摘要
目的研究辽宁省1984/1999-2012年城乡居民胃癌死亡率变化趋势,为辽宁省胃癌防制策略的制定提供参考依据。方法根据辽宁省1984/1999-2012年居民病伤死因登记报告系统数据,计算胃癌粗死亡率、中国标化死亡率(2000年全国人口普查辽宁省人口构成)、世界标化死亡率(2000年世界标准人口构成)。采用Joinpoint Regression Program 3.4.3软件估计胃癌死亡率的年度变化百分比(APC)和平均年度变化百分比(AAPC)。结果 1984-2012年,辽宁省城市居民胃癌粗死亡率为19.68/10万(世标率为17.76/10万,中标率为11.06/10万),男性为27.02/10万(世标率为25.62/10万,中标率为15.91/10万),高于女性(胃癌粗死亡率为12.25/10万,世标率为10.60/10万,中标率为6.58/10万)。1999-2012年辽宁省农村居民胃癌粗死亡率为19.95/10万(世标率为17.95/10万,中标率为11.11/10万),男性为27.80/10万(世标率为25.73/10万,中标率为16.05/10万),高于女性(胃癌粗死亡率为11.79/10万,世标率为10.37/10万,中标率为6.23/10万)。胃癌是辽宁省城市第4位肿瘤死因,农村第3位肿瘤死因(2012年)。1984/1999-2012年辽宁省胃癌世标率呈显著下降趋势(AAPC=-3.5%),城市与农村下降幅度一致(AAPC=-3.4%),女性下降幅度(AAPC=-4.1%)高于男性(AAPC=-3.2%),粗死亡率变化不明显。结论辽宁省胃癌死亡率呈下降趋势,但依然是该省城乡居民主要的肿瘤死因,是当前肿瘤防治工作的重点。
Objective To study the change of gastric cancer mortality in the urban and rural residents of Liaoning province during1984/1999-2012 and to provide the basis for the prevention dand control of gastric cancer. Methods According to the death registration data from 1984/1999 to 2012 in Liaoning province, the crude mortality of gastric cancer, the age standardized rates by China population（CASR） and the world population（WASR） were calculated. The annual percent changes（APC） and the average annual percent change（AAPC） of gastric cancer mortality were calculated with the Joinpoint Regression Program. Results During1984-2012, the crude mortality of gastric cancer was 19.68/105（WASR： 17.76/105, CASR： 11.06/105）, the crude mortality of gastric cancer of males was 27.02/105（WASR： 25.62/105, CASR： 15.91/105） which was significantly higher than those（12.25/105,WASR： 10.60/105, CASR： 6.58/105） of females in urban residents of Liaoning province. During 1999-2012, the crude mortality of gastric cancer was 19.95/105（WASR： 17.95/105, CASR： 11.11/105）, the crude mortality of gastric cancer of males was 27.80/105（WASR： 25.73/105, CASR： 16.05/105） which was significantly higher than those（11.79/105, WASR： 10.37/105, CASR： 6.23/105）of females in rural residents of Liaoning province. In 2012, the tumor death ranks for gastric cancer in urban residents and rural residents of Liaoning province were the fourth and the third, respectively. There were significant decline trends for the WASR of gastric cancer mortality in urban residents during 1984-2012（AAPC=-3.5%） and in rural residents during 1999-2012（AAPC=-3.4%）. The AAPC of WASR of gastric cancer mortality in females was-4.1%, which was higher than that（-3.2%） in males. But the crude mortality of gastric cancer did not change significantly. Conclusion The trend of gastric cancer mortality decline, but the gastric cancer still was the main death cause in residents of Liaoning province. It is important for us to
出处
《中国慢性病预防与控制》
CAS
2015年第3期178-181,共4页
Chinese Journal of Prevention and Control of Chronic Diseases
关键词
胃癌
死亡率
趋势
Gastric cancer
Mortality
Trend
