2014—2022年岱山县居民恶性肿瘤死亡特征和趋势分析  

Analysis of the characteristics and trend of malignant tumor deaths among residents in Daishan county from 2014 to 2022

作　　者：朱夏燕 林启[2] ZHU Xiayan;LIN Qi(Daishan Center for Disease Control and Prevention,Daishan,Zhejiang 316200,China;Zhoushan Center of Disease Control and Prevention,Zhoushan,Zhejiang 316021,China)

机构地区：[1]岱山县疾病预防控制中心,浙江岱山316200 [2]舟山市疾病预防控制中心,浙江舟山316021

出　　处：《应用预防医学》2024年第6期426-430,共5页Applied Preventive Medicine

基　　金：舟山市医药卫生科技计划项目(2023YB10)。

摘　　要：目的了解2014—2022年岱山县居民恶性肿瘤死亡特征及其变化趋势,为制定恶性肿瘤防控措施提供依据。方法收集2014—2022年岱山县居民恶性肿瘤死亡资料,计算恶性肿瘤死亡率、标化死亡率、0~74岁累积死亡率和35~64岁截缩死亡率等指标,分析死因顺位以及平均年度变化百分比(AAPC)。结果2014—2022年岱山县居民恶性肿瘤年均死亡率为328.43/10万,标化死亡率为160.43/10万,恶性肿瘤0~74岁累积死亡率为13.25%,35~64岁截缩死亡率为161.29/10万。2014—2022年恶性肿瘤死亡率总体呈上升趋势(AAPC=2.203%,t=3.511,P=0.010),标化死亡率总体呈下降趋势(AAPC=-3.033%,t=-4.099,P=0.005)。男性恶性肿瘤死亡3515例,死亡率为439.52/10万,标化死亡率为215.70/10万;女性恶性肿瘤死亡1804例,死亡率为220.06/10万,标化死亡率为108.10/10万,男性死亡率和标化死亡率均高于女性。恶性肿瘤死因顺位前5位依次为肺癌、肝癌、胃癌、结直肠癌和胰腺癌,占所有恶性肿瘤死亡的72.02%(3831/5319);肺癌占全部恶性肿瘤死亡的24.85%。15岁以前主要恶性肿瘤死因为白血病,45岁以后为肺癌、肝癌和胃癌。主要恶性肿瘤中,胃癌(AAPC=2.073%,t=2.402,P=0.047)、结直肠癌(AAPC=4.318%,t=3.297,P=0.013)和胰腺癌(AAPC=13.546%,t=3.360,P=0.012)的死亡率均呈上升趋势。结论2014—2022年岱山县居民恶性肿瘤死亡率总体呈上升趋势,标化死亡率总体呈下降趋势。肺癌和消化系统恶性肿瘤是重点防控癌种,应通过预防、筛查、诊疗等综合防治措施,降低恶性肿瘤死亡率。Objective To understand the characteristics and changing trends of malignant tumor deaths in Daishan from 2014 to 2022,and to provide evidence for formulating malignant tumors control strategies.Methods The data regarding the death of malignant tumors among residents in Daishan from 2014 to 2022 were collected.The malignant tumor mortality,standardized mortality,cumulative mortality rate from 0 to 74 years old and truncated mortality rate from 35 to 64 years old were calculated,and rank of death causes and average annual percentage change(AAPC)were analyzed.Results From 2014 to 2022,the average annual mortality rate of malignant tumors among residents in Daishan county was 328.43/100000,the standardized mortality rate was 160.43/100000,the cumulative mortality rate of malignant tumors aged 0-74 was 13.25%,and the truncated mortality rate of malignant tumors aged 3564 was 161.29/100000.The mortality of malignant tumors showed an increasing trend(AAPC=2.203%,t=3.511,P=0.010),and the standardized mortality showed decreasing trend(AAPC=-3.033%,t=-4.099,P=0.005)from 2014 to 2022.There were 3515 male death cases of malignant tumors,with a mortality rate of 439.52/100000 and a standardized mortality rate of 215.70/100000.There were 1804 female death cases of malignant tumors,with a mortality rate of 220.06/100000 and a standardized mortality rate of 108.10/100000.Both the mortality and standardized mortality of males were higher than females.The top five causes of death from malignant tumors were lung cancer,liver cancer,stomach cancer,colorectal cancer,and pancreatic cancer,accounted for 72.02%(3831/5319)of all malignant tumor deaths.The lung cancer accounted for 24.85%of all malignant tumor deaths.The major cause of death from malignancy tumors in aged before 15 years was leukemia,and in aged after 45 years were lung cancer,liver cancer,and stomach cancer.Among the major malignant tumors,the mortality of stomach cancer(AAPC=2.073%,t=2.402,P=0.047),colorectal cancer(AAPC=4.318%,t=3.297,P=0.013),and pancreatic cancer(AA

关 键 词：恶性肿瘤 死亡率 趋势 

分 类 号：R195.4[医药卫生—卫生统计学]