摘要
目的了解2014—2021年北京市西城区居民恶性肿瘤死亡趋势和减寿情况,为制定恶性肿瘤防制策略提供依据。方法通过北京市卫生防病监测信息资源整合分析平台收集2014—2021年西城区居民恶性肿瘤死亡病例资料,计算粗死亡率、标化死亡率、潜在减寿年数(YPLL)、潜在减寿率、标化潜在减寿率、平均减寿年数(AYLL)和年度变化百分比(APC),分析恶性肿瘤死亡趋势和减寿情况。结果2014—2021年西城区恶性肿瘤死亡23202例,粗死亡率为198.09/10万,标化死亡率为101.46/10万。男性标化死亡率为117.36/10万,女性为85.97/10万。全人群和女性恶性肿瘤标化死亡率均呈下降趋势,APC值分别为-1.515%和-1.629%(t=-4.289,P=0.005;t=-3.046,P=0.023)。随年龄增长,恶性肿瘤粗死亡率呈上升趋势(χ^(2)_(趋势)=49.324,P<0.001)。恶性肿瘤死因前五位依次为肺癌、结直肠癌、肝癌、胃癌和胰腺癌。减寿前三位依次为肺癌、肝癌和结直肠癌,YPLL分别为18054、9446和8179人年。白血病居AYLL首位,为15.95年/人。结论2014—2021年西城区居民恶性肿瘤标化死亡率呈下降趋势,男性和老年人为高危人群。肺癌、结直肠癌和肝癌是主要死因,白血病是主要减寿原因。
Objective To investigate the mortality and life loss of malignant tumors among residents in Xicheng District,Beijing from 2014 to 2021,so as to provide the evidence for formulating the control strategy for malignant tumors.Methods Data pertaining to dead cases of malignant tumors in Xicheng District from 2014 to 2021 were collected from Beijing Integrated and Analysis Platform for Health and Disease Prevention Monitoring Information Resources.The crude mortality,standardized mortality,years of potential life lost(YPLL),years of potential life lost rate(YPLLR),rate of standardized years of potential life lost(SYPLLR),average years of life lost(AYLL)and annual percent change(APC)of malignant tumors were measured to analyze the trends in mortality of malignant tumors and life loss.Results A total of 23202 residents died from malignant tumors in Xicheng District from 2014 to 2021,and the crude and stan⁃dardized mortality rates of malignant tumors were 198.09/105 and 101.46/105,respectively.The standardized mortality of malignant tumors was 117.36/105 among men and 85.97/105 among women.The standard mortality of malignant tumors appeared a tendency towards a decline among all cases(APC=-1.515%,t=-4.289,P=0.005)and women(APC=-1.629%,t=-3.046,P=0.023),and the crude mortality of malignant tumors appeared a tendency towards a rise with age(χ^(2)_(trend)=49.324,P<0.001).The five most deadly malignant tumors included lung cancer,colorectal cancer,liver cancer,stomach cancer and pancreatic cancer,and lung cancer,liver cancer and colorectal cancer were the three malignant tu⁃mors with the three highest life loss,with YPLL of 18054 person-years,9446 person-years and 8179 person-years,respectively.Leukemia had the highest AYLL(15.95 years per person).Conclusions The standardized mortality of ma⁃lignant tumors appeared a tendency towards a decline among residents in Xicheng District from 2014 to 2021,and men and the elderly people were at high risk of malignant tumors.Lung cancer,colorectal cancer and liver cancer were le
作者
初里楠
董奕
李竹
张燕
朱丹红
CHU Linan;DONG Yi;LI Zhu;ZHANG Yan;ZHU Danhong(Department of Statistical Information,Xicheng Center for Disease Control and Prevention,Beijing 100120,China)
出处
《预防医学》
2023年第5期410-414,共5页
CHINA PREVENTIVE MEDICINE JOURNAL
基金
首都卫生发展科研专项(2018-1-1011)。
关键词
恶性肿瘤
死亡率
潜在减寿年数
平均减寿年数
malignant tumor
mortality
years of potential life lost
average years of life lost
