摘要目的 分析重庆市恶性肿瘤早死亡概率及疾病负担,为开展肿瘤防治提供建议。 方法 采用SPSS 19.0分析2016年全死因中死于恶性肿瘤(ICD-10: C00.0-C97,D32.0-D33.9,D42.0-D43.9),统计分析死亡率、标化死亡率、早死概率、期望寿命损失年、早逝导致的寿命损失年(years of life lost due to premature mortality, YLLs)、平均减寿年数(average years of life lost,AYLL)。 结果 2016年共计报告恶性肿瘤死亡56 073例,死亡率与标化死亡率为188.21/105与148.99/105。恶性肿瘤死亡率男性(248.94/105)高于女性(125.43/105)(χ2=77.761,P<0.001),农村(191.16/105)高于城市(180.51/105)(χ2=5.998,P<0.05)。恶性肿瘤早死概率为8.32%,恶性肿瘤早死概率男性(11.15%)高于女性(5.17%)(χ2=443.046,P<0.001),城市(8.52%)高于农村(8.34%)(χ2=384.175, P<0.001)。2016年重庆市恶性肿瘤导致的人均期望寿命损失年为3.17年,YLLs率为45.80年/1 000人,占全死因YLLs率的 30.18%,YLLs率男性(61.42年/1 000人)高于女性(20.17年/1 000人),农村(47.08年/1 000人)高于城市(42.47年/1 000人),AYLL为24.34人年。 结论 重庆市恶性肿瘤死亡率高,早死亡概率高,疾病负担重,政府应重视肿瘤防治工作。
Abstract：Objective To analyze the probability of premature death and disease burden of cancers in Chongqing City, and to provide suggestions for tumor prevention and control. Methods Cancer cases from all population death registries (ICD-10: C00.0-C97, D32.0-D33.9, D42.0-D43.9) were analyzed by SPSS19.0 software. Indicators like mortality rate, age-standardized mortality rate (ASMR), probability of premature death, years of life expectancy lost (YLEL), years of life lost due to premature mortality (YLLs) and average years of life lost (AYLL) were calculated. Results A total of 56,073 cancer cases were reported in Chongqing City in 2016. The mortality rate and ASMR were 188.21/100,000 and 148.99/100,000 respectively. The mortality rate of cancers was higher in males than in females (248.94/100,000 vs. 125.43/100,000, χ2=77.761, P<0.001) as well as higher in rural areas than in urban areas (191.16/100,000 vs. 180.51/100,000, χ2=5.998, P<0.05). The probability of premature death of cancers was 8.32%, and it was higher in males than in females (11.15% vs. 5.17%, χ2=443.046, P<0.001) as well as higher in urban areas than in rural areas (8.52% vs. 8.34%, χ2=384.175, P<0.001). YLEL of cancers in Chongqing City in 2016 was 3.17 years. The rate on YLLs was 45.80 years per 1,000 persons, which accounted for 30.18% of rate on YLLs of all death cases. The rate on YLLs was higher in males (61.42 years per 1,000 persons) than in females (20.17 years per 1,000 persons) as well as higher in rural areas (47.08 years per 1,000 persons) than in urban areas (42.47 years per 1,000 persons). AYLL of cancers in Chongqing City in 2016 was 24.34 person-years. Conclusions The mortality rate and probability of premature death of cancers in Chongqing City in 2016 were both high, and the disease burden was also heavy. Governments should attach great importance on cancer prevention and control.
丁贤彬, 焦艳, 毛德强, 唐文革. 2016年重庆市恶性肿瘤早死概率及疾病负担分析[J]. 实用预防医学, 2019, 26(2): 153-155.
DING Xian-bin, JIAO Yan, MAO De-qiang, TANG Wen-ge. Probability of premature death and disease burden of malignant tumors in Chongqing City, 2016. , 2019, 26(2): 153-155.
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2019, Vol. 26 
