摘要
目的 探讨厦门市居民肝癌死亡变化趋势,为厦门市肝癌综合防治工作提供依据。方法 通过厦门市死因监测系统收集2005-2014年厦门市居民肝癌死亡资料,计算死亡率、标化死亡率（以2010年全国人口普查数据为标准人口）、死亡年龄中位数和四分位数（P25~P75）等评价指标。用SAS 9.2软件进行多因素logistic回归分析,分析肝癌死亡的影响因素。结果 2005-2014年,厦门市居民肝癌死亡率为31.35/10万,标化死亡率33.30/10万,死亡率年均下降1.65%;男性死亡率（49.84/10万）是女性（12.76/10万）的3.90倍,男性标化死亡率（54.75/10万）是女性（12.93/10万）的4.23倍。死亡率随着年龄的增长逐渐升高,死亡年龄中位数为57岁（P25~P75：48~69岁）。多因素logistic回归分析结果表明,男性（OR=4.42,95%CI：4.14~4.72）、年龄越大（OR=1.33,95%CI：1.33~1.34）、生活在农村（OR=1.49,95%CI：1.41~1.57）和2005-2009年时间段（OR=1.08,95%CI：1.02~1.14）可能是肝癌死亡的危险因素。结论 厦门市居民肝癌死亡率仍保持较高态势,不能放松警惕,应以农村、男性、老年人群作为重点关注对象,加强肝癌防治工作。
Objective To explore the trend of mortality of hepatic cancer in residents of Xiamen, and to provide the basis for t rearing and preventing the hepatic cancer in Xiamen. Methods The death data of hepatic cancer in residents of Xiamen during 2005 to 2014 were collected from death cause surveillance system. The mortality, standardized mortality and median and four point spacing （P25-P75） of death age were calculated. The multiple logistic regression was used to analyze the influencing factors of hepatic cancer death by SAS 9.2 software. Results From 2005 to 2014, the average mortality and standardized mortality of hepatic cancer in residents of Xiamen were 31.35/100 000 and 33.30/100 000, the APC was -1.65%. The mortality of hepatic cancer in males was 49.84/100 000, which was 3.90 times as high as that （ 12.76/100 000） in females. The standardized mortality of hepatic cancer in males was 54.75/100 000, which was 4.23 times as high as that （12.93/100 000） in females. The mortality increased with age, the median of death age was 57 years old （P25-P75：48-69 years old）. The multiple logistic regression showed that male （OR= 4.42, 95%CI： 2.63-3.17）, age （OR=1.33, 95%CI： 1.33-1.34））, rural area （OR=1.49, 95%CI： 1.41-1.57） and duration of 2005- 2009 （OR= 1.08, 95%CI： 1.02-1.14） were the risk factors of hepatic cancer death. Conclusion The mortality of hepatic cancer in Xiamen is high. Preventing and treating the hepatic cancer for the rural area, males and elderly residents should be paid attention to.
出处
《中国慢性病预防与控制》
CAS
2016年第7期502-504,共3页
Chinese Journal of Prevention and Control of Chronic Diseases
基金
福建省卫生计生委青年科研课题(2014-2-78)
