摘要
目的分析2010—2019年广州市肝癌死亡情况及趋势,为降低肝癌死亡率的科学防控提供数据支持。方法人口资料来源于市公安局。死亡数据来源于中国疾病预防控制信息系统"人口死亡信息登记管理系统"。计算死亡率、年龄别死亡率、世界人口标化死亡率(简称世标率)和年度变化百分比(annual percentage change, APC)。利用Joint Regression Program软件分析肝癌死亡的时间变化趋势。结果 2010—2019年广州市肝癌年平均死亡率为24.40/10万,男性(38.37/10万)高于女性(10.25/10万),男性死亡中位年龄比女性早11岁。49.69%的男性肝癌死亡发生在45~64岁组,68.95%的女性集中在65岁以上组。近10年肝癌整体、男性和女性死亡均呈下降趋势且有统计学意义,APC分别为-2.06%、-1.82%和-2.49%。15~44岁、45~64岁和65岁以上组肝癌死亡均呈下降趋势,APC分别为-3.78%、-2.01%和-1.17%。结论广州市近10年肝癌死亡率呈下降趋势,男性和老年人为防控重点。应重视肝癌筛查,进一步提升居民健康素养,加强自我管理能力,降低死亡风险。
Objective To analyze the mortality and trends in hepatic cancer in Guangzhou City from 2010 to 2019, and to provide data support for scientific prevention and control of reducing liver cancer mortality. Methods The population data were provided by Guangzhou Public Security Bureau. The data of liver cancer deaths were collected through Population Death Information Registration and Management System from China Disease Prevention and Control Information System. The mortality rate, age-specific mortality rate, age-standardized incidence rate by world standard population(ASIRW) and annual percentage change(APC) were calculated. The Join Point Regression Program was applied to analyzing the changing trends of liver cancer mortality. Results The annual average mortality rate of liver cancer in Guangzhou City from 2010 to 2019 was 24.40/100,000. The mortality rate was higher in males( 38. 37/100,000) than in females( 10. 25/100,000),and the median age of deaths in males was 11 years earlier than that in females. 49. 69% of male deaths due to liver cancer occurred in the age group of 45-64 years,and68. 95% of female deaths occurred in the age group of above 65 years. The overall,male and female mortality rates of liver cancer in recent 10 years showed decreasing trends and statistically significant differences,with the APC being-2. 06%,-1. 82% and-2.49%,respectively. The mortality of liver cancer in the age groups of 15-44,45-64 and above 65 years presented decreasing trends,with the APC being-3.78%,-2. 01% and-1. 17%,respectively. Conclusion The mortality rates of liver cancer in Guangzhou City in recent 10 years show decreasing trends. Male and the elderly are the key groups for prevention and control. We should attach importance to liver cancer screening, further improve the health literacy of residents, and strengthen self-management ability so as to reduce the risk of death.
作者
董航
陈远源
李科
梁伯衡
林国桢
秦鹏哲
DONG Hang;CHEN Yuan-yuan;LI Ke;LIANG Bo-heng;LIN Guo-zhen;QIN Peng-zhe(Guangzhou Municipal Center for Disease Control and Prevention,Guangzhou,Guangdong 510440,China)
出处
《实用预防医学》
CAS
2021年第11期1315-1318,共4页
Practical Preventive Medicine
基金
广州市卫生健康科技一般引导项目(20201A011054)
广州市医学重点学科建设项目(No.2021-2023-12)
广州市重点实验室基础研究计划项目(202102100001)。
关键词
肝癌
死亡率
趋势分析
liver cancer
mortality rate
trend analysis
