Background:Gastric cancer mortality decreased substantially over the last decades in most countries worldwide.This study aimed to assess the most recent national trend of gastric cancer mortality and examine the dispa...Background:Gastric cancer mortality decreased substantially over the last decades in most countries worldwide.This study aimed to assess the most recent national trend of gastric cancer mortality and examine the disparity of gastric cancer mortality between rural and urban areas in China.Methods:The crude mortality data of gastric cancer by sex,age group,and area were obtained from China Health Statistical Yearbooks(2003-2015)covering 10%of Chinese population.The age-standardized rates of mortality(ASRM)of gastric cancer in rural and urban areas were estimated using the 2010 Chinese Census population stratified by age,sex,and area.The trend of mortality of gastric cancer was assessed by using Joinpoint analysis.Results:During the 13-year period,the ASRM was reduced from 31.5/100,000 in 2003 to 20.9/100,000 in 2015 in rural areas and from 18.9/100,000 in 2003 to 14.5/100,000 in 2015 in urban areas.In the male population,the annual percent changes of mortality were−2.2%in urban areas(95%confidence interval[CI]−3.8%to−0.6%;P<0.001)and−3.4%in rural areas(95%CI−5.1%to−1.8%;P<0.001).In the female population,the annual percent changes of mortality were−2.7%in urban areas(95%CI−4.2%to−1.2%;P<0.001)and−4.6%in rural areas(95%CI−5.5%to−3.7%;P<0.001).Conclusions:The declining trend of mortality of gastric cancer was presented from 2003 to 2015 in both rural and urban areas in China.The decrease in gastric cancer mortality is greater in rural areas than in urban areas in China.展开更多
目的从全球视角分析中国伤害负担现状与趋势,为我国伤害防控决策提供参考。方法采用GBD2017数据,以死亡率、伤残调整寿命年(Disability-Adjusted Life Years,DALY)率等指标反映伤害负担,对比分析中国伤害情况。结果2017年中国伤害的死...目的从全球视角分析中国伤害负担现状与趋势,为我国伤害防控决策提供参考。方法采用GBD2017数据,以死亡率、伤残调整寿命年(Disability-Adjusted Life Years,DALY)率等指标反映伤害负担,对比分析中国伤害情况。结果2017年中国伤害的死亡率、YLL率、YLD率、DALY率以及YLL/YLD比值分别为51.94/10万、1916.32/10万、718.77/10万、2635.09/10万、2.67,均低于全球平均水平。除女性的人际暴力伤害DALY率高于男性外,男性伤害负担其他各项指标均明显高于女性。儿童、老年人的意外伤害相对严重。1990—2017年伤害DALY率各项指标均呈下降趋势,意外伤害、自残和人际暴力伤害DALY率下降尤其明显,但运输伤害下降不明显。中国职业风险所致伤害的死亡率已有下降,但目前仍高于全球;中国低骨密度、饮酒等危险因素导致的伤害死亡率呈上升趋势。结论28年来中国伤害防治工作进步明显,但道路伤害仍需进一步加大防控力度。对于儿童、老人等弱势群体,应进一步防止其意外伤害发生。展开更多
基金This work was supported in part by National Natural Science Foundation of China (Grant 31870983).
文摘Background:Gastric cancer mortality decreased substantially over the last decades in most countries worldwide.This study aimed to assess the most recent national trend of gastric cancer mortality and examine the disparity of gastric cancer mortality between rural and urban areas in China.Methods:The crude mortality data of gastric cancer by sex,age group,and area were obtained from China Health Statistical Yearbooks(2003-2015)covering 10%of Chinese population.The age-standardized rates of mortality(ASRM)of gastric cancer in rural and urban areas were estimated using the 2010 Chinese Census population stratified by age,sex,and area.The trend of mortality of gastric cancer was assessed by using Joinpoint analysis.Results:During the 13-year period,the ASRM was reduced from 31.5/100,000 in 2003 to 20.9/100,000 in 2015 in rural areas and from 18.9/100,000 in 2003 to 14.5/100,000 in 2015 in urban areas.In the male population,the annual percent changes of mortality were−2.2%in urban areas(95%confidence interval[CI]−3.8%to−0.6%;P<0.001)and−3.4%in rural areas(95%CI−5.1%to−1.8%;P<0.001).In the female population,the annual percent changes of mortality were−2.7%in urban areas(95%CI−4.2%to−1.2%;P<0.001)and−4.6%in rural areas(95%CI−5.5%to−3.7%;P<0.001).Conclusions:The declining trend of mortality of gastric cancer was presented from 2003 to 2015 in both rural and urban areas in China.The decrease in gastric cancer mortality is greater in rural areas than in urban areas in China.
文摘目的从全球视角分析中国伤害负担现状与趋势,为我国伤害防控决策提供参考。方法采用GBD2017数据,以死亡率、伤残调整寿命年(Disability-Adjusted Life Years,DALY)率等指标反映伤害负担,对比分析中国伤害情况。结果2017年中国伤害的死亡率、YLL率、YLD率、DALY率以及YLL/YLD比值分别为51.94/10万、1916.32/10万、718.77/10万、2635.09/10万、2.67,均低于全球平均水平。除女性的人际暴力伤害DALY率高于男性外,男性伤害负担其他各项指标均明显高于女性。儿童、老年人的意外伤害相对严重。1990—2017年伤害DALY率各项指标均呈下降趋势,意外伤害、自残和人际暴力伤害DALY率下降尤其明显,但运输伤害下降不明显。中国职业风险所致伤害的死亡率已有下降,但目前仍高于全球;中国低骨密度、饮酒等危险因素导致的伤害死亡率呈上升趋势。结论28年来中国伤害防治工作进步明显,但道路伤害仍需进一步加大防控力度。对于儿童、老人等弱势群体,应进一步防止其意外伤害发生。
