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題名:臺灣地區肝癌、肺癌、胃癌多重危險因子之世代研究
書刊名:中華公共衛生雜誌
作者:王琪珍藍忠孚陳建仁
出版日期:1994
卷期:13:4
頁次:頁308-314
主題關鍵詞:世代研究多重危險因子肝癌肺癌胃癌Cohort studyMultiple risk factorsLiver cancerLung cancerStomach cancer
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(4) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:4
  • 共同引用共同引用:0
  • 點閱點閱:29
     癌症是臺灣地區居民的首要死因,而肝癌、肺癌、胃癌更佔癌症死亡的前三位。 為瞭解這三大癌症的多重危險因子, 本研究乃於 1982-1986 年間,自臺灣省十二個鄉鎮區 收案 13910 名男性成人居民,進行長期追蹤研究。 以結構式問卷及標準化訪視,收集研究 對象之社會人口學特徵,抽煙、喝酒及飲食習慣等危險因子資料,並且採取血液進行B型肝 炎表面抗原的檢驗。研究對象之存活及罹病狀況,則以電話或家戶訪視、戶籍死亡資料查核 等方法追蹤獲得。 Cox 複迴歸分析結果顯示:平均每天抽煙 11-20 支及 21 支以上者, 得肺癌的相對危險性 分別是不抽煙者的 4.13 及 5.67 倍。平均每天飲用酒精多於 50cc 者,罹患肝癌的相對危 險性是 50cc 以下者的 3.54 倍;HBsAg 陽性者,得肝癌相對危險性是陰性者的 13.7 倍; 平圴每週進食黃綠色蔬菜六餐以下者,得肝癌的相對危險性是六餐以上者的 3.16 倍。抽煙 26 包年以上者,得胃癌的相對危險性是不抽煙者的 3.06 倍。
     The non-infectious diseases has become one of the most important public health problems for their rapid increase in mortality rates. Malignant neoplasm is the leading cause of deaths in Taiwan, and cancers of liver, lung, stomach are three major cancers for man. This cohort study was carried out to explore multiple risk factors of these three cancers. Study subjects of the cohort included 13,910 men who were recruited from 12 precincts and townships in Taiwan and had been followed up for five to eight years. A structured questionnaire was used to collect the infor- mation on risk factors including demographic characteristics, cigarette smoking, alcohol drinking and dietary habits. The information on the deaths from cause of the cohort was obtained from telephone interviews, household registry and death certification system. Analysis based on Cox's proportional hazard models showed that the relative risks of developing lung cancer for those who smoked 11-20 and >20 cigarettes per day were 4.13 and 5.67, respectively, compared with non-smokers. The relative risks of developing liver cancer were 3.54 for those who drank alcohol > 50cc daily com-pared with non-drinkers; 13.7 for HBsAg-positives compared with HBsAg-negative; 3.21 for those who consumed vegetable for less than six meales per week compared with those who consumed vegetable more than six meals; and 3.16 for those who had a vegetarian habit for > 10 years compared with those who had no vegetarian habit. The relative risk of developing stomach cancer was 3.06 for those who smoked 26 pack-years of cigarettes compared with non-smokers.
