摘要
目的了解陕西省居民恶性肿瘤死亡流行病学特征及寿命损失情况,为制定恶性肿瘤防治策略提供依据。方法数据来源于陕西省人口死亡信息登记管理系统中13个国家级死因监测点报告的恶性肿瘤死亡个案。运用Excel 2016和SPSS 25.0软件计算陕西省居民恶性肿瘤死亡率、标化死亡率、构成比、年度变化百分比(APC)及潜在减寿年数(PYLL)、潜在减寿率(PYLLR)、标化潜在减寿率(SPYLLR)、平均减寿年数(AYLL)、潜在工作损失年(WPYLL)、平均潜在工作损失年(AWPYLL)。结果2015—2019年陕西省居民恶性肿瘤年均死亡率为134.06/10万,标化死亡率为121.50/10万,占全死因的21.48%。男性年均死亡率(166.00/10万)高于女性(100.30/10万),差异有统计学意义(P<0.01)。2015—2019年陕西省居民恶性肿瘤死亡率呈上升趋势(APC=1.41%,P<0.01)。0~44岁年龄组恶性肿瘤死亡率处于较低水平,45岁后随年龄增长逐渐升高,75岁以后迅速升高。陕西省居民恶性肿瘤前5位死因依次为肺癌、胃癌、肝癌、食管癌、结直肠和肛门癌,共占恶性肿瘤死亡构成的72.35%。2015—2019年陕西省居民恶性肿瘤PYLL为393996.33人年、PYLLR为14.98‰,AYLL为11.17年,且男性均高于女性。2015—2019年陕西省居民恶性肿瘤WPYLL为149978人年,AWPYLL为4.25年,WPYLL男性高于女性,AWPYLL女性高于男性。结论肺癌、胃癌、肝癌、食管癌、结直肠和肛门癌是陕西省恶性肿瘤预防控制的重点工作,同时宫颈癌和乳腺癌对女性健康的影响不可忽视,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 epidemiological characteristics and life loss of malignant tumors in Shaanxi Province,and to provide the basis for developing the prevention and treatment strategies of malignant tumors.Methods The data were from malignant tumor death cases in 13 national death cause surveillance points of population death information management system in Shaanxi Province.The Excel 2016 and SPSS 25.0 software were used to calculate the crude and standardized malignant tumor mortalities,constituent ratio,annual percent change(APC)of malignant tumors,potential years of life lost(PYLL),potential years of life lost rate(PYLLR),standardized potential years of life lost rate(SPYLLR),average years of life lost(AYLL),working years of potential life lost(WPYLL)and average working years of potential life lost(AWPYLL)in residents of Shaanxi Province.Results The average mortality and standardized mortality of malignant tumors were 134.06/105 and 121.50/105 in Shaanxi Province from 2015 to 2019,the proportion of malignant tumor death in total death causes was 21.48%.The average malignant tumors mortality(166.00/105)of males was significantly higher than that(100.30/105)of females,P<0.01.From 2015 to 2019,the trend of malignant tumors mortality in residents of Shaanxi Province increased(APC=1.41%,P<0.01).The malignant tumors mortality in 0-44 years old group was lower level,the malignant tumors mortality in ≥45 years old groups increased with age,the malignant tumors mortality in ≥75 years old groups increased quickly.The top five death causes in malignant tumors were lung cancer,gastric cancer,liver cancer,esophageal cancer and colorectal cancer,which accounted for 72.35% of malignant tumor deaths.The PYLL,PYLLR and AYLL of malignant tumors in residents of Shaanxi Province from 2015 to 2019 were 393996.33 person years,14.98‰ and 11.17 years,respectively;moreover,PYLL,PYLLR and AYLL of malignant tumors in males were significantly higher than those in females.The WPYLL and AWPYLL of malignant tumors in resident
作者
邱琳
飒日娜
刘蓉
王维华
QIU Lin;SA Ri-na;LIU Rong;WANG Wei-hua(Shaanxi Provincial Center for Disease Control and Prevention,Xi'an,Shaanxi Province 710054,China)
出处
《中国慢性病预防与控制》
CAS
CSCD
北大核心
2021年第1期23-28,共6页
Chinese Journal of Prevention and Control of Chronic Diseases
关键词
恶性肿瘤
死因
趋势分析
潜在损失
Malignant tumors
Death causes
Trend analysis
Potential damage
