摘要
背景与目的:随着社会的发展、生活模式的改变及环境的变化,肺癌越来越严重地威胁到居民的健康。本研究描述并分析南通市1999—2008年肺癌死亡率的变化趋势,旨在为相关部门制定肺癌的预防与控制政策提供科学依据。方法:利用1999—2008年南通市居民的死因监测资料,按年龄、性别计算粗死亡率和中调率,利用年度变化百分比(annual percent change,APC)检验分析南通市肺癌近10年流行趋势。结果:1999—2008年南通市居民肺癌平均粗死亡率为39.98/10万,中调率为26.59/10万,世调率为26.39/10万。男性粗死亡率显著高于女性(55.82/10万比24.61/10万,χ2=4 712,P<0.001)。10年间,粗死亡率呈上升趋势,APC为5.57%,中调率上升不明显,APC为1.41%。女性肺癌在恶性肿瘤疾病谱中上升明显,由第4位上升到第1位。老年人(65岁以上)肺癌粗死亡率及中调率均上升,APC分别为2.63%和2.22%。结论:南通市肺癌粗死亡率上升可能是由于人口老龄化造成。肺癌的预防与控制应成为南通市肿瘤防治工作的重要任务。
Background and purpose：With social and economic development,changes in life style and environment,the threat of lung cancer has been growing increasing seriously in recent years.The aim of the study was to describe and analyze the trends of lung cancer mortality rates in Nantong from 1999 to 2008,and to provide advisable intervention methods for prevention.Methods：According to the data from the Death Cause Surveillance in Nantong during 1999 to 2008,the mortality rate for lung cancer was calculated in groups by age,and the secular trends for cancer during these 10 years were analyzed through a APC test（annual percent change）.Results：The crude mortality rate for lung cancer was 39.98/100000 while the standardized mortality rate（using the Chinese census data of 2000 as standard population） was 26.59/100000.However,the standard mortality rate（using the world census data as standard population） in Nantong was 26.39/100000.The crude mortality rate for males was 55.82/100000,which was higher than for the females,24.61/100000（χ2=4712,P〈0.001）.Crude rates for lung cancer have increased in the past ten years with an APC of 5.57%.However,the age standardized rate for mortality,which was originally at 1.41%,increased significantly.The change in female lung cancer was the most obvious within the malignant disease spectrum,promoting from number 4 up to 1.Crude rates and the age standardized rate for mortality in the elderly（Age≥65） increased noticeably,their APC were 2.63% and 2.22%,respectively.Conclusion：The ascending trend in lung cancer mortality rates in Nantong is attributed largely to the ageing population.Prevention and control will be emphasized as strategies for controlling cancer in Nantong in the future.
出处
《中国癌症杂志》
CAS
CSCD
北大核心
2011年第2期140-143,共4页
China Oncology
关键词
肺癌
粗死亡率
中调率
变化趋势
Lung cancer
Mortality
Standardized mortality
Change trends
