淮安市2009—2011年肺癌死亡及寿命损失分析  

An Analysis on Mortality and Year of Life Lost of Lung Cancer in Residents of Huai'an City,2009—2011

作　　者：林浩[1,2] 山顺林[1] 闻旭阳[1] 单鹄声[1] 王志敏[1] 潘恩春[3] 刘帅帅[1] 

机构地区：[1]蚌埠医学院附属解放军第八十二医院,江苏淮安223001 [2]温岭市第一人民医院 [3]淮安市疾病预防控制中心

出　　处：《浙江预防医学》2013年第11期21-23,27,共4页Zhejiang Journal of Preventive Medicine

基　　金：江苏预防医学基金(YZ201008);南京军区医学科技创新课题项目(08MA036)

摘　　要：目的了解江苏省淮安市2009--2011年肺癌死亡分布特征及寿命损失情况，为肺癌防治提供参考依据。方法对淮安市2009--2011年肺癌发病死亡登记资料进行分析，通过计算粗死亡率、标化死亡率、累积死亡率、潜在寿命损失年（PYLL）、减寿率（PYLLR）和平均减寿年数（AYLL）等指标评价淮安市居民肺癌的死亡及寿命损失情况。结果淮安市居民2009--2011年肺癌的平均粗死亡率为26．90／10万，平均标化死亡率为21．37／10万，0～74岁累积死亡率为2．69％；农村居民平均标化死亡率为22．66／10万，略高于城市居民的20．29／10万；男性居民平均标化死亡率为32．08／10万，明显高于女性居民的11．81／10万；淮安市居民2009-2011年肺癌死亡年龄中位数为69岁，3904例肺癌死亡病例中92．25％的死亡者为50岁以上居民；淮安市2009-2011年肺癌PYLL和AYLL分别为31779和7．5人年，其中男性居民分别为22682和7．6人年，高于女性居民的9097和7．4人年；农村居民肺癌PYLL为16430人年，高于城市居民的15349人年，城乡居民肺癌AYLL均为7．6人年。结论淮安市肺癌死亡率较高，肺癌主要危及中老年人和男性居民，肺癌成为淮安市城乡居民疾病的一大负担。Objective To investigate the mortality rate, distribution characteristics, and years of life lost （YLL） of lung cancer in residents of Huai＇an during the period of2009--2011. Methods Data on demography and mortality were collected through Huai＇an＇s Disease Surveillance System, 2009--2011. The crude mortality, age -standardized mortality, cumulative mortality, potential years of life lost （PYLL） , potential years of life lost rate （PYLLR） and average years of life lost （AYLL） of lung cancer were calculated. Results The crude mortality, age -standardized mortality adjusted by Chinese standard population, and the cumulative mortality （0 -74 years old） of lung cancer were 26. 90/100,000, 21.37/100,000 and 2. 69% , respectively. The age - standardized mortality was higher in rural areas （22.66/100,000） than in urban areas （20.29/100,000） , and higher in male （32.08/100,000） than in female （11.81/100,000）. The median age for death of lung cancer was 69. The majority （92.25%） of lung cancer deaths was observed in the age group of 50 years old and above. The PYLL of lung cancer was 31,779 years and the AYLL was 7.5 years. Both the PYLL and AYLL of lung cancer were higher in male （22,682 and 7.6 years, respectively） than in female （9,097 and 7.4 years, respectively）. The PYLL was higher in rural areas （16,430 years） than in urban areas （15349 years）, while the AYLL （7.6 years） in rural areas was the same as in urban areas. Conclusion The mortality of lung cancer in residents of Huai ＂an is higher than that in total Chinese population. Lung cancer mainly endangers the middle - aged and elderly men. It has become a heavy disease burden of urban and rural residents in Huai＇an.

关 键 词：肺癌 死亡率 潜在寿命损失年 平均减寿年数 

分 类 号：R734.2[医药卫生—肿瘤]