2014—2021年江西省死因监测地区肝癌死亡情况分析  

Analysis of liver cancer mortality in mortality surveillance areas of Jiangxi Province,China,2014-2021

作　　者：陈小娜 颜玮[1] 赵军[1] 朱瑶 陈轶英[1] 徐艳[1] 卢飞豹[1] 许立平[1] CHEN Xiao-na;YAN Wei;ZHAO Jun;ZHU Yao;CHEN Yi-ying;XU Yan;LU Fei-bao;XU Li-ping(Jiangxi Provincial Center for Disease Control and Prevention,Nanchang 330029,China)

机构地区：[1]江西省疾病预防控制中心,南昌330029

出　　处：《环境卫生学杂志》2024年第6期496-500,共5页JOURNAL OF ENVIRONMENTAL HYGIENE

摘　　要：目的分析江西省死因监测地区居民肝癌死亡水平及其疾病负担情况,为针对性开展肝癌防控措施提供建议。方法利用2014—2021年江西省20个国家级死因监测地区报告的居民肝癌死亡数据,计算肝癌死亡率、标化死亡率、年龄别死亡率、早死所致的寿命损失年(years of life lost,YLL)率、平均寿命损失年(average years of life lost,AYLL)等指标,2014—2021年趋势分析采用平均年度变化百分比(average annual percent change,AAPC)表示。结果2014—2021年,江西省死因监测地区肝癌死亡率为21.41/10万,标化死亡率为20.01/10万,男性死亡率高于女性,农村死亡率高于城市(P<0.05)。肝癌年龄别死亡率随年龄增长而上升,死亡率从30岁开始快速上升。2014—2021年男性、女性、农村居民死亡率AAPC分别为2.60%、5.58%、3.55%(P<0.05);城市居民死亡率、各人群标化死亡率变化趋势均无统计学意义(P>0.05)。男性、女性、城市、农村居民AYLL的AAPC分别为-1.75%、-2.88%、-2.46%、-1.94%(P<0.05);女性YLL率呈上升趋势(AAPC=2.56%,P<0.05)。结论江西省肝癌死亡水平较高,但早死导致的疾病负担有下降趋势,男性与农村居民是肝癌防控的重点人群。Objective To analyze the mortality and disease burden of liver cancer in mortality surveillance areas of Jiangxi Province,China,and to provide suggestions for formulating targeted prevention and control measures against liver cancer.Methods The data on liver cancer mortality reported in 20 national mortality surveillance areas in Jiangxi Province from 2014 to 2021 were obtained to calculate liver cancer-related crude mortality rate,age-standardized mortality rate,age-specific mortality rate,years of life lost(YLL)rate,and average years of life lost(AYLL)due to premature death,et al.The average annual percent change(AAPC)was used for analysis of trend from 2014 to 2021.Results In mortality surveillance areas of Jiangxi Province from 2014 to 2021,the mortality rate of liver cancer was 21.41/100000,and the age-standardized mortality rate by Chinese standard population was 20.01/100000.The mortality rate was significantly higher in males than in females and significantly higher in rural areas than in urban areas(P<0.05).The age-specific mortality rate of liver cancer increased with age,showing a rapid increase since 30 years old.The AAPCs in the mortality rate from 2014 to 2021 for males,females,and rural residents were 2.60%,5.58%,and 3.55%,respectively(P<0.05).The trends in the mortality rate of urban residents and the age-standardized mortality rate of different populations were not significant(P>0.05).The AAPCs in AYLL for males,females,urban residents,and rural residents were-1.75%,-2.88%,-2.46%,and-1.94%,respectively(P<0.05).Female YLL rate showed an upward trend(AAPC=2.56%,P<0.05).Conclusion Liver cancer mortality was relatively high in Jiangxi Province,but the disease burden caused by premature death tended to decline.Males and rural residents are key populations for liver cancer prevention and control.

关 键 词：肝癌 死亡率 寿命损失 

分 类 号：R73-31[医药卫生—肿瘤]