河南居民常见癌症死亡率及其流行趋势分析(1974～1999)  

Cancer mortality and mortality trends in henan from 1974 to 1999

作　　者：陆建邦[1] 祖世宽[2] 孙喜斌[1] 戴涤新[2] 常秋玲[1] 段文杰[1] 李刚[2] 

机构地区：[1]河南省肿瘤研究所,河南郑州450003 [2]河南省肿瘤医院,河南郑州450003

出　　处：《河南医学研究》2001年第3期267-271,共5页Henan Medical Research

摘　　要：目的 :研究河南人口常见恶性肿瘤死亡率及其流行特征。方法 :收集河南省 1974～ 1976年全人口死亡回顾调查资料和 1983～ 1999年 1/ 10人口 ( 15市县 )居民死亡登记报告资料 ,按《中国恶性肿瘤登记报告试行规范》的统计方法 ,分析常见恶性肿瘤死亡率及动态特征并对未来趋势进行预测。结果 :近 2 6年来 ,河南居民总癌死亡率变化不大 ,而食管癌则呈下降趋势 ,胃癌相对稳定 ,肝癌、肺癌上升明显 ,子宫颈癌下降很快。结论 :建立以人群为基础的癌症登记报告系统 。Objective: To extimate Henan's cancer mortality rates and to compare trends in mortality of all kinds of cancers between 1974 and 1999,identifying when changes occur as well as the magnitude of the changes,can provide additional information.Methods: We collected cancer mortality data from 1974～1999,according to 《China malignancy cancer register and report trial standard》,The mortality trends of selected cancer were studied.Information on patients with cancer death were provided by the county city registries,which consist of the rural doctors and the local hospital doctors.Information was requested on demographic factors such as place of residence,age,sex,date of birth,and primary site of cancer,as well as the different diagnostic methods used,such as radiology,cytology,and histology.Population data were provided by the public safety bureau concemed,consisting of the total population and the age sex structure at the end of each year in each locality studied.All the cancer deaths registered were classified according to the three digit rubric of the ICD 9.The direct standardization method was used to calculate the various 5 year age groups up to 80 years of age and older.Cancer mortality trends from 1974 to 1999 were determined for more than 9 anatomic sites for males and females using weighted piecewise linear regression analysis.Results: In annual age adjusted rates for all cancers was 96.57 per 100 000 for males and 64/51 per 100 000 for females in 1974～1976,and 121.47 per 100 000 and 76.91 per 100 000 in 1986 1988,and 108.65 per 100 000 and 67.15 per 100 000 in 1996-1998 respectively (table 1).According for 13.12% for males and 10.71% for females in 1974-1976,and 19.78% and 15.82% in 1986-1988,and 22.37% and 17.25% in 1996-1998,respectively,of all causes of death.The data thus obtained show that cancer of the esophagus,stomach,liver and lung in both sexes and cervical cancer in females are the leading cause of all cancer deaths.During the period of 1974 to 1999,marked changes have taken place

关 键 词：河南 恶性肿瘤 死亡率 流行趋势 死因登记 

分 类 号：R73－31[医药卫生—肿瘤]