w*p
发帖数: 16484 | 1 超过90%都是因为乙肝或者丙肝
Attributable causes of liver cancer mortality and incidence in china.
Fan JH1, Wang JB, Jiang Y, Xiang W, Liang H, Wei WQ, Qiao YL, Boffetta P.
Author information
Abstract
OBJECTIVES:
To estimate the proportion of liver cancer cases and deaths due to infection
with hepatitis B virus (HBV), hepatitis C virus (HCV), aflatoxin exposure,
alcohol drinking and smoking in China in 2005.
STUDY DESIGN:
Systemic assessment of the burden of five modifiable risk factors on the
occurrence of liver cancer in China using the population attributable
fraction.
METHODS:
We estimated the population attributable fraction of liver cancer caused by
five modifiable risk factors using the prevalence data around 1990 and data
on relative risks from meta-analyses, and large-scale observational studies.
Liver cancer mortality data were from the 3rd National Death Causes Survey,
and data on liver cancer incidence were estimated from the mortality data
from cancer registries in China and a mortality/incidence ratio calculated.
RESULTS:
We estimated that HBV infection was responsible for 65.9% of liver cancer
deaths in men and 58.4% in women, while HCV was responsible for 27.3% and 28
.6% respectively. The fraction of liver cancer deaths attributable to
aflatoxin was estimated to be 25.0% for both men and women. Alcohol drinking
was responsible for 23.4% of liver cancer deaths in men and 2.2% in women.
Smoking was responsible for 18.7% and 1.0% . Overall, 86% of liver cancer
mortality and incidence (88% in men and 78% in women) was attributable to
these five modifiable risk factors.
CONCLUSIONS:
HBV, HCV, aflatoxin, alcohol drinking and tobacco smoking were responsible
for 86% of liver cancer mortality and incidence in China in 2005. Our
findings provide useful data for developing guidelines for liver cancer
prevention and control in China and other developing countries. |
B*Q
发帖数: 25729 | |
w*p
发帖数: 16484 | 3 而且农村和西部肝癌更严重，主要是肝炎疫苗接种比例太低。
Liver cancer incidence and mortality in China: Temporal trends and
projections to 2030
Temporal trends and projections of liver cancer to 2030
Chin J Cancer Res. 2018 Dec; 30(6): 571–579.
Objective
Liver cancer is one of the most common cancers and major cause of cancer
deaths in China, which accounts for over 50% of new cases and deaths
worldwide. The systematic liver cancer statistics including of projection
through 2030 could provide valuable information for prevention and control
strategies in China, and experience for other countries.
Methods
The burden of liver cancer in China in 2014 was estimated using 339 cancer
registries’ data selected from Chinese National Cancer Center (NCC).
Incident cases of 22 cancer registries were applied for temporal trends from
2000 to 2014. The burden of liver cancer through 2030 was projected using
age-period-cohort model.
Results
About 364,800 new cases of liver cancer (268,900 males and 95,900 females)
occurred in China, and about 318,800 liver cancer deaths (233,500 males and
85,300 females) in 2014. Western regions of China had the highest incidence
and mortality rates. Incidence and mortality rates decreased by about 2.3%
and 2.6% per year during the period of 2000−2014, respectively, and
would decrease by more than 44% between 2014 and 2030 in China. The young
generation, particularly for those aged under 40 years, showed a faster down
trend.
Conclusions
Based on the analysis, incidence and mortality rates of liver cancer are
expected to decrease through 2030, but the burden of liver cancer is still
serious in China, especially in rural and western areas. Most cases of liver
cancer in China can be prevented through vaccination and more prevention
efforts should be focused on high risk groups. |
f*****n
发帖数: 189 | 4 对，有的一家就出好几个
infection
,
【在 w*p 的大作中提到】
: 超过90%都是因为乙肝或者丙肝
: Attributable causes of liver cancer mortality and incidence in china.
: Fan JH1, Wang JB, Jiang Y, Xiang W, Liang H, Wei WQ, Qiao YL, Boffetta P.
: Author information
: Abstract
: OBJECTIVES:
: To estimate the proportion of liver cancer cases and deaths due to infection
: with hepatitis B virus (HBV), hepatitis C virus (HCV), aflatoxin exposure,
: alcohol drinking and smoking in China in 2005.
