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2011-2020年厦门市海沧区肺癌流行趋势分析及预测

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目的 了解厦门市海沧区肺癌流行及变化趋势.方法 收集2011-2020年海沧区人群肺癌监测数据,计算发病率、死亡率、中标率、世标率、累计率、截缩率等指标评价肺癌流行水平,用年度变化百分比(APC)和平均变化百分比(AAPC)评价流行趋势,用GM(1,1)模型预测2021-2025年发病率和死亡率.结果 2011-2020年厦门市海沧区肺癌发病粗率50.13/10万,中标率和世标率分别为48.22/10万和47.53/10万,35~64岁截缩率为68.09/10万,0~74岁累计率5.86%;粗死亡率34.51/10万,中标率和世标率分别为33.47/10万和33.06/10万,35~64岁截缩率为35.42/10万,0~74岁累计率4.02%.男性发病率、死亡率及截缩率均高于女性.2011-2020年海沧区肺癌发病趋势不明显,其中男性发病呈下降趋势,年均下降率为3.67%(AAPC=-3.67,95%CI:-6.86~-0.36),2013-2020年女性发病呈上升趋势,年均上升14.48%(APC=14.48,95%CI:6.93~22.55).2011-2020年海沧区肺癌死亡率呈下降趋势,年均下降5.48%(AAPC=5.48,95%CI:-9.26~-1.55).GM(1,1)模型预测2021-2025年海沧区女性肺癌发病率会上升,男性发病率和全区死亡率将下降.结论 厦门市海沧区肺癌发病高于全国平均水平,总体死亡率逐年下降,发病以女性上升明显,中壮年发病也呈上升趋势;应引起重视,开展形式多样的健康教育活动,增强居民参与早筛的意识,加强规范化诊疗,不断降低肺癌发病与死亡水平.
Analysis and prediction of lung cancer epidemic trend in Haicang district of Xiamen city from 2011 to 2020
Objective To understand the trend of prevalence and change of lung cancer in Haicang district of Xiamen city.Methods The data of lung cancer surveillance were collected in the people living in Haicang district from 2011 to 2020.The incidence rate,mortality,China age standardized incidence rate(ASR),world ASR,cumulative rate,truncated rate were calculated for evaluating the prevalence level of lung cancer.The annual percent change(APC)and the average annual percent changes(AAPC)were used to evaluate the trend of the prevalence.The GM(1,1)model was used to predict the incidence rates and mortalities from 2021 to 2025.Results The crude incidence rate of lung cancer was 50.13/105 in Haicang district from 2011 to 2020,with China ASR of 48.22/105 and world ASR of 47.53/105.The truncated rate of the patients aged 35-64 years was 68.09/105,and the cumulative rate of the patients aged 0-74 was 5.86%.The crud death rate was 34.51/105,with China ASR of 33.47/105 and world ASR of 33.06/105.The truncated rate of the patients aged 35-64 years was 35.42/105,and the cumulative rate of the patients aged 0-74 was 4.02%.The incidence rate,mortality and truncated rate in the male were higher than that in the female.From 2011 to 2020,the trend of incidence rates of lung cancer in the people living in Haicang district was not obvious,but the incidence rates of lung cancer in the male showed decreasing trend,with the average annual decreasing rate of 3.67%(AAPC=-3.67,95%CZ:-6.86~-0.36.From 2013 to 2020,the incidences of lung cancer in women showed increasing trend,with the average annual increasing rate of 14.48%(APC=14.48,95%CZ:6.93~22.55).The mortality rates of lung cancer showed decreasing trend,with the average annual decreasing trend of 5.48%(AAPC=5.48,95%CI:-9.26~-1.55)in Haicang district from 2011 to 2020.The incidence rates of the female should increase by GM(1,1)model prediction in Haicang district from 2021 to 2025,and the incidence rates of the male and the death rates of this district could decrease.Conclusions The incidence rate of lung cancer in Haicang district was higher than that of the national average level,and the total mortality decreases year by year.The incidence rates obviously increase in the female and the middle-aged people.All the situation should be pay attention to,and the various forms of health education should be carried out.The awareness of early screening of the people should be strengthened and the normalized diagnosis and treatment should be enhanced for decreasing the incidence and mortality levels of lung cancer.

Lung cancerEpidemicMortality

温远元、林艺兰、池家煌、彭楚妍

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福建省厦门市海沧区疾病预防控制中心,福建厦门 361026

福建省厦门市疾病预防控制中心,福建厦门 361021

厦门医学院,福建厦门 361023

肺癌 流行 死亡率

2024

疾病预防控制通报
新疆疾病预防控制中心

疾病预防控制通报

ISSN:1000-3711
年,卷(期):2024.39(5)