金华市婺城区2009—2017年大肠癌死亡情况及减寿年数分析  

Mortality of colorectal cancer and years of life lost among residents in Wucheng district from 2009 to 2017

作　　者：陈静英[1] 朱匡纪[1] 陆文雯 CHEN Jing-ying;ZHU Kuang-ji;LU Wen-wen(Center for Disease Control and Prevention of Wucheng district in Jinhua,Jinhua,Zhejiang 321025,China)

机构地区：[1]金华市婺城区疾病预防控制中心,浙江金华321025

出　　处：《中国公共卫生管理》2020年第3期328-331,共4页Chinese Journal of Public Health Management

摘　　要：目的了解婺城区2009—2017年大肠癌死亡趋势、分布特征及寿命损失情况,为制定大肠癌防治干预措施提供参考依据。方法按照国际疾病分类标准(ICD-10)收集婺城区2009—2017年居民死亡资料进行整理,计算并分析粗死亡率、标化死亡率、死亡率的年度变化百分比(APC)、潜在减寿年数(PYLL)、减寿率(PYLLR)和平均减寿年数(AYLL)等指标。结果婺城区2009—2017年大肠癌死亡率总体呈下降趋势,APC为-4.40%,各年死亡率差异有统计学意义(t=-2.97,P<0.05)。大肠癌报告粗死亡率为14.83/10万,标化死亡率为15.18/10万。大肠癌城市报告粗死亡率为13.55/10万,农村报告粗死亡率为15.41/10万,差异有统计学意义(χ^2=5.26,P<0.05)。大肠癌造成的PYLL和AYLL分别为4085人年和5.26人年,PYLLR为0.78‰。结论婺城区大肠癌死亡率较低,大肠癌主要危及中老年人,农村大肠癌的死亡率高于城市。大肠癌对男性早死概率影响程度较高。应针对不同年龄人群及流行趋势采取有效的综合防治措施,降低大肠癌重点人群的死亡率。Objective To understand the mortality trend,distribution characteristics and life lost of colorectal cancer in Wucheng district from 2009 to 2017,provide reference for the prevention and treatment of colorectal cancer intervention measures.Methods According to the 10 th Revision of ICD-10,the data of residents’death in Wucheng district from 2009 to 2017 were collected and sorted out.The crude mortality,standardized mortality,annual percentage of change of mortality(APC),potential years of life lost(PYLL),rate of PYLL and average years of life lost(AYLL)were calculated.Results From 2009 to 2017,the mortality rate of colorectal cancer in Wucheng showed the downward trend,APC was-4.40%,the difference of mortality was statistically significant(t=-2.97,P<0.05).The colorectal cancer reported mortality rate was 14.83/100000,the standardized mortality rate was 15.18/100000,the urban mortality rate was 13.55/100000,the rural mortality rate was 15.41/100000,the difference was statistically significant(χ^2=5.26,P<0.05).The PYLL and AYLL caused by colorectal cancer were 4085 and 5.26 person years,respectively,and the PYLR was 0.78‰.Conclusion The mortality rate of colorectal cancer is lower in Wucheng district,which mainly endangers the middle-aged and old people.The mortality rate of colorectal cancer in rural areas is higher than that in urban areas.Colorectal cancer has a higher impact on the probability of early death in men.Effective comprehensive prevention and control measures should be taken according to different age groups and epidemic trends to reduce the mortality of the key population of colorectal cancer.

关 键 词：大肠癌 死亡率 潜在减寿年数 年度变化百分比 

分 类 号：R195.3[医药卫生—卫生统计学] R195.4[医药卫生—卫生事业管理]