2019年重庆市30岁及以上人群归因于被动吸烟的肺癌疾病负担研究  

Disease burden of lung cancer attributable to passive smoking among population aged 30 years and above in Chongqing Municipality, 2019

作　　者：丁贤彬[1] 吕晓燕[1] 焦艳[1] 陈莉玲 许杰 陈婷[1] 高旸 张桂婷 毛德强[1] DING Xian-bin;LYU Xiao-yan;JIAO Yan;CHEN Li-ling;XU Jie;CHEN Ting;GAO Yang;ZHANG Gui-ting;MAO De-qiang(The Institute for Non-communicable Disease Control and Prevention,Chongqing Center for Disease Control and Prevention,Chongqing 400042,China)

机构地区：[1]重庆市疾病预防控制中心慢性病预防控制所,重庆400042

出　　处：《实用预防医学》2022年第8期911-915,共5页Practical Preventive Medicine

基　　金：重庆市科卫联合项目(2021MSXM198)。

摘　　要：目的 分析重庆市肺癌发病死亡和疾病负担归因于被动吸烟的情况,为开展肺癌防治提供建议。方法 肺癌死亡个案数据来源于2019年重庆市肿瘤登记报告系统,被动吸烟率来自2013年重庆市慢性病及危险因素监测。计算人群归因危险度百分比(population attributable risk percent,PAR%)、被动吸烟导致的肺癌发病、死亡和疾病负担。采用Excel 2010与SPSS 25.0进行统计分析,率的比较采用χ~2检验。结果 2013年30岁及以上成年人被动吸烟率为52.37%。2019年重庆市30岁及以上人群肺癌发病率与标化发病率分别为118.44/10万与80.83/10万,死亡率与标化死亡率分别为96.51/10万、63.58/10万。肺癌发病率和死亡率归因于被动吸烟的PAR%分别为19.76和19.04,归因发病率与归因标化发病率分别为23.41/10万和16.34/10万,归因死亡率与归因标化死亡率分别为18.38/10万和12.40/10万。2019年重庆市30岁及以上肺癌早死所致寿命损失年率(years of life lost,YLL)、残疾所致寿命损失年率(years lived with disability,YLD)、调整伤残寿命损失年率(disability adjusted life year,DALY)分别为21.16‰、0.31‰、21.47‰,YLL率、YLD率、DALY率归因于被动吸烟的PAR%分别为21.16、19.76和20.49,归因YLL率为4.34‰,归因YLD率为0.06‰,归因DALY率为4.40‰。结论 2019年重庆市30岁及以上人群肺癌发病率、死亡率、YLL率、DALY率高,被动吸烟率高,肺癌归因于被动吸烟的疾病负担重,应加强落实控烟工作。Objective To analyze the incidence, mortality and disease burden of lung cancer attributable to passive smoking in Chongqing Municipality, and to provide suggestions for lung cancer prevention and treatment. Methods Data about cases of lung cancer were sorted from Registration and Reporting System for Tumor in Chongqing Municipality in 2019. The passive smoking rate was collected from surveillance of non-communicable diseases and their risk factors in Chongqing Municipality in 2013. The data were analyzed to calculate population attributable risk percent(PAR%) and the incidence, mortality and disease burden of lung cancer due to passive smoking. Excel 2010 and SPSS 25.0 software were used to perform a statistical analysis. The differences in the rates were tested by Chi-square test. Results The passive smoking rate in adults aged 30 years and above in 2013 was 52.37%. The incidence rate and standardized incidence rate of lung cancer among adults aged 30 years and above in Chongqing Municipality in 2019 were 118.44/100,000 and 80.83/100,000, respectively, and the mortality rate and standardized mortality rate were 96.51/100,000 and 63.58/100,000, respectively. PAR% of the incidence and mortality rates of lung cancer attributable to passive smoking was 19.76 and 19.04, respectively. The incidence rate and standardized incidence rate of lung cancer attributable to passive smoking were 23.41/100,000 and 16.34/100,000, respectively. The mortality rate and standardized mortality rate of lung cancer attributable to passive smoking were 18.38/100,000 and 12.40/100,000, respectively. The rates of years of life lost(YLL) with premature death, years lived with disability(YLD), disability adjusted life year(DALY) due to lung cancer in adults aged 30 years and above in Chongqing Municipality in 2019 were 21.16‰, 0.31‰ and 21.47‰, respectively. PAR% of YLL, YLD and DALY rates attributable to passive smoking was 21.16, 19.76 and 20.49, respectively. The attributable rates of YLL, YLD and DALY were 4.34‰, 0.06‰ and 4.4

关 键 词：肺癌 被动吸烟 疾病负担 归因危险度百分比 

分 类 号：R734.2[医药卫生—肿瘤]