首页|2014-2023年镇江市居民恶性肿瘤疾病负担趋势

2014-2023年镇江市居民恶性肿瘤疾病负担趋势

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目的 了解镇江市居民恶性肿瘤死亡率和疾病负担及变化趋势.方法 利用2014-2023年镇江市死因监测数据,计算恶性肿瘤粗死亡率、标化死亡率、早死寿命损失年(YLLs)、YLLs率,采用平均年度变化百分比(AAPC)分析变化趋势.结果 2014-2023年,镇江市因恶性肿瘤死亡73 922例,年均粗死亡率为318.44/10万,标化死亡率为262.33/10万.粗死亡率和标化死亡率男性均高于女性(x2值分别为6 087.30、199 262.00,P值均<0.05).总人群、男性恶性肿瘤粗死亡率呈上升趋势(AAPC分别为0.91%、1.19%),全人群、男性、女性恶性肿瘤YLLs率呈下降趋势(AAPC分别为-1.19%、-1.01%、-1.43%,P值均<0.05).2023年死因顺位前5位恶性肿瘤依次为肺癌(占20.35%)、胃癌(占20.19%)、食道癌(占13.19%)、结直肠癌(占9.73%)、肝癌(占9.47%),合计占全部恶性肿瘤死亡的72.93%.相比2014年,肺癌全人群和男、女性YLLs率变化趋势无统计学意义(P值均>0.05),胃癌、食道癌、肝癌全人群、男、女性YLLs率均呈下降趋势(P值均<0.05),结直肠癌全人群、男性YLLs率均呈下降趋势(P值均<0.05).结论 镇江市恶性肿瘤标化死亡率和标化YLLs率均呈下降趋势,但依然处于较高水平,应重点关注肺癌和胃癌等消化系统肿瘤的综合防控.
Trends in disease burdens of malignant tumors among residents in Zhenjiang City from 2014 to 2023
Objective To investigate the mortality and disease burden of malignant tumors and their changing trends among resi-dents in Zhenjiang City.Methods The data pertaining to surveillance on causes of death were collected from Zhenjiang City from 2014 to 2023,and the crude mortality,standardized mortality,years of life lost due to premature death(YLLs)and YLLs rate of malig-nant tumors were calculated.In addition,the trends in crude mortality,standardized mortality,YLLs and YLLs rate of malignant tumors were investigated using average annual change percent(AAPC).Results A total of 73 922 deaths occurred due to malignant tumors in Zhenjiang City from 2014 to 2023,with average annual crude mortality of 318.44/105 and standardized mortality of 262.33/105.The crude and standardized mortality was both higher among men than among women(x2=6 087.30 and 199 262.00,both P values<0.05),and the crude mortality of malignant tumors appeared a tendency towards a rise among total populations(AAPC=0.91%)and men(AAPC=1.19%)in Zhenjiang City from 2014 to 2023,while the YLLs rate appeared a tendency towards a decline among total populations(AAPC=-1.91%,P<0.05),men(AAPC=-1.01%,P<0.05)and women(AAPC=-1.43%,P<0.05).The five most deadly malignant tumors included lung cancer(20.35%),gastric cancer(20.19%),esophageal cancer(13.19%),colorectal cancer(9.73%)and liver cancer(9.47%)in Zhenjiang City in 2023,which consisted of 72.93%of all cancer-related mortality.There was no statistical significance in the trends in YLLs rates of lung cancer among total populations,men or women between 2023 and 2014(all P values>0.05),and the YLLs rate of gastric cancer,esophageal cancer and liver cancer all appeared a tendency towards a decline among total populations,men and women(all P values<0.05),while the YLLs rate of colorectal cancer appeared a tendency towards a decline among total populations and men(both P values<0.05).Conclusions The standardized mortality and YLLs rate of malignant tumors appeared a tendency towards a decline in Zhenjiang City from 2014 to 2023,but still remained at a high lev el.Integrated control should be given to lung cancer and gastrointestinal cancers,like gastric cancer.

Malignant tumorDisease burdenMortalityYears of life lost due to premature death

秦平、朱月兰、徐璐、王宏宇

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镇江市疾病预防控制中心,江苏镇江 212000

恶性肿瘤 疾病负担 死亡率 早死寿命损失

2024

江苏预防医学
江苏省疾病预防控制中心 江苏省预防医学会

江苏预防医学

影响因子:1.319
ISSN:1006-9070
年,卷(期):2024.35(4)