>
网站首页期刊介绍通知公告编 委 会投稿须知电子期刊广告合作联系我们
最新消息:
2011—2020年盐城市居民恶性肿瘤死亡流行病学特征及趋势分析
作者:张学艳1  刘付东2  朱思雨3 
单位:1. 江苏医药职业学院, 江苏 盐城 224000;
2. 盐城市疾病预防控制中心, 江苏 盐城 224000;
3. 盐城市委党校, 江苏 盐城 224000
关键词:恶性肿瘤 死亡率 流行病学特征 死亡趋势 
分类号:R73-31
出版年·卷·期(页码):2024·43·第二期(177-183)
摘要:

目的: 了解2011—2020年盐城市居民恶性肿瘤死亡流行病学特征及所致过早死亡情况,为防控恶性肿瘤、降低早死概率提供依据。方法: 收集2011—2020年盐城市户籍居民恶性肿瘤死亡资料,计算死亡率、年龄别率、标化死亡率、年度变化百分比(APC)、死因构成、减寿年数、早死概率等指标。结果: 2011—2020年,盐城市恶性肿瘤累计死亡人数177 716例,占总死亡人数的31.96%,是盐城市居民的首要死因。恶性肿瘤年均粗死亡率为217.07/10万,标化死亡率为150.73/10万, APC为-2.84%。恶性肿瘤死亡数及死亡率随年龄增长呈逐年增长趋势,各年龄组男女死亡数构成有差异(CMH趋势性检验 χ2=151.39,P<0.001),男性死亡率高于女性(χ2=30.91,P<0.001)。盐城市居民死亡数排名前10的恶性肿瘤依次为肺癌、食管癌、胃癌、肝癌、胰腺癌、直肠癌、脑癌、乳腺癌、宫颈癌、结肠癌,占所有恶性肿瘤死亡总数的86.00%。盐城市居民因恶性肿瘤死亡累计减寿966 839.0人年,减寿率13.41%,标化减寿人年数847 247.23人年,标化减寿率11.75%,平均减寿年数11.33年。盐城市居民恶性肿瘤所致平均早死率为7.73%,恶性肿瘤总早死率由2011年的8.91%,下降到2020年的6.15%(APC=-4.02%,t=7.92,P<0.001)。结论: 恶性肿瘤死亡率、早死概率呈下降趋势,死亡率随年龄增长而上升,男性死亡率高于女性,肺癌位居恶性肿瘤死亡排名首位。不同性别、年龄人群恶性肿瘤死亡分布情况存在差异,对男女不同年龄段人群应采取不同的预防控制措施,减少恶性肿瘤的死亡。

Objective: To understand the epidemiological characteristics and trends of death of malignant tumors in Yancheng City from 2011 to 2020, so as to provide basis for prevention and control of malignant tumors. Methods: The data of malignant tumor death of registered residents in Yancheng City from 2011 to 2020 were collected, and the mortality rate, age classification rate, standardized mortality rate, annual percentage change(APC), cause of death and other indicators were calculated. Results: From 2011 to 2020, there were 556 128 cumulative reported deaths in Yancheng City, and 177 716 died of malignant tumors, accounting for 31.96% of the total deaths. Malignant tumor was the leading cause of death for residents in Yancheng City. The average annual crude mortality rate of malignant tumors was 217.07/100 000, the standardized mortality rate was 150.73/100 000, APC was -2.84%. The dead number and death rate of malignant tumors increased year by year with age, there were differences in the composition of male and female deaths in different age groups(CMH trend test χ2=151.39,P<0.001), male mortality was higher than female mortality(χ2 =30.91,P<0.001). The top 10 malignant tumors among residents in Yancheng City were lung cancer, esophageal cancer, gastric cancer, hepatoma, pancreatic cancer, rectal cancer, brain cancer, breast cancer, cervical cancer, colon cancer. These malignant tumors were accounting for 86.00% of all malignant tumor deaths. Yancheng residents died of malignant tumors with a cumulative loss of 966 839.0 person-years, a life reduction rate of 13.41%, standardized life reduction of 847 247.23 person-years, a standardized life reduction rate of 11.75%, and an average life loss of 11.33 years. The average premature mortality rate caused by malignant tumors in Yancheng City was 7.73%, and the total premature mortality rate of malignant tumors decreased from 8.91% in 2011 to 6.15% in 2020(APC=-4.02%, t=7.92, P<0.001).Conclusion: The mortality rate of malignant tumors in Yancheng City shows a downward trend from 2011 to 2020. Mortality increases with age, and male mortality is higher than female mortality. Lung cancer is the leading cause of cancer death. There are differences in the distribution of cancer deaths among people of different genders and ages. Different prevention and control measures should be taken for different age groups of men and women to reduce the death of malignant tumors.

