摘要
目的了解黄石市城区居民恶性肿瘤死亡特点与趋势,为确定防控策略及研究提供科学依据。方法用2000年全国人口普查资料中的全国标准人口对死亡率进行标化,按年度、性别、年龄、部位分别计算恶性肿瘤死亡率、标化死亡率和潜在减寿年数。结果 20年间黄石市城区居民恶性肿瘤标化死亡率由100.52/10万上升到117.64/10万,死因顺位中一直占据第二位,构成比居前三位的是肺癌、肝癌和胃癌。死亡率明显上升的有肺癌、肠癌,肺癌标化死亡率由1990-1999年度的26.24/10万上升至2000-2009年度的35.43/10万;肠癌由5.50/10万上升至7.85/10万。男性肿瘤中,上升较为明显的有肠癌和肺癌;女性肿瘤中,肠癌、肺癌和乳腺癌明显上升。男性粗死亡率均高于女性,随着年龄增高,粗死亡率上升。主要减寿疾病为肺癌、肝癌、胃癌和食管癌。结论 20年间恶性肿瘤死亡率呈明显上升趋势,是威胁黄石市城区居民生命健康的重要危害因素,应采取综合防控措施。
Objective To explore the death features and tendency of malignant tumor among Huangshi people,so as to provide scientific evidence for the prevention strategy and the guidance of research.Methods The standardized mortality rate（SMR）was calculated based on the result of the national census in 2000.The mortality,SMR and YPLL（Years of Potential Life Lost）of malignant tumor were calculated and classified according to the calendar year,sex,age and organ.Results The standardized mortality rate of malignant tumor among Huangshi people increased from 100.52/100000 to 117.64/100000 during the last twenty years,and ranked the second in the total death cause.The top three were lung cancer,hepatic carcinoma and gastric carcinoma.The mortality rate of lung cancer and intestinal carcinoma increased significantly.The standardized mortality rate of lung cancer increased from 26.24/100000 in 1990-1999 to 35.43/100000 in 2000-2009;the standardized mortality rate of intestinal carcinoma increased from 5.50/100000 to 7.85/100000.Among the male malignant tumor,the mortality rate of esophageal carcinoma and gastric carcinoma decreased,while the other malignant tumors increased to different extents,especially intestinal carcinoma and lung cancer.Among the female malignant tumors,the mortality rate of intestinal carcinoma,lung cancer and breast cancer increased significantly.The crude death rate of male was higher than that of female,and it increased with age.The main tumors causing life lost were lung cancer,hepatic carcinoma,gastric carcinoma and esophageal carcinoma.Conclusions During the last twenty years,the mortality rate of malignant tumor increased obviously,it was an important risk factor threatening the health of Huangshi people.Comprehensive measures should be taken to prevent and control the incidence and death of malignant tumor in different populations.
出处
《公共卫生与预防医学》
2010年第6期41-43,46,共4页
Journal of Public Health and Preventive Medicine
关键词
肿瘤
死亡率
流行病学
发展趋势
Tumor
Mortality rate
Epidemiology
Development trends
