1972—2016年江苏省启东市胃癌死亡流行特征分析  

Epidemic characteristics of stomach cancer mortality in Qidong during 1972-2016

作　　者：陈永胜 朱健[1] 王军[1] 丁璐璐 张永辉[1] 徐源佑 陈建国[1] Chen Yongsheng;Zhu Jian;Wang Jun;Ding Lulu;Zhang Yonghui;Xu Yuanyou;Chen Jianguo(Epidemiology Research Office,Qidong Hospital Affiliated Nantong University,Qidong Liver Cancer Institute,Qidong People′s Hospital,Qidong 226200,China)

机构地区：[1]南通大学附属启东医院,启东肝癌防治研究所,启东市人民医院流行病研究室,启东226200

出　　处：《中华肿瘤杂志》2022年第1期99-103,共5页Chinese Journal of Oncology

基　　金：2020年南通市级科技计划项目(JCZ20157)。

摘　　要：目的分析江苏省启东市1972—2016年胃癌死亡流行特征。方法收集启东市1972—2016年恶性肿瘤死亡登记数据库及历年人口资料,计算死亡率、中国人口标化率(中标率)、世界人口标化率(世标率)、35~64岁截缩率、0~74岁累积死亡率、累积死亡风险、变化百分比、死亡率年均变化百分比。结果1972—2016年启东市胃癌死亡例数为15863例,占全部恶性肿瘤死亡例数的16.04%,胃癌死亡率为31.37/10万,中标率为12.97/10万,世标率为21.39/10万,35~64岁截缩死亡率为28.86/10万,0~74岁累积死亡率为2.54%,胃癌死亡累积风险为2.51%。男性死亡10114例,男性死亡率、中标率、世标率分别为40.53/10万、17.98/10万和30.13/10万;女性死亡5749例,女性死亡率、中标率、世标率分别为22.45/10万、8.52/10万和13.92/10万。25岁以下各年龄组的死亡率<1/10万,死亡率随年龄的增长而升高,50~岁组达到并超过人群的平均死亡率水平,80~岁组达到死亡高峰。1972—2016年间胃癌死亡率、中标率、世标率的变化百分比分别为55.43%、-52.02%和-43.60%,年均变化百分比分别为0.54%、-2.30%和-2.08%。除75~岁年龄组外,胃癌死亡率均有明显下降。结论启东市胃癌死亡率上升,中标率、世标率呈下降趋势,但胃癌仍是影响居民健康的恶性肿瘤之一。Objective To describe the epidemic characteristics of stomach cancer mortality in Qidong between 1972 and 2016.Methods The cancer registry data of stomach cancer death and population during 1972—2016 in Qidong was collected.The mortality of crude rate(CR),China age-standardized rate(CASR),world age-standardized rate(WASR),35-64 years truncated rate,0-74 years cumulative rate,cumulative risk,percentage change(PC),annual percent change(APC)were calculated.Results During 1972—2016,a total of 15863(male:10114,female:5749)deaths occurred attributed to stomach cancer,accounting for 16.04%of all cancers,with CR of 31.37/100000(CASR:12.97/100000,WASR:21.39/100000).The truncated rate of 35-64,cumulative rate of 0-74,and cumulative risk were 28.86/100000,2.54%,and 2.51%,respectively.For male,the CR,CASR,WASR were 40.53/100000,17.98/100000,30.13/100000,respectively,and for female,the CR,CASR,WASR were 22.45/100000,8.52/100000,13.92/100000,respectively.Age-specific mortality analysis showed that the mortality of each age group under 25-year-old group was less than 1/100000.The CR increased with age.The 50-year-old group reached and exceeded the average mortality of the population,and more than 80-year-old group reached the peak of death.During 1972—2016 in Qidong,The PCs in CR,CASR,and WASR of stomach cancer were 55.43%,-52.02%,-43.60%.The APC were 0.54%,-2.30%,-2.08%,respectively.Period mortality analysis showed that except for the 75-year-old group,the mortality of stomach cancer decreased significantly.Conclusions The crude mortality of stomach cancer increases slightly in Qidong,while the CASR and WASR decrease significantly.However,stomach cancer is still one of the malignant tumors that most affect health and seriously threat lives.

关 键 词：胃肿瘤 死亡率 流行特征 启东 

分 类 号：R735.2[医药卫生—肿瘤] R181.3[医药卫生—临床医学]