摘要
目的了解浙江省武义县居民恶性肿瘤死亡趋势,为制定恶性肿瘤防制策略提供依据。方法通过浙江省慢性病监测信息管理系统收集2015—2019年武义县居民恶性肿瘤死亡病例资料,计算粗死亡率、标化死亡率和年度变化百分比(APC),分析恶性肿瘤死亡趋势和主要死因。结果2015—2019年武义县报告恶性肿瘤死亡3424例,粗死亡率为199.65/10万,标化死亡率为185.87/10万。男性恶性肿瘤粗死亡率为271.53/10万,高于女性的125.40/10万(χ^(2)=459.374,P<0.001)。全人群、男性和45~<60岁居民恶性肿瘤标化死亡率均呈下降趋势(P<0.05),APC值分别为-3.87%、-4.44%和-11.46%。全人群、男性和女性恶性肿瘤粗死亡率随年龄增长均呈上升趋势(χ^(2)趋势=7063.842、5492.128和2155.609,均P<0.001)。恶性肿瘤死亡顺位前五位依次为肺癌、肝癌、胃癌、肠癌和食管癌,占恶性肿瘤死亡数的71.41%。0~<15岁居民脑及中枢神经系统恶性肿瘤和白血病粗死亡率较高,分别为2.07/10万和1.66/10万。15~<45岁居民肝癌和肺癌粗死亡率较高,分别为3.02/10万和2.01/10万。45~<60岁居民肺癌和肝癌粗死亡率较高,分别为51.57/10万和36.22/10万。≥60岁居民肺癌和胃癌粗死亡率较高,分别为305.48/10万和114.65/10万。结论2015—2019年武义县居民恶性肿瘤标化死亡率呈下降趋势,男性和中老年人是恶性肿瘤的高危人群,应重点关注肺癌和消化道肿瘤的筛查和早诊早治。
Objective To investigate the trends in cancer mortality among residents in Wuyi County,so as to provide in⁃sights into the development of the cancer control strategy.Methods The deaths due to cancer among residents in Wuyi County from 2015 to 2019 were collected from Zhejiang Provincial Information Management System for Surveil⁃lance of Chronic Diseases.The crude mortality and standardized mortality of cancer and annual percent change(APC)of were calculated to analyze the trends in cancer mortality and causes of death.Results A total of 3424 deaths oc⁃curred due to cancer in Wuyi County from 2015 to 2019,and the crude and standardized mortality rates of cancer were 199.65/105 and 185.87/105,respectively.The crude mortality of cancer was significantly higher in men than in women(271.53/105 vs.125.40/105;χ^(2)=459.374,P<0.001).The standardized mortality of cancer showed a tendency to⁃wards a reduction among all study subjects,men and residents at ages of 45 to 59 years(APC=-3.87%,-4.44%,-11.46%,all P<0.05),and the crude mortality of cancer appeared a tendency towards a rise with age in all study sub⁃jects,men and women(χ^(2)=7063.842,2155.609,5492.128,all P<0.001).Lung cancer,liver cancer,gastric cancer,bowel cancer and esophageal cancer were the five leading causes of cancer-related mortality,which accounted for 71.41%of all cancer mortality.The crude mortality of central nervous system cancer(2.07/105)and leukemia(1.66/105)was high among residents at ages of 0 to 14 years,and the crude mortality of liver cancer(3.02/105)and lung cancer(2.01/105)was high among residents at ages of 15 to 44 years,while the crude mortality of lung cancer(51.57/105)and liver cancer(36.22/105)was high among residents at ages of 45 to 59 years,and the crude mortality of lung cancer(305.48/105)and gastric cancer(114.65/105)was high among residents at ages of 60 years and older.Conclusions The standardized mortality of cancer appeared a tendency towards a reduction in Wuyi County from 2015 to 2019,and men and the elderly were high-risk populations for cancer.Screening,early diagnosis and treatment of lung cancer,gastroin⁃testinal cancer and cervical cancer should be given a high priority.
作者
王倩倩
徐丽
WANG Qianqian;XU Li(Department of Non-communicable Disease Control and Prevention,Wuyi Center for Disease Control and Prevention,Wuyi,Zhejiang 321200,China)
出处
《预防医学》
2022年第7期732-737,共6页
CHINA PREVENTIVE MEDICINE JOURNAL
关键词
恶性肿瘤
死亡率
趋势
死因
cancer
mortality
trend
cause of death
作者简介
王倩倩,本科,主管医师,主要从事慢性非传染性疾病预防控制工作;通信作者:王倩倩,E-mail:wangqianqian_66@163.com。
