预防医学2024,Vol.36Issue(1) :78-81,85.DOI:10.19485/j.cnki.issn2096-5087.2024.01.020

萧山区恶性肿瘤死亡趋势分析

Trend in mortality of malignant tumors in Xiaoshan District

赵芳芳 林君英 王冬飞 李玉荣 高媛媛 蒋园园
预防医学2024,Vol.36Issue(1) :78-81,85.DOI:10.19485/j.cnki.issn2096-5087.2024.01.020

萧山区恶性肿瘤死亡趋势分析

Trend in mortality of malignant tumors in Xiaoshan District

赵芳芳 1林君英 1王冬飞 1李玉荣 1高媛媛 1蒋园园1
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作者信息

  • 1. 杭州市萧山区疾病预防控制中心慢性病防制科,浙江杭州 311203
  • 折叠

摘要

目的 了解2017-2022年杭州市萧山区恶性肿瘤死亡趋势,为开展恶性肿瘤防控工作提供依据.方法 通过杭州市慢性病监测管理系统收集2017-2022年萧山区居民恶性肿瘤死亡病例资料,分析死因构成比和粗死亡率,采用2010年第六次全国人口普查数据计算标化死亡率;采用平均年度变化百分比(AAPC)分析恶性肿瘤死亡趋势.结果 2017-2022年萧山区恶性肿瘤死亡13 301例,占全死因构成的31.26%,居死因首位;年均粗死亡率为186.36/10万,标化死亡率为106.63/10万.2017-2022年粗死亡率无明显变化趋势(P>0.05),标化死亡率呈下降趋势(AAPC=-1.409%,P<0.05).男性恶性肿瘤年均粗死亡率为241.40/10万,标化死亡率为132.66/10万,高于女性的133.37/10万和79.35/10万(均P<0.05).男性粗死亡率无明显变化趋势(P>0.05),标化死亡率呈下降趋势(AAPC=-3.017%,P<0.05);女性粗死亡率和标化死亡率均无明显变化趋势(P>0.05).45~<65岁和≥65岁居民恶性肿瘤粗死亡率呈下降趋势(AAPC=-3.933%和-2.413%,均P<0.05),0~<15岁、45~<65岁和≥65岁组男性粗死亡率高于女性(均P<0.05).恶性肿瘤前五位死因依次为肺癌、结直肠癌、肝癌、胃癌和胰腺癌,占全部恶性肿瘤的66.96%;结直肠癌粗死亡率呈上升趋势(AAPC=2.815%,P<0.05).结论 2017-2022年萧山区恶性肿瘤标化死亡率呈下降趋势,≥45岁男性是恶性肿瘤防控重点人群;导致死亡的主要恶性肿瘤为肺癌、结直肠癌、肝癌、胃癌和胰腺癌.

Abstract

Objective To investigate the trend in mortality of malignant tumors in Xiaoshan District,Hangzhou City from 2017 to 2022,so as to provide insights into formulation of the malignant tumor control strategy.Methods Data on mortality of malignant tumors in Xiaoshan District from 2017 to 2022 were collected through Hangzhou Municipal Chronic Disease Monitoring Management System,and the cause of death composition ratio and crude mortality were cal-culated.The mortality of malignant tumors was standardized by the population of the sixth National Population Census in China in 2010.The trend in mortality of malignant tumors were evaluated with average annual percent change(AAPC).Results There were 13 301 malignant tumor deaths reported in Xiaoshan District from 2017 to 2022,account-ing for 31.26%of the total cause of death and ranking the first among the causes of death.The crude mortality was 186.36/105 and standardized mortality was 106.63/105.There was no significant trend in the crude mortality of malignant tumors in Xiaoshan District from 2017 to 2022(P>0.05),while the standardized mortality showed a tendency towards a decline(AAPC=-1.409%,P<0.05).The crude and standardized mortality of malignant tumors were higher in men than in women(241.40/105 vs.133.37/105;132.66/105 vs.79.35/105;both P<0.05).There was no obvious trend in the crude mortality of malignant tumors in men(P>0.05),and the standardized mortality showed a tendency towards a decline(AAPC=-3.017%,P<0.05).While there was no obvious trend in the crude and standardized mortality of malignant tu-mors in women(P>0.05).The crude mortality of malignant tumors showed a tendency towards a decline among resi-dents at ages of 15 to 44 years and 65 years and older(AAPC=-3.933%and-2.413%,both P<0.05).The crude mor-tality of malignant tumors was higher in men than in women among residents at ages of 0 to 14 years,45 to 64 years and 65 years and older(all P<0.05).The five most common causes of death included lung cancer,colorectal cancer,liver cancer,gastric cancer and pancreatic cancer,accounting for 66.96%of all malignant tumors.The crude mortality of colorectal cancer from 2017 to 2022 showed a tendency towards a rise(AAPC=2.815%,P<0.05).Conclu-sions The standardized mortality of malignant tumors showed a tendency towards a decline in Xiaoshan District from 2017 to 2022.Management of malignant tumors should be given a high priority among men at ages of 45 years and older,and lung cancer,colorectal cancer,liver cancer,gastric cancer and pancreatic cancer were leading causes of death.

关键词

恶性肿瘤/死亡率/平均年度变化百分比

Key words

malignant tumor/mortality/average annual percent change

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出版年

2024
预防医学
浙江省预防医学会

预防医学

CSTPCD
影响因子:1.002
ISSN:2096-5087
参考文献量16
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