福建医科大学公共卫生学院 摘要：目的 通过1:2病例对照研究，获得仙游

福建医科大学公共卫生学院
摘要：目的 通过1:2病例对照研究，获得仙游县居民胃癌发生的饮食有害因素，为胃癌在饮食方面的防治提供科学依据。方法 收集2013年3月2015年7月在仙游县医院住院并经病理确诊的胃癌病例433例，并按胃癌调整死亡率高、中、低分层随机抽取8个村的健康居民按1:2进行个体匹配。通过问卷调查获取研究对象资料。采用2检验对研究对象的一般人口学资料的分布差异进行比较；用条件Logistic回归分析计算相对危险估计值、OR值的95%可信区间以及多因素分析；根据Bruzzi推荐的公式计算人群归因危险度。结果 饮食速度快、喜食干硬食物、高盐饮食、饭后劳作、吃腌菜可增加胃癌发病的风险；食用牛羊肉、海带紫菜、洋葱、蔬菜、食用菌对胃癌有保护作用。结论 仙游县胃癌高发与饮食速度快、喜食干硬食物、高盐饮食、长期吃腌菜关系密切，应采取一些积极的措施改善当地人群的不良饮食习惯，以减少胃癌的发生率。

結果 (英文) 1:

Fujian Medical University, school of public health Objective: by 1:2 a case-control study, residents of Xianyou obtained gastric cancer dietary risk factors, providing scientific basis for prevention and treatment of gastric cancer with regard to diet. Collected March 2013 July 2015 in Xianyou County Hospital and 433 cases of pathologically confirmed stomach cancer cases, and adjusted for gastric cancer mortality is high, medium and low layered 8 randomly selected healthy residents in the village of 1:2 for individual matches. Information obtained through questionnaire study. 2 test was used for the study of the distribution of general demographic data compare using conditional Logistic regression analysis to calculate relative risk estimate value, OR 95% confidence interval as well as the value of multivariate analysis under Bruzzi recommend formula to calculate population attributable risk. Fast results diet, eating dry food, high salt diet, working after dinner, eat pickle increase the risk of stomach cancer, eating beef and mutton, kelp seaweed, onion, vegetables, mushroom has a protective effect on gastric cancer. Conclusions the high incidence of gastric cancer and diet in Xianyou County fast, eating dry food, closely related to the high salt diet and long-term eating pickles, should take some positive steps to improve the poor eating habits of the local population in order to reduce the incidence of stomach cancer.

結果 (英文) 3:

Public Health College of Fujian Medical University Abstract: Objective To study the dietary and harmful factors of gastric cancer in Xianyou County, and to provide scientific evidence for the prevention and treatment of gastric cancer by 1:2. Methods 433 cases of gastric cancer were collected in Xianyou county hospital in July 2015 March 2013, and 8 cases of healthy residents were randomly selected according to the 1:2 of the patients with gastric cancer. Obtain the research object data through the questionnaire survey. The differences of general demographic data of the subjects were compared by using the 2 test;Logistic regression analysis was used to calculate the relative risk estimates, the 95% confidence interval of OR value, and the multivariate analysis. According to the formula of Bruzzi, the risk degree of the population was calculated. The fast speed of eating, eating dry hard food, high salt diet, labor after a meal, eat pickles can increase the risk of gastric cancer; edible cattle and sheep meat, kelp, laver, onion, vegetables, edible fungus has a protective effect on the gastric cancer. Conclusion Xianyou County high incidence of gastric carcinoma and the speed of diet, eating dry hard food, high salt diet, long to eat pickles are closely related, should take some positive measures to improve the local population's bad eating habits, to reduce cancer incidence.