2014—2023年温州市胃癌死亡及减寿趋势分析  

Trends in mortality and life loss of gastric cancer in Wenzhou City from 2014 to 2023

作　　者：叶振淼[1] 樊丽辉[1] 姜雪霞 郑宇航 张默涵 罗永园 谢轶敏 李慧君 金茜[1] YE Zhenmiao;FAN Lihui;JIANG Xuexia;ZHENG Yuhang;ZHANG Mohan;LUO Yongyuan;XIE Yimin;LI Huijun;JIN Xi(Wenzhou Center for Disease Control and Prevention(Wenzhou Institute of Health Inspection),Wenzhou,Zhejiang 325000,China)

机构地区：[1]温州市疾病预防控制中心(温州市卫生监督所),浙江温州325000

出　　处：《预防医学》2025年第3期267-271,共5页China Preventive Medicine Journal

基　　金：温州市科技计划项目(Y20240846)。

摘　　要：目的分析2014—2023年浙江省温州市胃癌死亡及减寿趋势,为完善胃癌防控策略提供依据。方法通过温州市慢性病监测管理信息系统收集2014—2023年温州市户籍居民死因监测资料,计算胃癌粗死亡率,采用2010年第六次全国人口普查数据标化;采用潜在减寿年数(PYLL)和潜在减寿率(PYLLR)分析寿命损失情况;描述性分析不同性别和年龄组的胃癌死亡及减寿特征。采用平均年度变化百分比(AAPC)分析胃癌死亡率和PYLLR变化趋势。结果2014—2023年温州市胃癌死亡17080例,占恶性肿瘤死亡的12.58%,居恶性肿瘤死亡第三位,粗死亡率为20.73/10万,标化死亡率为15.22/10万。2014—2023年胃癌粗死亡率和标化死亡率呈下降趋势(AAPC=-3.311%、-6.470%,均P<0.05)。男性胃癌粗死亡率和标化死亡率分别为29.22/10万和20.81/10万,高于女性的11.61/10万和8.74/10万(均P<0.05)。胃癌粗死亡率随年龄增长呈上升趋势(P<0.05),在80~<85岁组达到最高,为225.88/10万。胃癌死亡导致的PYLL为107607.50人年,PYLLR为1.37‰,2014—2023年PYLLR呈下降趋势(AAPC=-6.667%,P<0.05)。结论2014—2023年温州市胃癌死亡率和PYLLR均呈下降趋势,男性和老年人是胃癌防治的重点人群。Objective To investigate the trends in mortality and life loss of gastric cancer in Wenzhou City,Zhejiang Province from 2014 to 2023,so as to provide the evidence for formulating the prevention and control strategy for gastric cancer.Methods The surveillance on causes of death data of permanent residents in Wenzhou City were collected through the Wenzhou Chronic Disease Monitoring and Management Information System from 2014 to 2023.The crude mortality of gastric cancer was calculated,and standardized by the data from the Sixth Chinese National Population Census in 2010.The life loss were measured using potential years of life lost(PYLL)and rate of potential years of life lost(PYLLR).The characteristics of mortality and life loss of gastric cancer in different genders and age groups were described.The trends in mortality and PYLLR of gastric cancer were analyzed using the average annual percent change(AAPC).Results Totally 17080 deaths were reported due to gastric cancer in Wenzhou City from 2014 to 2023,accounting for 12.58%and ranking third in the order of malignant tumor deaths.The crude mortality of gastric cancer was 20.73/105,and the standardized mortality was 15.22/105,showing decreasing trends(AAPC=-3.311%,-6.470%,both P<0.05).The crude mortality of gastric cancer was 29.22/105 in men and 11.61/105 in women,with standardized mortality rates of 20.81/105 and 8.74/105(both P<0.05).The crude mortality of gastric cancer appeared a tendency towards a rise with increasing age(P<0.05),reaching the highest rate of 225.88/105 in the group aged 80 to<85 years.The PYLL and PYLLR of gastric cancer were 107607.50 person-years and 1.37‰.The PYLLR appeared a tendency towards a decline from 2014 to 2023,with AAPC of-6.667%(P<0.05).Conclusions The mortality and PYLLR of gastric cancer in Wenzhou City appeared a tendency towards a decline from 2014 to 2023.Men and the elderly populations were the key groups for the prevention and treatment of gastric cancer.

关 键 词：胃癌 死亡率 潜在减寿年数 平均年度变化百分比 

分 类 号：R735.2[医药卫生—肿瘤]