2012-2018年泰安市食管癌早死率及早死寿命损失分析  

Analysis of probability of premature mortality and years of life lost of caused by esophageal cancer from 2012 to 2018 in Taian City

作　　者：杜卫萍[1] 周媛 张志君[1] 高荣涛[1] DU Wei-ping;ZHOU Yuan;ZHANG Zhi-jun;GAO Rong-tao(Department of Chronic Disease,Taian Center for Disease Control and Prevention,Taian 271000,China)

机构地区：[1]泰安市疾病预防控制中心慢病科,山东泰安271000

出　　处：《中华肿瘤防治杂志》2021年第20期1513-1517,1525,共6页Chinese Journal of Cancer Prevention and Treatment

基　　金：山东省医药卫生科技发展计划(2018WS161)。

摘　　要：目的分析2012-2018年泰安市户籍居民食管癌早死率和早死寿命损失年,为食管癌的防控提供数据支持。方法2012-2018年泰安市户籍居民食管癌死亡登记资料和人口资料分别来自国家死因监测信息系统和泰安市公安局,用Excel和SPSS 20.0计算粗死亡率、标化死亡率、早死率、年度变化百分比(APC)和早死寿命损失年(YLL)等指标.以2000年全国第5次人口普查数据进行标化。结果2012-2018年泰安市户籍居民因食管癌死亡14825人.粗死亡率为37.59/10万,标化死亡率为22.08/10万。标化死亡率在2012-2014年上升,2014年之后呈逐年下降趋势,APC为-6.11%,F=29.106,P=0.003。2012-2018年食管癌平均早死率为1.72%,APC为-6.40%,F=27.217,P=0.003;男性(2.79%)高于女性(0.66%).农村(2.09%)高于城市(0.84%)。男性食管癌平均早死率APC为-5.40%(F=24.475.P=0.004),女性为-10.70%(F=32.056,P=0.002),女性变化幅度高于男性。2012-2018年泰安市食管癌造成的早死寿命损失年率(YLLR)为2.97年/千人,男性(4.53年/千人)高于女性(1.37年/千人),全人群以及男性和女性YLLR的APC分别为-2.86%、-2.37%和-4.78%.下降趋势有统计学意义,均P<0.05。从年龄分布来看.>30岁随年龄增加寿命损失急剧上升.80岁前达到高峰。结论泰安市食管癌早死率和YLL形势严峻.应提高重视.采取有效防控措施。Objective To analyze the probability of premature mortality and years of life lost(YLL)of Taian City residents from 2012 to 2018,and to provide data support to prevention and control of esophageal cancer.Methods The records of esophageal cancer mortality registration of the residents and census data in Taian City from 2012 to 2018 were provided by national population death information register system and public security bureau.Mortality,standardized mortality,probability of premature mortality,YLL and annual percentage change(APC)were calculated by Excel and SPSS 20.0.The fifth national census data of 2000 was used for standardization.Results From 2012 to 2018,the death of esophageal cancer in Taian City residents was 14825,mortality rate was 37.59/10^(5),and the standardized mortality rate was 22.08/10^(5).The standardized mortality rate increased from 2012 to 2014,and then decreased year by year.APC was-6.11%(F=29.106,P=0.003).From 2012 to 2018,the probability of premature mortality of esophageal cancer on average was 1.72%,APC was-6.40%(F=27.217,P=0.003).Premature mortality of males(2.79%)was higher than that of females(0.66%),and likewise premature mortality of rural areas(2.09%)was higher than that of urban areas(0.84%).APC of males was-5.40%(F=24.475,P=0.004),and that of females was-10.70%(F=32.056,P=0.002).The change of females was greater than that of males.From 2012 to 2018,the years of life lost rate(YLLR)in Taian City was 2.97 per thousand persons,the number of males(4.53 per thousand person)was higher than that of females(1.37 per thousand person).The APC of YLLR in all the crowd,males and females were-2.86%,-2.37%and-4.78%,respectively,the downward trend was statistically significant(all P<0.05).YLL increased sharply after the age of 30,and reached its peak before the age of 80.Conclusion The probability of premature mortality and YLL of esophageal cancer are severe in Taian City.More attention and effective measures should be taken to prevent and control esophageal cancer.

关 键 词：食管癌 死亡率 早死率 早死寿命损失年 泰安市 

分 类 号：R735.1[医药卫生—肿瘤] R195.4[医药卫生—临床医学]