摘要
目的分析2016-2021年淄博市宫颈癌发病、死亡情况及疾病负担变化趋势,为开展宫颈癌防治提供建议。方法分析2016-2021年淄博市宫颈癌(ICD⁃10)发病和死亡资料,计算发病、死亡及疾病负担指标。结果淄博市宫颈癌发病率由2016年的14.77/10万升至2021年的17.54/10万(APC=4.51%,t=3.37,P=0.028);标化发病率由12.13/10万升至14.83/10万(APC=4.85%,t=3.92,P=0.017);发病率随年龄增长先升高后降低,45~54岁组发病率升至高峰。沂源县25~44岁年龄组发病率由2016年的12.60/10万升至2021年的30.63/10万(APC=24.73%,t=3.87,P=0.018)。宫颈癌病死率随年龄增长而升高。2016-2021年宫颈癌所致伤残损失寿命年(YLD)率由0.72‰升到0.86‰,年度变化百分比(APC)为4.50%;城市中宫颈癌所致伤残调整寿命年(DALY)率高于农村;城市与农村宫颈癌所致过早死亡损失寿命年(YLL)率在DALY率中的占比均呈下降趋势,APC分别为-3.70%、-5.40%;城市与农村宫颈癌所致YLD率在伤残调整寿命年(DALY)率中的占比均呈上升趋势,APC分别为2.44%、4.59%。结论淄博市宫颈癌发病、死亡水平较高,发病率及YLD率呈上升趋势,城市中宫颈癌所致DALY率高于农村,应进一步加强宫颈癌防治工作。
Objective To analyze the incidence and death of cervical cancer and the changing trend of disease burden from 2016 to 2021 in Zibo City,and to provide suggestions for the prevention and treatment of cervi⁃cal cancer.Methods The incidence and mortality data of cervical cancer(ICD⁃10)in Zibo City from 2016 to 2021 were analyzed,and the indicators of incidence,mortality and disease burden were calculated.Results The incidence rate of cervical cancer in Zibo was increased from 14.77/100000 in 2016 to 17.54/100000 in 2021(APC=4.51%,t=3.37,P=0.028).The standardized incidence rate was increased from 12.13/100000 to 14.83/100000(APC=4.85%,t=3.92,P=0.017).The incidence was increased first and then decreased with age,and peaked in the age group of 45~54 years.The incidence rate in the 25~44 years old age group in Yiyuan County was increased from 12.60/100000 in 2016 to 30.63/100000 in 2021(APC=24.73%,t=3.87,P=0.018).The mortality rate of cervical cancer was increased with age.From 2016 to 2021,the YLD rate caused by cervical cancer was increased from 0.72‰to 0.86‰,and the APC was 4.50%.DALY rate of cervical cancer in urban areas was higher than that of the rural areas.The proportion of YLL rate in DALY rate of cervical cancer in urban and rural areas showed a downward trend,APC were-3.70%and-5.40%,respectively.The proportion of YLD rate in DALY rate caused by cervical cancer in urban and rural areas showed an upward trend,APC was 2.44%and 4.59%,respectively.Conclusion The incidence and mortality of cervical cancer in Zibo city were high,and the incidence and YLD rate showed an increasing trend.The DALY rate caused by cervical cancer in urban area was higher than that of the rural area.It is necessary to further strengthen the prevention and control of cervical cancer.
作者
韩鹏
张云雷
杨淑霞
孙晓晨
王文军
HAN Peng;ZHANG Yunlei;YANG Shuxia;SUN Xiaochen;WANG Wenjun(ZIBO Municipal Center for Disease Control and Prevention,Zibo 255000,China;不详)
出处
《实用医学杂志》
CAS
北大核心
2023年第10期1290-1295,共6页
The Journal of Practical Medicine
基金
山东省体卫融合试点项目(编号:2022⁃06)。
关键词
宫颈癌
发病率
病死率
疾病负担
趋势
cervical cancer
incidence of disease
mortality
the burden of disease
trends
