首页|2018-2022年山东省寿光市居民恶性肿瘤死亡流行病学分析

2018-2022年山东省寿光市居民恶性肿瘤死亡流行病学分析

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目的 分析2018-2022年山东省寿光市居民恶性肿瘤死亡资料,探讨其变化趋势.方法 收集2018-2022年山东省寿光市居民恶性肿瘤死亡资料,计算粗死亡率、标化死亡率和构成比,分析恶性肿瘤变化趋势.结果 2018-2022年山东省寿光市居民共死亡41 049例,死亡率为730.18/10万.心脑血管疾病居死因顺位第1位,恶性肿瘤居第2位,呼吸系统疾病居第3位.各年度男性、女性粗死亡率比较差异均有统计学意义(x2值分别为165.50、157.58、143.22、123.84、147.20,P<0.01).男性、女性死亡顺位第一位均为肺癌.男性肺癌、胃癌、肝癌、结直肠癌、食管癌、白血病、膀胱癌的粗死亡率均高于女性(x2值分别为486.73、269.51、196.57、13.64、132.32、6.90、64.96,P<0.01),男性胰腺癌粗死亡率略高于女性(x2=3.84,P<0.05).男性膀胱癌、食管癌、胃癌、肝癌、肺癌粗死亡率分别为女性的6.03、3.23、2.61、2.24、2.06倍.随年龄增加,男性、女性恶性肿瘤死亡率均呈明显上升趋势.<50岁年龄组男女间标化死亡率差异无统计学意义(x2值分别为0.28、0.4、1.61、2.22、0.91、3.19、0.5、0.09、1.47,P均>0.01),>50岁年龄组男女间标化死亡率差异有统计学意义(x2 值分别为 31.4、59.46、142.11、244.96、339.92、231.94、148.93、85.29,P 均<0.01).50岁以上人群恶性肿瘤死亡9 940例,构成比为94.07%.寿光市恶性肿瘤死亡率由低到高依次为市中心、南部、西部、北部、东部地区,市中心与4区间差异均有统计学意义(x2值分别为146.08、174.66、271.95、418.15,P<0.01).结论 2018-2022年寿光市居民恶性肿瘤粗死亡率略有波动,标化死亡率下降,男性死亡率高于女性;需重点关注北部、东部地区及50岁以上男性人群.
Epidemiological analysis of cancer deaths in Shouguang city from 2018 to 2022
Objective To analyze malignant tumor death data in Shouguang city of Shandong province from 2018 to 2022,and to grasp its trend.Methods The data on malignant tumor deaths of residents in Shouguang city,Shandong province from 2018 to 2022 was collected to calculate crude mortality,standardized mortality and composition ratio,and to analyze the trend of malignant tumor changes.Results A total of 41 049 deaths were recorded among residents of Shouguang city,Shandong province in 2018 to 2022,with a mortality rate of 730.18/105.Cardiovascular and cerebrovascular diseases ranked first in the list of causes of death,malignant tumors ranked second,and respiratory diseases ranked third.There was a statistically significant difference in the comparison of male and female crude mortality rates in all years(x2 was 165.50,157.58,143.22,123.84,147.20,respectively,P<0.01).Lung cancer ranked first in the death order for both males and females.Crude mortality rates for lung,stomach,liver,colorectal,esophageal,leukemia,and bladder cancers were higher for men than for women(x2 was 486.73,269.51,196.57,13.64,132.32,6.90,64.96,P<0.01).The crude mor-tality rate for pancreatic cancer was slightly higher in men than in women(x2 was 3.84,P<0.05).The crude mortality rates of bladder,esophagus,stomach,liver,and lung cancers in men were 6.03,3.23,2.61,2.24,and 2.06 times higher than those in women,respectively.With the increase of age,the mortality of male and female malignant tumors showed an obvious upward trend.The difference in the standardized mortality rate between men and women in the<50 age group was not statistically significant(x2 was 0.28,0.4,1.61,2.22,0.91,3.19,0.5,0.09,1.47,respectively,all P>0.01),and the difference in the standardized mortality rate between men and women in the>50 age group was statistically significant(x2was 31.4,59.46,142.11,244.96,339.92,231.94,148.93,85.29,respectively,all P<0.01).There were 9 940 deaths from malignant tumors in the age group>50 years,constituting a ratio of 94.07%.The mortality rate of ma-lignant tumors in Shouguang City was in the order of city center,southern,western,northern,and eastern regions from low to high,and the differences between the city center and the 4 regions were all statistically significant(x2 was 146.08,174.66,271.95,and 418.15,respectively,P<0.01).Conclusion From 2018 to 2022,the crude death rate of malig-nant tumors in Shouguang residents fluctuated slightly,and the standardized death rate decreased,males had a higher mor-tality rate than females.It is necessary to focus on the northern and eastern regions and men over 50 years old.

Malignant tumorMortalityLung cancerGastric cancer

郑月花、王东武、丁峰、李伟红、李秋菊、杨晓甜、李慧

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寿光市疾病预防控制中心慢性病防制科,山东 262700

恶性肿瘤 死亡率 肺癌 胃癌

2024

预防医学论坛
中华预防医学会

预防医学论坛

影响因子:0.645
ISSN:1672-9153
年,卷(期):2024.30(7)