摘要
目的了解东台市60岁以上居民恶性肿瘤死因及其寿命损失情况,为老年人恶性肿瘤防治提供科学依据。方法应用死亡率、潜在寿命损失年和平均减寿年数等指标对2009—2011年东台市60岁以上居民恶性肿瘤死因进行汇总分析。结果 （1）2009—2011年60岁以上居民恶性肿瘤年均标化死亡率为940.34/10万,前4位死因分别是食管癌、胃癌、肺癌和肝癌;（2）食管癌、胃癌、肺癌和肝癌男性死亡率明显高于女性;65~84岁组食管癌、胃癌和肺癌持续上升,85岁以后食管癌、胃癌趋于稳定,肺癌逐渐下降;（3）食管癌、胃癌、肝癌、脑癌和骨癌农村死亡率明显高于城镇;食管癌、肺癌、肝癌和女性生殖器癌堤东死亡率高于堤西,尤以肝癌为甚;（4）YPLL标化率为77.41‰,AYLL为8.89年,YPLL标化率较高的有食管癌、胃癌、肺癌和肝癌。结论恶性肿瘤是我市60岁以上居民的主要死因之一,主要是上消化道肿瘤、肺癌和肝癌。食用腌制食品、环境污染和家族史可能是诱发因素。倡导健康的生活方式可以降低老年人恶性肿瘤死亡率。
OBJECTIVE To study the death level and life lost caused by Malignancy of residents over 60s in Dongtai, and provides a scientific basis for preventing these diseases. METHODS The methods of mortality,YPLL,AYLL were used to analyze the death of Malignancy in Dongtai residents 60s during 2009-2011. RESULTS（1） Residents over 60s malignancies average annual standardized mortality rate was 940.34 per 100000 during 2009-2011; the top four causes of death were esophageal cancer, stomach cancer, lung cancer and liver cancer.（2） Esophageal cancer, gastric cancer, lung cancer and liver cancer in male mortality were significantly higher than female. Esophageal cancer, gastric cancer, lung cancer of 65-84 years old continued to rise, over 85 years old esophageal cancer, gastric cancer tended to be stable, lung cancer decreased gradually.（3） The mortality rate of esophageal cancer, gastric cancer, liver cancer, brain cancer and bone cancer in rural areas were significantly higher than in towns; the mortality rate of esophageal cancer, lung cancer, liver cancer, female genital cancer in eastern area of dike were higher than in western area, especially to the liver;（4）YPLL standard rate was 77.41‰, higher included esophageal cancer, gastric cancer, lung cancer and liver cancer. AYLL was 8.89 years. CONCLUSION Malignant tumor is one of the main causes of death in residents over 60s in Dongtai, mainly for upper gastrointestinal cancer, lung cancer and liver cancer. Consumption of pickled products, environmental pollution, family history may be predisposing factors. Promoting healthy lifestyles can reduce the mortality rate of malignant tumors in the elderly.
出处
《中国初级卫生保健》
2013年第12期76-78,共3页
Chinese Primary Health Care
关键词
恶性肿瘤
死因
老年人.
malignancy
cause of death
elderly
