2013-2015年常德市鼎城区主要恶性肿瘤死亡及减寿分析

doi:10.3969/j.issn.1006-3110.2017.10.007

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摘要目的分析常德市鼎城区居民2013-2015年主要恶性肿瘤死亡水平、变化趋势、分布特征及对人群寿命的影响,为预防控制恶性肿瘤提供依据。方法利用鼎城区2013-2015年各年度死因登记资料及人口资料进行统计分析,采用2010年全国人口普查数据进行标化,计算死亡率、潜在减寿年数及去死因期望寿命等指标。结果 2013-2015年常德市鼎城区居民恶性肿瘤死亡率为141.53/10万,标化死亡率为117.05/10万,男女标化死亡率分别为157.20/10万和77.03/10万,男性高于女性(P<0.001)。主要恶性肿瘤中排名前五位的依次为支气管和肺癌、肝癌、胃癌、脑部肿瘤、结直肠和肛门癌,其死亡率随着年龄的增加而增加,60岁以后增加明显。恶性肿瘤造成的潜在减寿率(PYLL率)为20.23人年/1 000,平均每位死者损失(APYLL)14.30人年。常德市鼎城区居民的期望寿命为79.80岁,去恶性肿瘤后期望寿命增加2.40岁。结论 2013-2015年常德市鼎城区恶性肿瘤严重危害居民的生命健康,带来巨大的潜在寿命和期望寿命损失,支气管和肺癌、肝癌、胃癌是主要癌种,应针对不同人群恶性肿瘤死亡的特点进行有针对性的防控。

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	王飞
	张完珍
	周权

关键词 ：恶性肿瘤, 死亡率, 潜在减寿年数, 死因分析

Abstract：Objective To analyze the death level and its changing tendency, distribution characteristics as well as life lost due to main malignant tumors among residents in Dingcheng District of Changde City from 2013 to 2015, and to provide evidence for prevention and control of malignant tumors. Methods We statistically analyzed the data of annual registered death causes and the population information in Dingcheng District of Changde City during 2013-2015. The incidence was standardized by utilizing the demographic data based on the nationwide population census in 2010, and the mortality rate, the potential years of life lost (PYLL) and death cause-excluded life expectancy were calculated. Results The mortality rate of malignant tumors and the standardized mortality rate among residents in Dingcheng District of Changde City during 2013-2015 were 141.53/100,000 and 117.05/100,000 respectively. The standardized mortality rate was significantly higher in males than in females (157.20/100,000 vs. 77.03/100,000, P<0.001). The top five causes of deaths were bronchus and lung cancer, live cancer, gastric cancer, brain tumor, colorectal and anal cancer, and the mortality rate increased obviously with the age, especially among the people over 60 years old. The PYLL (per 1 000 persons) due to malignant tumors was 20.23 years, and the average PYLL for each death was 14.30 years. Life expectancy of the residents in Dingcheng District of Changde City was 79.80 years, which was increased by 2.40 years when the deaths due to malignant tumors were excluded. Conclusions In 2013-2015,malignant tumors seriously affected the life and health of the residents in Dingcheng District of Changde City,brought about enormous potential life lost and brings down the life expectancy in the population. Bronchus and lung cancer, live cancer and gastric cancer were the most common death causes. It is necessary to take targeted countermeasures to prevent malignant tumors according to their characteristics among different populations.

Key words： malignant tumor mortality rate potential years of life lost death cause

收稿日期: 2017-01-11

R73-31

基金资助:常德市科技局项目(2016ZD16)

通讯作者: 周权,E-mail:303117131@qq.com。

作者简介: 王飞(1965-),男,湖南常德人, 本科学历,副主任医师,主要从事学校卫生及慢性病防制工作。

引用本文:

王飞, 张完珍, 周权. 2013-2015年常德市鼎城区主要恶性肿瘤死亡及减寿分析[J]. 实用预防医学, 2017, 24(10): 1175-1178. WANG Fei, ZHANG Wan-zhen, ZHOU Quan. Death and life lost due to main malignant tumors among residents in Dingcheng District of Changde City, 2013-2015. , 2017, 24(10): 1175-1178.

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