摘要
目的了解2019年日照市居民恶性肿瘤死因分布,为制定肿瘤防治对策提供依据。方法通过山东省死因监测信息管理系统收集2019年日照市居民恶性肿瘤死亡资料,计算分析死亡率、过早死亡损失寿命年(YLL)和YLL率等指标。率的比较采用Z检验。结果2019年日照市居民恶性肿瘤粗死亡率为172.59/10万,标化死亡率为119.87/10万。其中男性粗死亡率为226.5/10万,高于女性的116.99/10万,Z=481.49,P<0.01;标化死亡率为148.8/10万,高于女性的86.19/10万,Z=330.22,P<0.01。死亡率前5位的恶性肿瘤依次为肺癌、胃癌、肝癌、食管癌和结直肠癌,占全部恶性肿瘤死亡的77.8%。其中,男性依次为肺癌、胃癌、肝癌、食管癌和结直肠癌,占男性全部恶性肿瘤死亡的83.3%;女性依次为肺癌、胃癌、肝癌、乳腺癌和结直肠癌,占女性全部恶性肿瘤死亡的71.4%。男性主要恶性肿瘤死因顺位与总人群一致,乳腺癌成为女性恶性肿瘤死因顺位的第4位。YLL率前5位的恶性肿瘤依次为肺癌、肝癌、胃癌、食管癌和结直肠癌,占全部恶性肿瘤YLL的72.94%。其中,男性依次为肺癌、肝癌、胃癌、食管癌和结直肠癌,占男性恶性肿瘤YLL的81.53%;女性依次为肺癌、肝癌、胃癌、乳腺癌和结直肠癌,占女性恶性肿瘤YLL的68.11%。除乳腺癌外,主要恶性肿瘤YLL、YLL率男性均大于女性。结论肺癌和消化系统肿瘤是2019年日照市居民的主要恶性肿瘤,针对不同年龄、不同性别人群的恶性肿瘤死亡特点,开展筛查和早诊早治为主的综合防治措施,降低恶性肿瘤死亡率及寿命损失。
Objective To understand the distribution of death cause of malignant tumor in residents of Rizhao in 2019,and to provide the basis for formulating prevention and control for malignant tumor.Methods The data of death of malignant tumor in residents of Rizhao in 2019 were collected from the death cause surveillance information management system of Shandong province.The mortality,years of life Lost with premature death(YLL)and YLL rate(YLLR)were calculated and analyzed.The Z test was used to compare the rates.Results The crude malignant tumor mortality in residents of Rizhao in 2019 was 172.59/105,the standardized mortality rate was 119.87/105.The crude mortality rate of male was 226.5/105,higher than that of females 116.99/105,Z=481.49,P<0.01.The standardized mortality in males(148.8/105)was higher than that in females(86.19/105),Z=330.22,P<0.01.The top five causes were lung cancer,gastric cancer,liver cancer,esophageal cancer and colorectal cancer with accounting for 77.8%of malignant tumor deaths.Among them,lung cancer,gastric cancer,liver cancer,esophageal cancer and colorectal cancer accounted for 83.3%of all malignant tumor deaths in men,while lung cancer,gastric cancer,liver cancer,breast cancer and colorectal cancer accounted for 71.4%of all female cancer deaths.Breast cancer was the fourth leading cause of death in women.The top five cancers of YLL rate were lung cancer,liver cancer,gastric cancer,esophageal cancer and colorectal cancer,which was 72.94%of malignant tumor YLL.Among them,lung cancer,liver cancer,gastric cancer,esophageal cancer and colorectal cancer were in the order of male,accounting for 81.53%of the male malignant tumor YLL.And the female was lung cancer,liver cancer,gastric cancer,breast cancer and colorectal cancer,accounting for 68.11%of female malignant tumor YLL.Except for breast cancer,the YLL and YLL rates in male were higher than that in female.Conclusions Lung cancer and digestive system tumor are the main malignant tumors of Rizhao residents in 2019.According to the characteristics of malignant tumor death in different age and gender,comprehensive prevention and treatment measures based on screening and early diagnosis and treatment are carried out to reduce the mortality and life loss of malignant tumors.
作者
杨传志
胡顺富
宋传锋
刘普亮
YANG Chuan-zhi;HU Shun-fu;SONG Chuan-feng;LIU Pu-liang(Department of Public Health,Rizhao Traditional Chinese Medical Hospital,Rizhao 276800,China;Department of Chronic non Communicable Diseases,Rizhao Center for Disease Control and Prevention,Rizhao 276800,China)
出处
《社区医学杂志》
CAS
2021年第7期399-402,共4页
Journal Of Community Medicine
关键词
恶性肿瘤
死亡率
过早死亡损失寿命年
日照市
malignant tumor
mortality
years of life lost with premature death
Rizhao City