参考文献:

[1] 国家卫生健康委员会.中国卫生健康统计年鉴2022[M].北京:中国协和医科大学出版社,2022:299-315.
[2] 盐城市统计局.盐城市第七次全国人口普查公报[EB/OL].[2021-05-30].https://tjj.yancheng.gov.cn/art/2021/5/30/art_1773_3546376.html.
[3] 周宝森,王天爵.减寿分析方法[J].中国卫生统计,1994(4):58-61.
[4] 孙晓凯,刘付东,梁季,等.2008-2018年江苏省盐城市恶性肿瘤所致早死概率及变化趋势分析[J].中国慢性病预防与控制,2021,29(7):557-560.
[5] 陈竺.全国第三次死因回顾抽样调查报告[M].北京:中国协和医科大学出版社,2008:10.
[6] 高蓓,初海超,芦文丽,等.2004-2019年中国恶性肿瘤死亡趋势及预测分析[J].中华肿瘤防治杂志,2022,29(9):630-634.
[7] 郑荣寿,孙可欣,张思维,等.2015年中国恶性肿瘤流行情况分析[J].中华肿瘤杂志,2019,41(1):19-28.
[8] 钟志刚,马原,乔良,等.2004-2018年中国恶性肿瘤死亡趋势的年龄-时期-队列模型分析[J].中国慢性病预防与控制,2022,30(1):29-33.
[9] 李芮,王琦,刘海霞,等.2015-2019年我国城市居民恶性肿瘤死亡情况分析[J].中国医院统计,2022,29(1):14-17.
[10] 李灿,王静,廖先珍,等.2014年-2018年湖南省肿瘤登记地区恶性肿瘤发病与死亡特征及变化趋势分析[J].肿瘤药学,2022,12(4):528-535.
[11] 陈铁晖,黄少芬,李晓庆,等.福建省2007-2011年恶性肿瘤死亡流行病学特征及变化趋势分析[J].中国预防医学杂志,2013,14(5):370-374.
[12] 贾士杰,范慧敏,刘伟,等.2002-2011年中国恶性肿瘤死亡率水平及变化趋势[J].中国肿瘤,2014,23(12):999-1004.
[13] 王维华,飒日娜,邱琳,等.陕西省慢性病行为危险因素聚类特征分析[J].中国慢性病预防与控制,2021,29(1):18-22,28.
[14] 李亚茹,王婧,赵丽云,等.中国成年人饮酒习惯及影响因素[J].中华流行病学杂志,2018,39(7):898-903.
[15] 贺宇彤,郑荣寿,孙喜斌,等.中国恶性肿瘤性别发病差异分析[J].中国肿瘤,2013,22(3):174-179.
[16] 韩仁强,武鸣,缪伟刚,等.2015年江苏省恶性肿瘤发病和死亡分析[J].中国肿瘤,2020,29(2):81-89.
[17] 孙晓伟,苏彦萍,张国峰,等.2010-2020年北京市通州区户籍居民恶性肿瘤死亡流行特征及减寿分析[J].预防医学情报杂志,2022,38(6):797-802.
[18] 叶永利,张晓燕,周志强,等.2016年成都市双流区不同年龄层次居民健康素养及饮食习惯调查[J].实用预防医学,2019(11):1373-1376.
[19] 邱琳,飒日娜,刘蓉,等.2015-2019年陕西省居民恶性肿瘤死亡流行特征及减寿分析[J].中国慢性病预防与控制,2021,29(1):23-28.
[20] 董惠斌,姚瑶,姚杏娟.2011-2015年常州市居民恶性肿瘤死亡及减寿分析[J].现代预防医学,2017,44(14):2512-2515,2527.
[21] 曾新颖,李镒冲,刘世炜,等.1990-2015年中国四类慢性病早死概率与"健康中国2030"下降目标分析[J].中华预防医学杂志,2017,51(3):209-214.
[22] HONG Q Y,WU G M,QIAN G S,et al.Prevention and management of lung cancer in China[J].Cancer,2015,121(17):3080-3088.
[23] 李媛秋,么鸿雁.肺癌主要危险因素的研究进展[J].中国肿瘤,2016,25(10):782-786.

服务与反馈:
文章下载】【发表评论】【查看评论】【加入收藏
提示:您还未登录,请登录!点此登录
您是第 424528 位访问者


copyright ©《东南大学学报(医学版)》编辑部
联系电话:025-83272481 83272483
电子邮件:
bjb@pub.seu.edu.cn

苏ICP备09058364