上高县2009-2012年居民恶性肿瘤死因分析  

Analysis on the death causes of malignant tumors for the residents in Shanggao County from 2009 to 2012

作　　者：方菊芬[1] 彭仙娥 

机构地区：[1]宜春市疾病预防控制中心慢病科,江西宜春336000 [2]福州医科大学流行病与卫生统计研究室,福建福州350000

出　　处：《中华肿瘤防治杂志》2014年第9期656-659,共4页Chinese Journal of Cancer Prevention and Treatment

摘　　要：目的：研究宜春市上高县4年期间居民恶性肿瘤的死因情况，为肿瘤防治工作提供科学依据。方法：统计2009—2012年上高县户籍居民死因监测资料中死于恶性肿瘤的1124例病例资料，对其死亡趋势的变化、不同性别和年龄的恶性肿瘤死亡信息及各类肿瘤的死亡率排位情况进行描述性分析。计数资料用X2检验法进行统计分析。检验水准a=0．05。结果：2009—2012年恶性肿瘤死亡占全部死亡的16．9％（1124／6640），死亡率为81．8／10万，粗死亡率4年期间分别为75．2／10万、63．1／10万、85．1／10万和106．5／10万，差异有统计学意义，X2=42．2，P=0．004；标化死亡率分别为70．9／10万、59．6／10万、73．9／10万、88．9／10万。4年间恶性肿瘤死亡率男性为103．8／10万，女性为58．1／10万，差异有统计学意义，X2=56．4，P=0．001；标化死亡率男性为97．1／10万，女性为48．9／10万。0～14岁年龄组恶性肿瘤死亡率为2．2／10万，15～39岁为15．1／10万，40～64岁为102．3／10万，≥65岁为531．3／10万，差异有统计学意义，X2=2448．7，P〈0．001。恶性肿瘤死亡顺位前5位分别为肺癌、肝癌、胃癌、结肠直肠肛门癌和白血病，占所有恶性肿瘤死亡的68．6％（771／1124），消化道肿瘤占前5位肿瘤死亡的51．5％（397／771）。结论：应采取有效的防治措施，特别是对≥40岁年龄组人群，减少或预防恶性肿瘤的发生。同时肺癌、消化道癌以及白血病防治工作应为今后肿瘤防治的重点。OBJECTIVE： To study the death level of malignant tumors for the residents in Shanggao county during four years,which will provide a scientific basis for cancer prevention and control METHODS： The data of 1 124 cases died of malignant tumors came from the death surveillance data of Shanggao county residents in recent years, and the death trend and mortality of different gender,age and tumor types were analyzed. Count data were analyzed using chi-square test method ,and Test level was 0.05. RESULTS： Totally 6 640 people were death from 2009 to 2012 ,among which 1 124 cases died of malignant tumor. All cancer deaths were 16.9% of all deaths （1 124/6 640）. The annual average malignant tumor mortality was 81.8/10^5. The annual crud mortalities of malignant tumor from 1999 to 2012 were 75. 2/10^5 , 63. 1/10^5 , 85.1/10^5 ,and 106.5/10^5,respectively,and the difference was statistically significant （X2 =42.2,P=0. 004）. The annual standardized mortalities of malignant tumor were 70.9/10^5 ,59.6/10^5 ,73.9/10^5 ,and 88.9/10^5 respectively,and the differ ence was statistically significant （X2 = 56.4, P= 0. 001）. The standardized mortality of malignant tumors was 97.1/10s in males, which was significantly higher than that in females （48.9/10s ）. The mortality of malignant tumors was 2.2/10S in 0 to 14 years old,15, 11/10^5 in 15 to 39 years old,102.3/105 in 40-64 years old,and 531.3/10s in 65 years old or above, respectively,and the difference was statistically significant （X2 =2 448.7 ,P〈0. 001）. The top five death causes of malig- nant tumors were lung cancer,liver cancer, stomach cancer, colon and rectal cancer, and leukemia, accounting for 68.6 （771/1 124） of all malignant tumor death. Gastrointestinal tumors accounted for the top of the five cancer deaths 51.5 （397/771）. CONCLUSIONS： Malignant tumors are a burdensome common disease which occurs frequently and threatens people＇s health in Shanggao county. Effective prevention and control measures should be taken to reduce or preve

关 键 词：肿瘤 流行病学 死因监测 死亡率 上高 

分 类 号：R73-31[医药卫生—肿瘤]