2006-2020年北京市某区恶性肿瘤死亡特征及变化趋势分析
Death characteristics and change trend of malignant tumors in certain district of Beijing,2006-2020
谈敦芳 1张松建 1黄利琼 1张丹丹 1尤涵1
作者信息
- 1. 101300,北京市顺义区疾病预防控制中心
- 折叠
摘要
目的 分析2006-2020年北京市某区恶性肿瘤死亡特征及变化趋势,为进一步做好癌症早防早治防控工作提供依据.方法 采用粗死亡率、标化死亡率,恶性肿瘤死亡率的年度变化百分比(APC)、平均年度变化百分比(AAPC)、早死寿命损失年(YLL)、去死因期望寿命等指标评价恶性肿瘤死亡特征.结果 2006-2020年某区户籍居民恶性肿瘤粗死亡率呈上升趋势(AAPC=5.36％,P＜0.001),2006-2010年上升明显,2010-2020年缓慢上升;总人群和女性标化死亡率2006-2010年呈上升趋势(总人群APC=22.21％,女性APC=13.12％,P均＜0.05).男性标化死亡率高于女性.食管癌标化死亡率呈明显下降趋势(总人群AAPC=-2.88％,男性AAPC=-2.38％,女性AAPC=-5.44％,P均＜0.05).结直肠癌标化死亡率呈明显上升趋势(总人群AAPC=4.95％,P＜0.001).死亡率随年龄增加而升高,50岁以上居民恶性肿瘤死亡数占总死亡人数的91.64％.15～＜50岁男性肝癌居年龄段死因首位,15～＜50岁育龄期女性乳腺癌仅次于肺癌居第二位,≥65岁女性结直肠癌死亡率上升至第二位.恶性肿瘤去死因期望寿命呈逐年上升趋势,从2006年的1.54岁上升至2020年的2.74岁;早死寿命损失年男性高于女性,YLL随年龄增长呈先上升后下降趋势,75～＜80岁组达到高峰,为2 268人年.结论 北京市某区户籍居民恶性肿瘤死亡影响严重,2006-2010为主要上升阶段,应加强青壮年男性肺癌和肝癌、育龄期妇女肺癌和乳腺癌、老年女性结直肠癌的综合防控策略.
Abstract
Objective To analyze the characteristics and trends of malignant tumor death in a district of Beijing from 2006 to 2020,in order to provide evidence for further prevention and early treatment of cancer.Methods Crude mortality rate,standardized mortality rate,annual percen change(APC)of mortality rate,average annual percen change(AAPC)of mortality rate,years of life lost(YLL)from premature death and life expectancy without the cause were used to evaluate the death characteristics of malignant tumors.Results The crude death rate of malignant tumors in the district showed an increasing trend from 2006 to 2020(AAPC=5.36％,P＜0.001),a significant rise from 2006 to 2010,and a slow rise from 2010 to 2020.The standardized mortality rate mainly increased during 2006-2010,with APC=22.21％for the general population and 13.12％for females(all P＜0.05).The standardized mortality rate for males is higher than that for females.The standardized mortality of esophageal cancer showed a significant downward trend(total AAPC=-2.88％,male AAPC=-2.38％,female AAPC=-5.44％,all P＜0.05).The standardized mortality of colorectal cancer showed a significant upward trend(total AAPC=4.95％,P＜0.001).The mortality rate increased with age,and the number of malignant tumor deaths in residents over 50 years old accounted for 91.64％of the total number of deaths.Liver cancer in men aged 15-＜50 was the leading cause of death,breast cancer in women of reproductive age aged 15-＜50 was second to lung cancer,and the death rate of colorectal cancer in women over 65 years old rose to the second place.The life expectancy without the cause of death due to malignant tumors increased year by year,from 1.54 years in 2006 to 2.74 years in 2020.The years of life lost due to premature death were higher for males than for females.YLL showed an increasing and then decreasing trend with age,reaching a peak of 2 268 person-years in the 75-＜80 year-old group.Conclusions The impact of malignant tumor mortality on registered residents in the district is severe,with 2006-2010 being the main period of increase.Comprehensive prevention and control strategies for lung cancer and liver cancer in young and middle-aged men,lung cancer and breast cancer in women of childbearing age,and colorectal cancer in elderly women should be strengthened.
关键词
恶性肿瘤/时间变化趋势/早死寿命损失年/去死因期望寿命Key words
Malignant tumor/Time change trend/Early death years of life lost/Life expectancy without cause引用本文复制引用
出版年
2024
NETL
NSTL
万方数据