2006-2015年昆明市居民恶性肿瘤死亡原因及影响因素分析  

The analysis on the causes and influencing factors of malignant tumor death in Kunming city during 2006-2015

作　　者：李志坤[1] 张茂镕[1] 颜芳[1] 杨昭[1] 李云涛[1] 沈岚[1] 杨维[1] 李吉[1] 

机构地区：[1]云南省昆明市疾病预防控制中心慢病科,云南省昆明650228

出　　处：《中国慢性病预防与控制》2017年第2期96-100,共5页Chinese Journal of Prevention and Control of Chronic Diseases

摘　　要：目的了解昆明市2006-2015年居民恶性肿瘤死亡原因及影响因素,为该市恶性肿瘤的防控提供依据。方法对昆明市2006-2015年全人群死亡资料进行国际疾病分类第10版(ICD-10)编码、分类、汇总和统计,计算恶性肿瘤的死亡率、构成比以及应用死亡率差别分解法计算人群死亡率变化由人口老龄化和危险因素引起的比例。应用Death Reg 2005软件、SPSS 17.0软件和Excel 2003进行统计分析。结果 2006-2015年居民恶性肿瘤累计死亡54 360例,死亡率102.79/10万,呈逐年上升趋势(χ_(趋势)~2=63.907,P<0.01),占全死因构成的16.92%,居第3位。男性死亡率为127.20/10万,女性死亡率为77.56/10万,男性恶性肿瘤死亡率显著高于女性,差异有统计学意义(χ~2=3 171.07,P<0.01)。恶性肿瘤死因顺位前5位为肺癌、肝癌、结直肠肛门癌、胃癌和白血病。其中城市恶性肿瘤死亡率为131.40/10万,农村为83.55/10万,城市高于农村,是农村的1.57倍,差异有统计学意义(χ2=2 834.06,P<0.01)。前5位死因顺位城市与全市相同,农村除第3位是胃癌、第4位是结直肠肛门癌其他位次与全市相同。各年龄组恶性肿瘤死因不同,肝癌、肺癌和乳腺癌呈明显年青化倾向,且随着年龄增长而升高。不同类别主要恶性肿死亡率呈上升趋势,引起死亡率变化的因素包括人口老龄化和危险因素两个方面,在城市,恶性肿瘤死亡率升高了20.19/10万,这其中有78.56%是人口老龄化因素造成,-21.44%是由于危险因素降低的影响;在农村,恶性肿瘤死亡率升高了36.93/10万,危险因素的影响占65.93%,人口老龄化的影响占34.07%。结论恶性肿瘤对居民健康危害严重,针对不同人群和地区采取相应控制措施,降低发病及死亡具有重要意义。Objective To understand the causes and influencing factors of malignant tumor death in residents of Kunming city during 2006-2015 and to provide the evidence for the prevention and control of malignant tumors in Kunming city. Methods The death data of Kunming residents during 2006-2015 were analyzed according to the ICD-10 for code, classification, aggregate and tally. The mortality and the proportion of malignant tumors were calculated, and the mortality differential decomposition method was used to calculate the proportions of mortality change due to the aging and risk factors. DeathReg 2005 software and SPSS 17.0 software were used for statistical analysis. Results During 2006-2015, the mortality of malignant tumor was 102.79/100 000 （54 360 cases） and increased year by year （P〈0.01）, which was 16.92% （order 3） of the total death causes. Male mortality （127.20/100 000） was significantly higher than female mortality （77.56/100 000）, P〈0.01. The top 5 death causes of malignant tumors were lung cancer, liver cancer, colorectal cancer, gastric cancer and leukemia. Urban malignant tumor mortality （131.40/ 100 000） was significantly higher than rural malignant tumor mortality （83.55/100 000）, P〈0.01. The urban top 5 death causes were similar to the top 5 death causes of city, but in rural area, only the gastric cancer （order 3） and colorectal cancer （order 4） were different from the city. The death causes of malignant tumors were different in various age groups, hepatic cancer, lung cancer and breast cancer showed a young tendency and increased with age. Different major malignant tumor mortalities increased. The factors of mortality changes included the aging and other risk factors. In urban area, the malignant tumor mortality increased 20.19/100 000, 78.56% was due to aging, -21.44% was due to reducing risk factors; in rural area, the malignant tumor mortality increased 36.93/100 000, 65.39% was due to risk factors, 34.07% was due to aging. Conclusion Malignant tumor has gr

关 键 词：恶性肿瘤 死亡原因 影响因素 

分 类 号：R73[医药卫生—肿瘤]