2002-2013年四川省死因监测点肺癌死亡分析  

Lung Cancer Death in Death Surveillance Stations of Sichuan Province,2002-2013

作　　者：季奎[1] 曾晶[1] 邓颖[1] 陈荔[2] 

机构地区：[1]四川省疾病预防控制中心,成都610041 [2]四川大学华西第四医院

出　　处：《职业卫生与病伤》2015年第2期82-85,共4页Occupational Health and Damage

摘　　要：目的了解四川省2002-2013年肺癌死亡情况,为肺癌防治提供参考。方法根据死亡率、标化死亡率、减寿年数、标化减寿年数等指标,分析近12年来四川省城乡、男女以及各年龄组人群肺癌死亡情况。结果 2002-2013年四川省肺癌死亡率呈逐渐上升趋势,随年龄组增加而增长,城市高于农村,男性高于女性,12年间男女肺癌死亡率分别上升了52.41%(Z=-6.469 9,P<0.01)和72.87%(Z=-6.181 9,P<0.01),年平均增长速度分别为6.98%和12.59%。12年间男女肺癌标化死亡率分别上升了30.43%(Z=-3.387 6,P=0.000 7)和35.51%(Z=-2.485 0,P=0.014),年平均增长速度分别为3.35%和4.07%。2013年的YPLL为60 110人年,远远超过2002年的33 104人年;2013年的SYPLL为30 479.12人年,也超过2002年的25 771.52人年,而2013年的SYPLLR为2.46‰稍高于2002年的2.35‰。结论四川省肺癌死亡同样严重,肺癌粗死亡率逐年上升,有城乡、性别和年龄差异,肺癌的疾病负担也在逐年增加。干预和控制肺癌的危险因素,开展综合防治和提供较好的卫生服务,是有效防治肺癌的主要手段。Objective To analyze the death prevalence of lung cancer in Sichuan province in 2002-2013,and provide reference for preventing and controlling lung cancer. Methods The mortality rate,years of potential life lost（ YPLL）,standardized years of potential life lost（ SYPLL）,years of potential life lost rate（ YPLLR） and standardized years of potential life lost rate（ SYPLLR） were calculated to analyze the lung cancer death between urban and rural,male and female,and age groups in Sichuan province in the period of 2002- 2013. Results The mortality rate of lung cancer increased gradually in 2002- 2013,and it was higher in urban than rural and male than female,with the mortality of male increased by 52. 41 %（ Z =- 6. 47,P 〈0. 01） and female increased by 72. 87 %（ Z =-6. 18,P〈0. 01） during the 11 years. The average annual rate of growth was 6. 98% and 12. 59%,respectively. The standardized mortality in male increased by 30. 43 %（ Z =- 3. 39,P 〈0. 01） and female increased by35. 51 %（ Z =- 2. 49,P 〈0. 01）,and the average annual rate of growth was 3. 35 % and 4. 07 %,respectively.The YPLL,SYPLL,and SYPLLR of 2013 were respectively 60 110 person- years,30 479. 12 person- years,and2. 46 ‰,all higher compared with 33 104 person- years,25 771. 52,person- years and 2. 36 ‰ in 2002. Conclusion The lung cancer deaths are widespread and serious in Sichuan province,and the mortality of lung cancer are increasing year by year with statistical difference in terms of area,sex and age,and the disease burden of lung cancer are increasing gradually. Comprehensive prevention and control measures should be implemented against lung cancer.

关 键 词：肺癌 死亡率 减寿年数 标化减寿年数 

分 类 号：R734.2[医药卫生—肿瘤]