019
China CDC Weekly Pub Date : 2023-04-14 DOI: 10.46234/ccdcw2023.062
Mei Zhang, Heling Bao, Xiao Zhang, Zhengjing Huang, Zhenping Zhao, Chun Li, Maigeng Zhou, Jing Wu, Limin Wang, Linhong Wang
{"title":"Breast Cancer Screening Coverage - China, 2018-2019.","authors":"Mei Zhang,&nbsp;Heling Bao,&nbsp;Xiao Zhang,&nbsp;Zhengjing Huang,&nbsp;Zhenping Zhao,&nbsp;Chun Li,&nbsp;Maigeng Zhou,&nbsp;Jing Wu,&nbsp;Limin Wang,&nbsp;Linhong Wang","doi":"10.46234/ccdcw2023.062","DOIUrl":"https://doi.org/10.46234/ccdcw2023.062","url":null,"abstract":"<p><strong>What is already known about this topic?: </strong>In 2015, only 18.9% of adult women underwent breast cancer screening in China.</p><p><strong>What is added by this report?: </strong>Breast cancer screening coverage for women aged 20 years and above in China reached 22.3% during 2018-2019. Women with lower socioeconomic status had lower screening coverage. There were significant variations across the provincial-level administrative divisions.</p><p><strong>What are the implications for public health practice?: </strong>The promotion of breast cancer screening requires the maintenance of national and local policies, as well as financial support for screening services. In addition, there is a need for the strengthening of health education and the improvement of accessibility to health services.</p>","PeriodicalId":9867,"journal":{"name":"China CDC Weekly","volume":"5 15","pages":"321-326"},"PeriodicalIF":0.0,"publicationDate":"2023-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/05/91/ccdcw-5-15-321.PMC10182912.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9479088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Trends in Incidence Rates, Mortality Rates, and Age-Period-Cohort Effects of Female Breast Cancer - China, 2003-2017. 2003-2017年中国女性乳腺癌发病率、死亡率和年龄-时期-队列效应的趋势。
China CDC Weekly Pub Date : 2023-04-14 DOI: 10.46234/ccdcw2023.065
Kexin Sun, Lin Lei, Rongshou Zheng, Siwei Zhang, Hongmei Zeng, Shaoming Wang, Li Li, Ru Chen, Bingfeng Han, Ji Peng, Wenqiang Wei, Jie He
{"title":"Trends in Incidence Rates, Mortality Rates, and Age-Period-Cohort Effects of Female Breast Cancer - China, 2003-2017.","authors":"Kexin Sun, Lin Lei, Rongshou Zheng, Siwei Zhang, Hongmei Zeng, Shaoming Wang, Li Li, Ru Chen, Bingfeng Han, Ji Peng, Wenqiang Wei, Jie He","doi":"10.46234/ccdcw2023.065","DOIUrl":"10.46234/ccdcw2023.065","url":null,"abstract":"<p><strong>Introduction: </strong>This study reported the trends in female breast cancer incidence and mortality rates in China, and analyzed the corresponding age-period-cohort effects.</p><p><strong>Methods: </strong>Data from 22 population-based cancer registries in China between 2003 and 2017 were analyzed. Age-standardized incidence rates (ASIR) and mortality rates (ASMR) were calculated using Segi's world standard population. Joinpoint regression was employed to evaluate trends, and age-period-cohort effects were examined using the intrinsic estimator method.</p><p><strong>Results: </strong>The ASIR for female breast cancer exhibited a more rapid increase in rural areas compared to urban areas across all age groups. The most substantial increase was observed in the 20-34 age group in rural areas [annual percent change (APC)=9.0%, 95% confidence interval (<i>CI</i>): 7.0%-11.0%, <i>P</i><0.001]. The ASMR for females under 50 years old remained stable from 2003 to 2017 in both urban and rural areas. However, the ASMR for females over 50 in rural areas and those over 65 in urban areas demonstrated a significant increase, with the most pronounced increase observed among females over 65 in rural areas (APC=4.9%, 95% <i>CI</i>: 2.8%-7.0%, <i>P</i><0.001). Age-period-cohort analysis revealed increasing period effects and decreasing cohort effects for female breast cancer incidence and mortality rates in both urban and rural settings. Notably, the cohort effect for incidence displayed a slight upward trend for females born between 1983 and 1992 in rural areas.</p><p><strong>Conclusions: </strong>Our study revealed a rapid increase in breast cancer incidence among younger generations and an accelerated mortality rate in older populations residing in rural areas. To effectively address the growing burden of female breast cancer in China, it is essential to develop and implement targeted intervention strategies.</p>","PeriodicalId":9867,"journal":{"name":"China CDC Weekly","volume":"5 15","pages":"340-346"},"PeriodicalIF":0.0,"publicationDate":"2023-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c4/e3/ccdcw-5-15-340.PMC10182910.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9486372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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