Rising incidence of oral cancer in Ahmedabad city
Rising incidence of oral cancer in Ahmedabad city
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DOI：
10.4103/0019-509x.147476
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发表时间：
2014-12-01
影响因子：
1
通讯作者：
Sinha, D. N.
中科院分区：
文献类型：
--
作者：
Gupta, P. C.;Ray, C. S.;Sinha, D. N.
内容：据报告，1999年，阿赫梅达巴德城市青年男子（< 50岁）口腔癌发病率增加，沿着的是老年人口腔癌发病率下降，以及古吉拉特青年男子中与食用槟榔有关的口腔粘膜下纤维变性发病率增加。目的是调查1990年代开始在年轻男子中出现的口腔癌发病率的增加是否仍在继续。设置和设计：阿赫梅达巴德城市人口，比较四个时期人口中报告的口腔癌病例。研究方法：从1985年、1995年、2007年和2010年发表的报告中提取了阿赫梅达巴德市年龄≥ 15岁男性中5岁年龄组的口腔癌特异性发病率（国际疾病分类[ICD]-9：143 -5; ICD-10：C 03 -06）。为了进行比较，还提取了肺癌（ICD-9：169; ICD-10：C33-C34）发生率。使用的统计分析：队列方法用于进一步分析口腔癌发病率。计算并比较年龄≥ 15岁男性的年龄校正口腔癌和肺癌发病率。结果：在25年的时间里，男性口腔癌的年龄特异性发病率增加，而肺癌的发病率则呈净下降趋势。使用队列的方法口腔癌，在年轻的年龄cohols. Conclusions：口腔癌的发病率显着增加，男性在城市阿赫梅达巴德之间的1985年和2010年，显然是由于槟榔产品，mawa和gutka的消费量增加。古特卡现在已经在印度各地被禁止，但更有力的实施是必要的。
Context: In 1999, an increase in mouth cancer incidence among young men (< 50 years) in urban Ahmedabad was reported to be occurring along with decreasing mouth cancer incidence in older age groups and increasing oral submucous fibrosis incidence associated with areca nut consumption among young men in Gujarat. The aim was to investigate whether the increase in the incidence mouth cancer that had started among young men in the 1990s was continuing. Settings and Design: Ahmedabad urban population, comparison of reported mouth cancer cases in the population across four time period. Methods: Age-specific incidence rates of mouth cancer (International Classification of Diseases [ICD]-9:143-5; ICD-10:C03-06) in five year age groups among men aged >= 15 years for the city of Ahmedabad for years 1985, 1995, 2007 and 2010 were extracted from published reports. For comparison, lung cancer (ICD-9:169; ICD-10:C33-C34) rates were also abstracted. Statistical Analysis Used: A cohort approach was used for further analysis of mouth cancer incidence. Age adjusted incidence rates of mouth and lung cancer for men aged >= 15 years were calculated and compared. Results: The age specific incidence rates of mouth cancer among men increased over the 25-year period while lung cancer rates showed a net decrease. Using a cohort approach for mouth cancer, a rapid increase in younger age cohorts was found. Conclusions: Mouth cancer incidence increased markedly among men in urban Ahmedabad between 1985 and 2010, apparently due to increasing consumption of areca nut products, mawa and gutka. Gutka has now been banned all over India, but a more vigorous implementation is necessary.