摘要
目的分析2018-2022年山东省寿光市居民恶性肿瘤死亡资料,探讨其变化趋势。方法收集2018-2022年山东省寿光市居民恶性肿瘤死亡资料,计算粗死亡率、标化死亡率和构成比,分析恶性肿瘤变化趋势。结果2018-2022年山东省寿光市居民共死亡41049例,死亡率为730.18/10万。心脑血管疾病居死因顺位第1位,恶性肿瘤居第2位,呼吸系统疾病居第3位。各年度男性、女性粗死亡率比较差异均有统计学意义(χ^(2)值分别为165.50、157.58、143.22、123.84、147.20,P<0.01)。男性、女性死亡顺位第一位均为肺癌。男性肺癌、胃癌、肝癌、结直肠癌、食管癌、白血病、膀胱癌的粗死亡率均高于女性(χ^(2)值分别为486.73、269.51、196.57、13.64、132.32、6.90、64.96,P<0.01),男性胰腺癌粗死亡率略高于女性(χ^(2)=3.84,P<0.05)。男性膀胱癌、食管癌、胃癌、肝癌、肺癌粗死亡率分别为女性的6.03、3.23、2.61、2.24、2.06倍。随年龄增加,男性、女性恶性肿瘤死亡率均呈明显上升趋势。<50岁年龄组男女间标化死亡率差异无统计学意义(χ^(2)值分别为0.28、0.4、1.61、2.22、0.91、3.19、0.5、0.09、1.47,P均>0.01),>50岁年龄组男女间标化死亡率差异有统计学意义(χ^(2)值分别为31.4、59.46、142.11、244.96、339.92、231.94、148.93、85.29,P均<0.01)。50岁以上人群恶性肿瘤死亡9940例,构成比为94.07%。寿光市恶性肿瘤死亡率由低到高依次为市中心、南部、西部、北部、东部地区,市中心与4区间差异均有统计学意义(χ^(2)值分别为146.08、174.66、271.95、418.15,P<0.01)。结论2018-2022年寿光市居民恶性肿瘤粗死亡率略有波动,标化死亡率下降,男性死亡率高于女性;需重点关注北部、东部地区及50岁以上男性人群。
Objective To analyze malignant tumor death data in Shouguang city of Shandong province from 2018to 2022,and to grasp its trend.Methods The data on malignant tumor deaths of residents in Shouguang city,Shandong province from 2018to 2022was collected to calculate crude mortality,standardized mortality and composition ratio,and to analyze the trend of malignant tumor changes.Results A total of 41049deaths were recorded among residents of Shouguang city,Shandong province in 2018to 2022,with a mortality rate of 730.18/105.Cardiovascular and cerebrovascular diseases ranked first in the list of causes of death,malignant tumors ranked second,and respiratory diseases ranked third.There was a statistically significant difference in the comparison of male and female crude mortality rates in all years(χ^(2)was 165.50,157.58,143.22,123.84,147.20,respectively,P<0.01).Lung cancer ranked first in the death order for both males and females.Crude mortality rates for lung,stomach,liver,colorectal,esophageal,leukemia,and bladder cancers were higher for men than for women(χ^(2)was 486.73,269.51,196.57,13.64,132.32,6.90,64.96,P<0.01).The crude mortality rate for pancreatic cancer was slightly higher in men than in women(χ^(2)was 3.84,P<0.05).The crude mortality rates of bladder,esophagus,stomach,liver,and lung cancers in men were 6.03,3.23,2.61,2.24,and 2.06times higher than those in women,respectively.With the increase of age,the mortality of male and female malignant tumors showed an obvious upward trend.The difference in the standardized mortality rate between men and women in the<50age group was not statistically significant(χ^(2)was 0.28,0.4,1.61,2.22,0.91,3.19,0.5,0.09,1.47,respectively,all P>0.01),and the difference in the standardized mortality rate between men and women in the>50 age group was statistically significant(χ^(2)was 31.4,59.46,142.11,244.96,339.92,231.94,148.93,85.29,respectively,all P<0.01).There were 9940deaths from malignant tumors in the age group>50years,constituting a ratio of 94.07%.The mortality rate
作者
郑月花
王东武
丁峰
李伟红
李秋菊
杨晓甜
李慧
ZHENG Yue-hua;WANG Dong-wu;DING-Feng;LI Wei-hong;LI Qiu-ju;YANG Xiao-tian;LI Hui(Chronic Disease Prevention Section,Shouguang City Center for Disease Control and Prevention,Shandong 262700,China)
出处
《预防医学论坛》
2024年第7期543-547,共5页
Preventive Medicine Tribune
关键词
恶性肿瘤
死亡率
肺癌
胃癌
Malignant tumor
Mortality
Lung cancer
Gastric cancer
