摘要
[目的]分析1973—2019年扬州市恶性肿瘤死亡的流行趋势和癌谱的改变,为相关部门政策的制定提供科学的依据。[方法]将质量合格的死因数据重新整理,按性别、年份分别计算粗死亡率、中国人口标化死亡率(中标率)和世界人口标化死亡率(世标率),用美国癌症研究所开发的Joinpoint Regression Program 3.4.3软件,计算APC及其95%CI。[结果]1973—2019年恶性肿瘤死亡率APC为1.4%,95%CI为0.8%~1.9%,其中男性APC为1.7%,95%CI为1.2%~2.3%,女性APC为0.9%,95%CI为0.3%~1.4%,但标化率APC为-1.2%,其中肺癌、乳腺癌、肠癌和脑癌的死亡率逐年增高,APC分别为5.8%、4.0%、3.9%和2.6%,食管癌的死亡率略微下降,APC为-0.4%。[结论]扬州市居民恶性肿瘤死亡率上升与人口老龄化、生活方式等因素密切相关,后期我们将在倡导健康生活方式的同时,加强主要癌症筛查和癌症患者康复指导、随访管理等,以期降低恶性肿瘤死亡率,提高生存质量。
[Purpose] To analyze the trend of cancer mortality and the change of cancer spectrum in residents of Yangzhou City from 1973 to 2019,and provide some basic data for making cancer preventive policy.[Methods] After reorganizing the data of cancer mortality,the crude mortality rate,the standardized mortality rate by Chinese standard population and Segi’s world standard population,the APC and its 95% CI were calculated by Joinpoint Regression Program 3.4.3. [Results]The APC of cancer mortality was 1.4% from 1973 to 2019,and 95%CI was 0.8%~1.9%. The APC of males was 1.7%,and 95%CI was 1.2%~2.3%. The APC of females was 0.9%,and 95%CI was0.3%~1.4%. But the APC of standardized mortality rate was-1.2%. The APC of lung cancer mortality was 5.8%. The APC of breast cancer mortality was 4.0%. The APC of colon cancer mortality was 3.9%. The APC of brain cancer mortality was 2.6%. The esophageal cancer mortality decreased slightly,and the APC was-0.4%. [Conclusion] The increase of cancer mortality in Yangzhou City is closely related to population age and life style. In the later period,we will not only advocate the healthy life style,but also strengthen the main cancer screening,rehabilitation guidance,follow-up management of cancer patients and so on,so as to reduce the mortality rate of cancer and improve the quality of life.
作者
解晔
李秋梅
杨文彬
时巧梅
XIE Ye;LI Qiu-mei;YANG Wen-bin;SHI Qiao-mei(Yangzhou Center for Disease Control and Prevention,Yangzhou 225001,China)
出处
《中国肿瘤》
CAS
CSCD
北大核心
2021年第2期119-123,共5页
China Cancer
