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作 者:杨丽[1] 陈娜萦[2] 黄开勇[1] 王晓敏[3] 杨莉[1]
机构地区:[1]广西医科大学公共卫生学院职业卫生与环境卫生学系职业卫生与职业医学教研室,广西南宁530021 [2]广西壮族自治区疾病预防控制中心慢性病防治所,广西南宁530028 [3]广西医科大学公共卫生学院流行病与统计学系生物统计学教研室,广西南宁530021
出 处:《中华疾病控制杂志》2016年第5期500-503,507,共5页Chinese Journal of Disease Control & Prevention
摘 要:目的了解广西恶性肿瘤所造成的疾病负担,探讨其现状及发展趋势,为有针对性的制定肿瘤防治策略提供参考依据。方法收集广西7个疾病监测点死因监测系统中居民因恶性肿瘤死亡的数据,用伤残调整寿命年(disability adjusted life year,DALY)计算恶性肿瘤的疾病负担。结果 2008-2013年广西居民恶性肿瘤疾病负担为373 684.40人年,其中男性占68.36%,女性31.64%;每千人DALY损失为17.91,男性为23.26 DALYs/千人,女性为11.96 DALYs/千人。2008-2011年恶性肿瘤DALY和DALY强度逐年增高,2011-2013年逐年减少。恶性肿瘤DALY强度最大的年龄段是70岁以上。疾病负担最重的前5位肿瘤为肝癌,气管、支气管与肺癌、其他恶性肿瘤、胃癌和结直肠癌。结论广西恶性肿瘤疾病负担处于全国平均水平,但仍需进一步加强肿瘤防治工作。Objective To estimate the burden of cancer in Guangxi province from 2008 to 2013 and to discuss the current situation and development trend of cancer,so as to provide scientific evidence for cancer prevention and control.Methods Deaths from cancer was collected from Guangxi provincial diseases surveillance system,and disability-adjusted life year( DALY) was calculated to evaluate the burden of cancer. Results The overall burden of cancer was 373 684. 40DALYs( 68. 36% in male and 31. 64% in female) in Guangxi province during 2008 to 2013,with the intensity of 17. 91 DALYs per 1 000 population( 23. 26 DALYs per 1 000 population for male and 11. 96 DALYs per 1 000 population for female). The DALY and DALY intensity of malignant tumor increased from 2008 to 2011,while reduced during 2011-2013. The DALY was the highest in 70 + year olds. The top five causes of DALYs were liver cancer,trachea / bronchus /lung cancer,other malignant neoplasms,stomach cancer and colon / rectum cancer. Conclusions The burden of cancer in Guangxi province was at an average level in China. More attention should be paid to improve cancer prevention and control.
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