2019年甘肃省白银市恶性肿瘤发病率与死亡率分析  

Malignant tumor of incidence and mortality of Baiyin City in Gansu from 2019

作　　者：周红[1] 马骥雄[1] 薛娟娟 鲁朝霞 刘丽君[2] ZHOU Hong;MA Jixiong;XUE Juanjuan;LU Zhaoxia;LIU Lijun(Baiyin Center for Disease Control and Prevention,Baiyin,Gansu 730900,China;不详)

机构地区：[1]白银市疾病预防控制中心,甘肃白银730900 [2]白银市第一人民医院

出　　处：《中国预防医学杂志》2024年第10期1294-1299,共6页Chinese Preventive Medicine

基　　金：白银市科技计划项目(2021-2-19Y,2023-1-52Y)。

摘　　要：目的分析白银市恶性肿瘤发病与死亡情况,为制定防癌计划提供依据。方法本研究分析2019年白银市各县(区)上报至中国肿瘤登记平台的恶性肿瘤数据,计算不同性别、年龄人群发病/死亡率、标化发病/死亡率等指标。结果2019年白银市恶性肿瘤发病率315.85/10万,男性发病率(317.30/10万)与女性发病率(314.33/10万)差异无统计学意义(χ^(2)=0.107,P>0.05)。农村发病率(330.94/10万)高于城市(288.57/10万),差异有统计学意义(χ^(2)=19.764,P<0.05);20~<25岁、30~<55岁女性发病率均高于男性,而60~<65岁及以上年龄组男性均高于女性,差异有统计学意义(P<0.05);发病前10位的恶性肿瘤3569例(74.73%),胃癌754例(15.79%)。2019年恶性肿瘤总死亡率149.66/10万,男性死亡率(184.08/10万)高于女性死亡率(113.86/10万),差异有统计学意义(χ^(2)=124.706,P<0.05);农村(159.31/10万)死亡率高于城市(132.22/10万),差异有统计学意义(χ^(2)=17.027,P<0.05);55~<60岁及以上各年龄组男性死亡率均高于女性(P<0.05);死亡前10位的恶性肿瘤1885例(83.30%),肺癌522例(23.07%)。结论白银市恶性肿瘤发病率较高,其中胃癌、肺癌、肝癌、结直肠癌是发病和死亡较高的恶性肿瘤,对于男性,胰腺癌和食管癌是需要重点防控的恶性肿瘤,而女性需要重点防控乳腺癌的发生。Objective To analyze the incidence and mortality of malignant tumours in Baiyin City,providing a basis for the formulation of cancer prevention strategies.Methods This study analyzed malignant tumour data reported from various counties in Baiyin City to the China Cancer Registry Platform in 2019.Incidence/mortality rates,age-standardized rates,and other indicators were calculated for different genders and age groups.Results The overall incidence rate of malignant tumours in Baiyin City in 2019 was 315.85 per 100000.The incidence rates for males(317.30 per 100000)and females(314.33 per 100000)showed no significant difference(χ^(2)=0.107,P>0.05).The incidence rate in urban areas was 288.57/10000,and in rural areas was 330.94/100000.The incidence rate in rural areas was higher than that in urban areas(χ^(2)=19.764,P<0.05).Among females aged 20-<25 and 30-<55,the incidence rates were higher than those of males,while males aged 60-<65 and older exhibited higher rates than females,with significant differences(P<0.05).The top ten malignant tumours accounted for 3569 cases(74.73%),with stomach cancer being the most prevalent at 754 cases(15.79%).In 2019,the overall mortality rate of the malignant tumour was 149.66 per 100000,with a higher mortality rate in males(184.08 per 100000)compared to females(113.86 per 100000)(χ^(2)=124.706,P<0.05).The mortality rate was 132.22/10000 in urban areas and 159.31/100000 in rural areas.Rural areas were higher than urban areas(χ^(2)=17.027,P<0.05).For males aged 55 and older,the mortality rates were consistently higher than those of females(P<0.05).The top ten causes of cancer mortality accounted for 1885cases(83.30%),with lung cancer being the leading cause at 522 cases(23.07%).Conclusions The incidence rate of malignant tumours in Baiyin City has remained at a high level.Stomach cancer,lung cancer,liver cancer,and colorectal cancer are the most prevalent in terms of incidence and mortality rate.For males,pancreatic cancer and esophagus cancer require focused prevention efforts,wh

关 键 词：恶性肿瘤 发病率 死亡率 

分 类 号：R73-31[医药卫生—肿瘤]