1995-2022年上海市浦东新区居民食管癌死亡特征及减寿率分析
Analysis of the mortality and years of life lost of esophageal cancer among residents in Pudong New Area of Shanghai from 1995 to 2022
苗映雪 1陈亦晨 2李容跃 1王森 2孙良红 2周弋2
作者信息
- 1. 大理大学公共卫生学院,云南大理 671000
- 2. 上海市浦东新区疾病预防控制中心复旦大学浦东预防医学研究院,上海 200136
- 折叠
摘要
目的 分析1995-2022年浦东新区居民食管癌死亡特征与寿命损失特征,为制定针对性干预措施提供依据.方法 通过浦东新区死因监测系统收集1995-2022年共7 549例食管癌死亡患者数据资料进行分析,采用粗死亡率(CMR)、标准化死亡率(SMR)、潜在减寿年数(PYLL)、平均减寿年数(AYLL)和标化潜在减寿年数(SPYLL)等指标分析食管癌死亡情况;Joinpoint回归计算死亡率的平均年度变化百分比(AAPC)和年度变化百分比(APC),分析食管癌死亡率的变化趋势.结果 1995-2022年浦东新区居民食管癌CMR为10.11/10万,SMR为4.46/10万;男性CMR为14.82/10 万,SMR 为 7.23/10 万;女性 CMR 为 5.43/10 万,SMR 为 1.95/10 万,男性高于女性(ZCMR=40.304,P＜0.001;ZSMR=-48.519,P＜0.001);1995-2022年浦东新区食管癌全人群和男女性食管癌死亡率总体均呈下降趋势,女性下降速度高于男性;浦东新区食管癌PYLL为68 762人年,潜在减寿率(PYLLR)为0.92‰,AYLL为12.69年/人.结论 食管癌死亡率随着年龄的增加而升高;男性人群和≥80岁人群为高危人群,应结合浦东新区食管癌死因流行特征制定适当的防控措施.
Abstract
Objective To discuss the death characteristics and life loss of residents with esophageal cancer in Pudong New Area from 1995 to 2022,in order to provide a basis for formulating targeted intervention measures.Methods The data of 7 549 cases of esophageal cancer death were collected and analyzed by the death cause monitoring system in Pudong New Area.Indicators,including crude mortality rate(CMR),standardized mortality rate(SMR),potential years lost(PYLL),average years lost(AYLL),standardized years lost(SPYLL)were used to analyze the death of esophageal cancer.The average annual percent change(AAPC),annual percent change(APC)and mortality trend of esophageal cancer were obtained by joinpoint regression,and the changes were analyzed.Results CMR and SMR of esophageal cancer in Pudong New Area between 1995 and 2022 were 10.11/100 000 and 4.46/100 000,respectively.CMR and SMR of esophageal cancer in males were 14.82/100 000 and 7.23/100 000,respectively.CMR and SMR of esophageal cancer in females were 5.43/100 000 and 1.95/100 000,respectively.The mortality rate of esophageal cancer in males were higher than that in females.From 1995 to 2022,the mortality rate of esophageal cancer in the whole population and in males and females in Pudong New Area showed a decreasing trend,and the rate of decrease in females was higher than that in males.The PYLL in Pudong New Area was 68 762 years,the potential years of life lost rate was 0.92‰,and the AYLL was 12.69 years per person.Conclusions The death rate of esophageal cancer increases with the increase of age.The male population and the population aged ≥80 are high-risk groups of esophageal cancer;therefore,appropriate pre-vention and control measures should be formulated according to the epidemic characteristics of esophageal cancer in Pud-ong New Area.
关键词
食管癌/死亡率/变化趋势/潜在减寿年数/上海市Key words
esophageal cancer/mortality/temporal trend/potential years of life lost/Shanghai City引用本文复制引用
基金项目
浦东新区疾病预防控制中心科技项目(PDCDC-2023-13)
浦东新区卫生科技项目(PW2023A-27)
浦东新区科技发展基金事业单位民生科研专项(PKJ2021-Y73)
出版年
2024
NETL
NSTL
万方数据