论文部分内容阅读
[目的]探讨武汉市2009年恶性肿瘤死亡的流行特征和疾病负担,为制定预防控制策略和措施提供参考依据。[方法]采用死亡率、潜在寿命损失年、减寿率等指标对武汉市2009年死因监测资料恶性肿瘤死亡数据进行分析。[结果]2009年武汉市恶性肿瘤的粗死亡率为153.61/10万,标化率为80.93/10万。肺癌、肝癌、胃癌、大肠癌和食管癌是恶性肿瘤死因的前5位,0～14岁人群死亡率最高的癌种为白血病,15～44岁人群为肝癌,45～59岁和60岁以上人群为肺癌。恶性肿瘤死亡的YPLL为96105年,在全死因YPLL构成中高于伤害、心脑血管疾病居第1位(31.47%),减寿率为13.42‰,标化减寿率排在前5位的依次为肝癌、肺癌、胃癌、白血病和脑及中枢神经系统肿瘤。恶性肿瘤的标化减寿率比较,农村(9.60‰)高于城市(8.15‰),男性(10.58‰)高于女性(6.65‰)。[结论]恶性肿瘤是导致“早死”和寿命损失的重要疾病负担,武汉市居民寿命损失的模式有明显的城乡和性别差异,有针对性地对重点人群开展科学防治,是降低人群健康和寿命损失的有效途径。
[Objective] To explore the epidemiological features and disease burden of cancer death in 2009 in Wuhan and to provide reference for formulating prevention and control strategies and measures. [Methods] The death rate, potential years of loss of life, and the rate of reduction of life expectancy were used to analyze the data of death from malignant tumors in 2009 surveillance data of death in Wuhan. [Results] The crude death rate of malignant tumors in Wuhan in 2009 was 153.61 / 100,000 and the standardization rate was 80.93 / 100,000. Lung cancer, liver cancer, stomach cancer, colorectal cancer and esophageal cancer are the top 5 causes of death from malignant tumors. The highest mortality rate of cancer patients aged 0-14 years is leukemia, while the age group of 45 to 59 and over 60 The crowd is lung cancer. The death rate of malignant tumor YPLL was 96105 years, higher than injury in the cause of all-cause YPLL, the first one was cardiovascular disease (31.47%), the longevity rate was 13.42% For liver cancer, lung cancer, stomach cancer, leukemia and brain and central nervous system tumors. The standardized rates of longevity of malignant tumors were higher in rural areas (9.60 ‰) than in urban areas (8.15 ‰) and higher in males (10.58 ‰) than in females (6.65 ‰). [Conclusion] Malignant tumor is an important disease burden leading to “premature death” and loss of life expectancy. The pattern of loss of life expectancy of residents in Wuhan has obvious differences between urban and rural areas and gender. Scientific prevention and control of key populations in a targeted manner is to reduce the health of the population And an effective way to lose life expectancy.