Epidemiological characteristics and trend analysis of malignant tumor death in Yancheng City from 2011 to 2020
Objective:To understand the epidemiological characteristics and trends of death of malignant tumors in Yancheng City from 2011 to 2020,so as to provide basis for prevention and control of malignant tumors.Methods:The data of malignant tumor death of registered residents in Yancheng City from 2011 to 2020 were col-lected,and the mortality rate,age classification rate,standardized mortality rate,annual percentage change(APC),cause of death and other indicators were calculated.Results:From 2011 to 2020,there were 556 128 cu-mulative reported deaths in Yancheng City,and 177 716 died of malignant tumors,accounting for 31.96%of the total deaths.Malignant tumor was the leading cause of death for residents in Yancheng City.The average annual crude mortality rate of malignant tumors was 217.07/100 000,the standardized mortality rate was 150.73/100 000,APC was-2.84%.The dead number and death rate of malignant tumors increased year by year with age,there were differences in the composition of male and female deaths in different age groups(CMH trend test χ2 =151.39,P<0.001),male mortality was higher than female mortality(χ2 =30.91,P<0.001).The top 10 malignant tumors among residents in Yancheng City were lung cancer,esophageal cancer,gastric cancer,hepato-ma,pancreatic cancer,rectal cancer,brain cancer,breast cancer,cervical cancer,colon cancer.These malignant tumors were accounting for 86.00%of all malignant tumor deaths.Yancheng residents died of malignant tumors with a cumulative loss of 966 839.0 person-years,a life reduction rate of 13.41%,standardized life reduction of 847 247.23 person-years,a standardized life reduction rate of 11.75%,and an average life loss of 11.33 years.The average premature mortality rate caused by malignant tumors in Yancheng City was 7.73%,and the total pre-mature mortality rate of malignant tumors decreased from 8.91%in 2011 to 6.15%in 2020(APC =-4.02%,t = 7.92,P<0.001).Conclusion:The mortality rate of malignant tumors in Yancheng City shows a downward trend from 2011 to 2020.Mortality increases with age,and male mortality is higher than female mortality.Lung cancer is the leading cause of cancer death.There are differences in the distribution of cancer deaths among people of differ-ent genders and ages.Different prevention and control measures should be taken for different age groups of men and women to reduce the death of malignant tumors.