摘要
目的了解高密市2004-2012年恶性肿瘤死亡变化趋势,为恶性肿瘤防治提供依据。方法对高密市＂全国第3次死因回顾抽样调查＂和常规死因监测报告数据,使用粗死亡率、标化死亡率、潜在减寿年数（potential years of life lost,PYLL）、潜在工作减寿年数（work potential years of life lost,WPYLL）和年度变化百分比（annual percentage change,APC）等描述恶性肿瘤死亡分布特征和变化趋势。结果高密市2004-2012年恶性肿瘤粗死亡率为165.50/10万,在全死因中居第2位,呈＂W＂形变化趋势,男性死亡率高于女性,χ^2=1 120.546,P〈0.01;〈30岁恶性肿瘤死亡极低,死亡主要集中在55-74岁年龄组,占所有恶性肿瘤死亡的64.38%;恶性肿瘤的PYLL和WPYLL在全死因分别高居第1位和第2位,PYLL率和WPYLL率分别为18.22‰和8.69‰;标化死亡率（APC为-3.59%）、调整PYLL率和调整WPYLL率呈下降趋势;恶性肿瘤死因前5位的是肺癌、胃癌、肝癌、食管癌和结直肠癌,其中胃癌（APC为-3.44%）粗死亡率呈下降趋势,肝癌、胃癌和肺癌标化死亡率呈下降趋势,APC分别为-4.78%、-6.38%和-4.21%。结论恶性肿瘤仍是影响高密市居民健康和经济发展的主要因素,虽然标化死亡率等指标呈下降趋势,但由于人口老龄化加剧,粗死亡率、PYLL和WPYLL等绝对值未表现出下降趋势,仍需提高警惕,加强监测。
OBJECTIVE To explore the trend of malignant tumor mortality from 2004 to 2012 in Gaomi City, and provide a method for preventing and controlling malignant tumor. METHODS A descriptive analysis was adopted to explore the distribution characters and trend of malignant tumor mortality using data of ＂ the Third National Mortality Retrospective Sampling Survey＂ and routine surveillance of death causes in Gaomi City. The index included crude mortality rate, standardized mortality rate, potential years of life lost（PYLL） ,work potential years of life lost, （WPYLL） and annual percentage change（APC）. RESULTS The crude mortality rate of malignant tumors was 165.50/105 in Gaomi City during 2004-2012, which was the 2nd in all death causes of residents. The result indicated that the trend of crude mortality had a W-shape. The mortality of male was significantly higher than that of female （Х^2 = 1 120. 546, P〈0.01）. The mortality of malignant tumors was very low in people younger than 30 years of age. The age of 55-74 years had the highest mortality, which accounted for 64.38% of the total mortality of malignant tumors. The PYLL and WPYLL of malignant tumors were 18.22‰ and 8.69‰, respectively, and which were the 1st and 2nd in all death causes of residents respectively. The standardized mortality rate （APC=- 3.59%）, adjusted PYLL rate and adjusted WPYLL rate were in decline. The first 5 kinds mortality of malignant tumors were lung cancer, gastric cancer, liver cancer, esophageal cancer and colorectal cancer. The crude mortality rate of gastric cancer was in decline, the APC of which was -3.44%. The standardized mortality rate of liver cancer, gastric cancer, and lung cancer were in decline, and the APC of liver cancer, gastric cancer, and lung cancer were -4.78 %, -6.38% and -4.21%, respectively. CONCLUSIONS Malignant tumor was still the main factors influencing health and economic development in Gaomi City. Although the standardized mortality had a downward trend, the crude mortality rate, PYL
出处
《中华肿瘤防治杂志》
CAS
北大核心
2014年第23期1856-1861,共6页
Chinese Journal of Cancer Prevention and Treatment
关键词
恶性肿瘤
死因谱
变化趋势
疾病负担
malignant tumor
death spectrum
changing trend
burden of disease
