山东省1970～2005年白血病死亡率及其变化趋势  

The Mortality Rates and Trend of Leukemia during 1970～2005 in Shandong Province

作　　者：李晓莉[1] 于小宁[1] 王冉[1] 李湘新[1] 李颢[1] 陈学良[1] 

机构地区：[1]山东大学齐鲁医院肿瘤中心血液科,250012

出　　处：《中国卫生统计》2010年第3期271-274,共4页Chinese Journal of Health Statistics

摘　　要：目的分析山东省1970～2005年白血病的死亡率和变化趋势。方法收集1970～1974年、1985～1989年、1990～1992年和2004～2005年山东省全死因死亡回顾调查资料,计算死亡率和世界人口标化死亡率,采用Joinpoint回归模型分析变化趋势。结果 4个时期白血病死亡率分别为1.97/10万、3.63/10万、3.96/10万和4.36/10万,其中男性分别为2.20/10万、4.05/10万、4.25/10万和4.86/10万,女性分别为1.73/10万、3.19/10万、3.66/10万和3.85/10万。男女各个年龄组的白血病死亡率都呈上升趋势;其中5～岁以下有一小高峰,而60～岁开始增速增加,到80～岁达到最高峰。1970～1992年白血病死亡率上升幅度比较大,校正资料缺失年后,年均上升3.546%,有统计学差异;而1992年后上升幅度比较小,年均上升0.445%,无统计学差异。按抽样的县市分析,在工业经济发展比较快的地方白血病死亡率上升幅度大。结论在过去35年中山东白血病死亡率呈缓慢上升趋势。Objective To analyze the mortality and trend of leukemia from 1970 to 2005 in Shandong.Methods Data of death retrospective survey of all causes during 1970-1974,1985-1989,1990-1992,and 2004-2005 had been selected in Shandong Province.Leukemia death rates and standardized mortality rates by the percentages of world population were calculated.The trend was analyzed using Joinpoint regression model.Results The mortality rates of leukemia in the four periods were 1.97,3.63,3.96,and 4.36;the rates for male were 2.20,4.05,4.25,and 4.86;and the rates for female were 173,3.19,3.66,and 3.85 per 100,000 persons respectively.In the specific-age mortality analysis there was a small peak of death rates in less than 10 ears old groups,and the slop of daeth rates increased from 60-years old and reached high peak in 80-years old.The trend of mortality analysis showed an increasing trend during 1970-2005.After correction missing data,there was 3.546 percent average annual increase,a statistically significant,in the period time of from 1970 to 1992,and 0.445% percent after 1992 year.In the sample survey counties,we can found that the leukemia mortality rate increased greatly in industrial relatively fast economic development area.Conclusion There was a slowly increase trend of the mortality of leukemia during the past 35 years in Shandong Province.

关 键 词：白血病 死亡率 变化趋势 

分 类 号：R733.7[医药卫生—肿瘤]