: STUDY DESIGN:
|
w*p
发帖数: 16484 | 5 吃饭用筷子在一个碗里吃，口水传播乙肝病毒
【在 B*Q 的大作中提到】
: 中国为啥多？
: 文虫？
|
h****g
发帖数: 11365 | 6 基因问题？
就像流感，我来美国以后好像从来没打过疫苗。就算感冒也很快就好。
【在 B*Q 的大作中提到】
: 中国为啥多？
: 文虫？
|
T****i
发帖数: 15191 | 7 国内环境脏，免疫系统疲于奔命，所以容易中招。
【在 h****g 的大作中提到】
: 基因问题？
: 就像流感，我来美国以后好像从来没打过疫苗。就算感冒也很快就好。
|
W*****B
发帖数: 4796 | 8 乙肝基本不通过消化道传播
【在 w*p 的大作中提到】
: 吃饭用筷子在一个碗里吃，口水传播乙肝病毒
|
W*****B
发帖数: 4796 | 9 环境脏反而免疫系统得到锻炼，不容易发生各种过敏，自身免疫病
美国这边到处是花粉，面筋，花生过敏
【在 T****i 的大作中提到】
: 国内环境脏，免疫系统疲于奔命，所以容易中招。
|
T*********s
发帖数: 20444 | 10 你怎么可以用过敏反党
【在 W*****B 的大作中提到】
: 环境脏反而免疫系统得到锻炼，不容易发生各种过敏，自身免疫病
: 美国这边到处是花粉，面筋，花生过敏
|
|
|
O**********g
发帖数: 3962 | 11 一看就知道是文盲，乙肝是性病。成年人是通过性交传播。
: 吃饭用筷子在一个碗里吃，口水传播乙肝病毒
【在 w*p 的大作中提到】
: 吃饭用筷子在一个碗里吃，口水传播乙肝病毒
|
B*Q
发帖数: 25729 | 12 这说不通啊
米弟多才对
[在 OneFlyingPig (time) 的大作中提到：]
:一看就知道是文盲，乙肝是性病。成年人是通过性交传播。
:<br>: 吃饭用筷子在一个碗里吃，口水传播乙肝病毒
:<br> |
F**0
发帖数: 5004 | |
O**********g
发帖数: 3962 | 14 那是因为中国很多是儿童就被传染的，母婴传染以前比较多。
成年之后，只有两个传染途径，一是血液，二是性交。乙肝病毒穿透力强，带套都没用
，男人的精液和女人的分泌液都会传播乙肝。
乙肝的好处是可以打预防针产生抗体，一部分人的抗体是终身有效的，发达国家预防针
普及，所以滥交也不会导致大规模传播。
连接吻都不可能传染乙肝，别说吃饭了。
: 这说不通啊
: 米弟多才对
: [在 OneFlyingPig (time) 的大作中提到：]
: :一看就知道是文盲，乙肝是性病。成年人是通过性交传播。
: :
【在 B*Q 的大作中提到】
: 这说不通啊
: 米弟多才对
: [在 OneFlyingPig (time) 的大作中提到：]
: :一看就知道是文盲，乙肝是性病。成年人是通过性交传播。
: :<br>: 吃饭用筷子在一个碗里吃，口水传播乙肝病毒
: :<br>
|
k**y
发帖数: 2 | 15 真尼玛文盲。乙肝和艾滋病的传染途径是一样的
【在 w*p 的大作中提到】
: 吃饭用筷子在一个碗里吃，口水传播乙肝病毒
|
h****g
发帖数: 11365 | 16 那为什么老外对流感都是如临大敌，一下就起不来了。
【在 T****i 的大作中提到】
: 国内环境脏，免疫系统疲于奔命，所以容易中招。
|
N*******e
发帖数: 580 | 17 有很多地方肝炎病毒携带率高但是肝癌不高发
可能还有其他因素，比如水污染、食物发霉黄曲霉素等等 |
g****y
发帖数: 72 | 18 从流行病学看中国的乙肝通过吃饭接触传染的很多。真实病例，母亲乙肝抗体阳性，几
个孩子或者乙肝抗体阳性，或者病毒携带。说明没有经过母婴传染，全部后天接触感染
。抵抗力强的就抗体阳性，弱的就病毒携带了。如果没有普通接触传染，乙肝病人就不
需要隔离了。 |
m***n
发帖数: 12188 | 19 很简单
喝酒太多
中国人均酒精摄入量基本是世界第一或者第二，即使在文革时期也是如此。而传说的俄
罗斯只是在90年代前期短暂达到中国的水平，很快就掉到不到中国人均的一半了。
酒精肝 ＋ 脂肪肝 ＋ 乙肝 ＝ 肝癌
前三个因素一起促成第四的出现 |
