2014—2016年长沙市居民恶性肿瘤死亡流行特征分析
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摘要
目的了解长沙市居民恶性肿瘤死亡的流行特征,为制定恶性肿瘤防治策略提供依据。方法收集2014—2016年恶性肿瘤死亡监测资料,采用描述性统计学方法进行分析,计算死亡数,构成比,粗死亡率和标化死亡率。结果 2014—2016年该市恶性肿瘤死亡率为121. 12/10万,标化死亡率为111. 93/10万;男性死亡率为158. 66/10万,标化死亡率为141. 87/10万;女性死亡率为83. 11/10万,标化死亡率为79. 31/10万。男性死亡率高于女性,差异有统计学意义(P <0. 01)。0～44岁年龄组恶性肿瘤死亡率处于较低水平,45岁后随年龄增长死亡率呈急速上升。该市恶性肿瘤死因顺位为肺癌(45. 73/10万)、肝癌(15. 68/10万)、结直肠癌(11. 07/10万)、胃癌(5. 29/10万)、食管癌(5. 27/10万)。结论该市重点防治的肿瘤主要是肺癌、肝癌、结直肠癌、胃癌、食管癌,应针对主要恶性肿瘤和重点人群开展综合防控措施。
Objective To understand the epidemic characteristics of malignant tumor deaths in a city and to provide a basis for the development of prevention and treatment strategies. Methods The monitoring data of malignant tumor deaths from 2014 to 2016 was collected,and descriptive statistical methods were used to analyze and calculate the number of deaths,composition ratio,crude mortality and age standardized rate. Results From 2014 to 2016,the mortality rate of malignant tumors in this city was 121. 12/100 000,and the age standardized rate was 111. 93/100 000. The male mortality rate was 158. 66/100 000,and the age standardized rate was 141. 87/105. The female mortality rate was 83. 11/100 000 and the age standardized rate was 79. 31/100 000. Male mortality was higher than that of females,and the difference was statistically significant( P < 0. 01). The mortality rate of malignant tumors in the 0 to 44 years old group was low,and the mortality rate of malignant tumors increased rapidly with age after 45 years old. The leading causes of death of malignant tumors in this city were lung cancer( 45. 73/100 000),liver cancer( 15. 68/100 000),colorectal cancer( 11. 07/100 000),gastric cancer( 5. 29/100 000) and esophageal cancer( 5. 27/100 000). Conclusions The main tumors in this city were lung cancer,liver cancer,colorectal cancer,stomach cancer and esophageal cancer. Comprehensive prevention and control measures should be carried out for major malignant tumors and key populations.
Objective To understand the epidemic characteristics of malignant tumor deaths in a city and to provide a basis for the development of prevention and treatment strategies. Methods The monitoring data of malignant tumor deaths from 2014 to 2016 was collected,and descriptive statistical methods were used to analyze and calculate the number of deaths,composition ratio,crude mortality and age standardized rate. Results From 2014 to 2016,the mortality rate of malignant tumors in this city was 121. 12/100 000,and the age standardized rate was 111. 93/100 000. The male mortality rate was 158. 66/100 000,and the age standardized rate was 141. 87/105. The female mortality rate was 83. 11/100 000 and the age standardized rate was 79. 31/100 000. Male mortality was higher than that of females,and the difference was statistically significant( P < 0. 01). The mortality rate of malignant tumors in the 0 to 44 years old group was low,and the mortality rate of malignant tumors increased rapidly with age after 45 years old. The leading causes of death of malignant tumors in this city were lung cancer( 45. 73/100 000),liver cancer( 15. 68/100 000),colorectal cancer( 11. 07/100 000),gastric cancer( 5. 29/100 000) and esophageal cancer( 5. 27/100 000). Conclusions The main tumors in this city were lung cancer,liver cancer,colorectal cancer,stomach cancer and esophageal cancer. Comprehensive prevention and control measures should be carried out for major malignant tumors and key populations.
引文
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[6]涂画,吴然,戚磊. 2014—2015年湖北仙桃市居民恶性肿瘤死因分析[J].公共卫生与预防医学,2017,28(3):125-127.
[7]张学飞,李述刚,闫贻忠,等. 2006—2010年中国肿瘤登记地区恶性肿瘤疾病负担研究[J].中华肿瘤防治杂志,2015,22(10):733-737.
[8]丁贤彬,毛德强,吕晓燕,等.重庆市2009—2013年恶性肿瘤发病与死亡趋势分析[J].公共卫生与预防医学,2015,26(1):22-25.
[9]董志伟,乔友林,李连弟,等.中国癌症控制策略研究报告[J].中国肿瘤,2002(5):4-14.
[2]陈万青,孙可欣,郑荣寿,等. 2014年中国分地区恶性肿瘤发病和死亡分析[J].中国肿瘤,2018,27(1):1-14.
[3]许可葵,王静,廖先珍,等. 2014年湖南省肿瘤登记地区恶性肿瘤的发病和死亡分析[J].中国肿瘤,2018,27(2):86-95.
[4]岳文,宫献升,李兆军,等.高密市2004—2012年恶性肿瘤死亡变化趋势分析[J].中华肿瘤防治杂志,2014,21(23):1856-1861.
[5]付振涛,徐爱强,赵滢,等. 2013年山东省恶性肿瘤发病和死亡水平分析[J].中华肿瘤防治杂志,2017,24(18):1261-1267.
[6]涂画,吴然,戚磊. 2014—2015年湖北仙桃市居民恶性肿瘤死因分析[J].公共卫生与预防医学,2017,28(3):125-127.
[7]张学飞,李述刚,闫贻忠,等. 2006—2010年中国肿瘤登记地区恶性肿瘤疾病负担研究[J].中华肿瘤防治杂志,2015,22(10):733-737.
[8]丁贤彬,毛德强,吕晓燕,等.重庆市2009—2013年恶性肿瘤发病与死亡趋势分析[J].公共卫生与预防医学,2015,26(1):22-25.
[9]董志伟,乔友林,李连弟,等.中国癌症控制策略研究报告[J].中国肿瘤,2002(5):4-14.