摘要
目的分析北京市通州区居民肺癌死亡水平及其变化趋势,为开展预防工作提供依据。方法通过人口死亡信息登记管理系统,分析2012-2020年北京市通州区户籍居民肺癌死亡监测资料,利用JoinPoint回归分析肺癌死亡率变化趋势,采用死亡率差别分解法分析人口因素和非人口因素变化对肺癌死亡率的影响。结果2012-2020年通州区居民肺癌死亡人数3642例,死亡率54.12/10万,标化死亡率35.11/10万,占全部恶性肿瘤死亡病例的33.14%(3642/10991)。Joinpoint回归分析显示,不同年份肺癌粗死亡率(APC=0.56%,P>0.05)、标化死亡率(APC=-2.14%,P>0.05)及构成比(APC=0.59%,P>0.05)变化趋势无统计学意义。男性死亡率高于女性(χ^(2)=332.58,P<0.05)。0~14岁组无肺癌死亡病例,15~44岁组、45~64岁组、≥65岁人群肺癌死亡率分别为2.26/10万、43.24/10万、260.19/10万。2020年肺癌死亡率较2012年增加6.32/10万,其中人口因素贡献率为146.29%,非人口因素的贡献率为-46.45%。结论北京市通州区肺癌死亡率水平变化平稳,应重点关注男性老年人群肺癌防控和干预。
Objective To analyze the mortality level and trend of lung cancer in Tongzhou district,and provide reference for prevention of lung cancer.Methods Based on the Population Death Information Registration Management System,the surveillance data of lung cancer in the registered residents of Tongzhou from 2012 to 2020 district were analyzed.The annual percentage change of the mortality rate was analyzed by Joinpoint regression.Difference decomposing method was applied to estimate the contribution of demographic and non-demographic factors to the change of mortality.Results From 2012 to 2020,there were 3642 deaths of lung cancer among residents in Tongzhou district,with the crude mortality rate of lung cancer was 54.12/100000,and the standardized mortality rate of lung cancer was 35.11/100000,and lung cancer deaths accounted for 33.14%(3642/10991)of all residents'deaths of malignant tumors.There was no significant change trend in the crude mortality(APC=0.56%,P>0.05),standardized mortality(APC=-2.14%,P>0.05)and constituent ratio(APC=0.59%,P>0.05)of lung cancer from 2012 to 2020.Males had a higher mortality rate than females(χ^(2)=332.58,P<0.05).There were no deaths of lung cancer in the group aged 0-14 years,and the mortality rates of lung cancer in the groups aged 15-44 years,45-64 years and≥65 years were 2.26/100000,43.24/100000 and 260.19/100000,respectively.The mortality rate of lung cancer in 2020 increased by 6.32/100000 compared with that in 2012,of which the contribution rate of demographic factors was 146.29%and that of non-demographic factors was-46.45%.Conclusions The mortality of lung cancer in Tongzhou district of Beijing changed steadily,and the prevention and intervention of lung cancer in elderly males should be focused on.
作者
苏彦萍
张国峰
吴芹
孙晓伟
陈志华
SU Yanping;ZHANG Guofeng;WU Qin;SUN Xiaowei;CHEN Zhihua(Tongzhou District Center for Disease Control and Prevention of Beijing,Beijing 101100,China)
出处
《现代疾病预防控制》
2023年第9期651-654,719,共5页
MODERN DISEASE CONTROL AND PREVENTION
关键词
肺癌
死亡率
趋势
Lung cancer
Mortality
Trends