期刊論文
1.Chen, Chien‐Jen、Liang, Kung‐Yee、Chang, Ah‐Seng、Chang, Yo‐Chi、Lu, Sheng‐Nan、Liaw, Yun‐Fan、Chang, Wen‐Yu、Sheen, Maw‐Chang、Lin, Tong‐Ming(1991)。Effects of Hepatitis B Virus, Alcohol Drinking, Cigarette Smoking and Familial Tendency on Hepatocellular Carcinoma。Hepatology,13(3),398-406。  new window
2.Kono, Suminori、Ikada, Masato(1987)。Cigarette smoking, alcohol and cancer mortality: A cohort study of male Japanese physicians。Int J cancer,78,1323-1328。  new window
3.Oshima, Akira、Tsukuma, Hideaki(1984)。Follow-up study of Hbs Ag-positive blood donors with special reference to effect of liver cancer。Int J cancer,34,775-779。  new window
4.Schoenberg, J. B.(1990)。Case-control study of residential random and lung cancer among New Jersey women。Cancer Res,50,6520-6524。  new window
5.Howson, C. P.、Hiyama, T.、Wynder, E. L.(1986)。The decline in gastric cancer: Epidemiology of an unplanned triumph。Epidemiol reviews,8,1-27。  new window
6.Trichopoulos, D.、Ouranos, G.(1985)。Diet and cancer of the stomach: A case-control study in Greece。Int J cancer,36,291-297。  new window
7.Lu, S. N.、Lin, T. M.、Chen, C. J.(1988)。A case control study of primary hepatocellular carcinoma in Taiwan。Cancer,62,171-175。  new window
8.Lee, H. H.、Wu, H. Y.、Chen, C. J.(1990)。Epidemiologic charateristics and multiple risk factor of stomach cancer in Taiwan。Anticancer Res,10,875-882。  new window
9.Nomura, A.、Grove, J. S.(1990)。A prospective study of stomach cancer and its relation to diet, cigarettes and alcohol consumption。Cancer Res,50,627-632。  new window
10.Tuyns, A. J.、Pequignot, G.(1982)。Cancer of the digestive tract, alcohol and tabacco。Int J Cancer,30,9-11。  new window
11.Chen, C. J.(1990)。Epidemiologic charateristics and multiple risk factors of lung cancer in Taiwan。Anti-cancer Res,10,971-976。  new window
12.Wynder, E. L.、Graham, E. A.(1950)。Tobacco smoking as a possible etiologic factor in bronchigenic carcinoma: A study of six hundreds and eighty-four proved cases。JAMA,143,329-336。  new window
13.Loeb, Lawrence A.、Ernster, Virginia L.(1984)。Smoking and lung cancer: An overview。Cancer Res,44,5940-5958。  new window
14.Beasley, R. P.(1952)。Hepatitis B virus: The major etiology of hepatocellular carcinoma of the lung。British Med J,2,1271-1286。  new window
15.Nomura, Abraham、Grove, J. S.(1990)。A prospective study of stomach cancer and its relation to diet, cigarettes, and alcohol consumption。Cancer Res,50(3),627-631。  new window
16.Gordon, T.、Kannel, W. B.(1984)。Drinking and mortality. The Framingham study。Amr J Epi,120(1),97-107。  new window
17.Tajima, Kazuo、Tominaga, Suketain(1985)。Dietary habits and gastro-intestinal cancers: a comparative case-control study of stomach and large intestinal cancers in Nagoya, Japan。Jpn J Cancer Res,76(8),705-716。  new window
18.Wu-Williams, A. H.、Yu, Mimi C.(1990)。Life-style, workplace, and stomach cancer by subsite in young men of Los Angeles County。Cancer Res,50(9),2569-2576。  new window
19.Hsing, A. W.、Guo, W.(1991)。Correlates of liver cancer mortality in China。Int J Epi,20(1),54-59。  new window
研究報告
1.行政院衛生署。中華民國衛生統計(民國54〜78年)。  延伸查詢new window
圖書
1.Doll, Richard、Peto, Richard。The cause of cancer。  new window
2.(1976)。Cancer incidence in five continents。  new window
3.Morrison, Alan S.(1985)。Screening in chronic disease。Oxford University Press。  new window
圖書論文
1.Fraumeni, J. F. Jr.、Blot, W. J.(1982)。Lung and pleura。Cancer epidemiology and prevention。Philadelphia:WB Saunders。  new window
2.Munoz, N.、Linsell, A.(1982)。Epidemiology of primary liver cancer。Epidemiology of cancer of the digestive tract。Hague:Martinus Nijhoff publishers。  new window
 
 
 
 
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