论文部分内容阅读
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/1000,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。
Objective To analyze the major malignant tumor deaths, the changing trend, the distribution characteristics and the life span of the population in Dingcheng District of Changde City from 2013 to 2015, and provide the basis for the prevention and control of malignant tumors. Methods The data of death cause registration and population data of each year of 2013-2015 in Dingcheng District were used for statistical analysis. The data of 2010 national census were used for standardization and mortality, potential years of life lost and expected life expectancy of death were calculated. Results The death rate of malignant tumor among residents in Dingcheng District of Changde City from 2013 to 2015 was 141.53 / lakh and the standardized mortality rate was 117.05 / lakh. The standardized death rates were 157.20 / lakh and 77.03 / lakh respectively, male over Female (P <0.001). The top five major malignant tumors followed by bronchial and lung cancer, liver cancer, gastric cancer, brain tumors, colorectal and anal cancer, the mortality rate increased with age, increased significantly after 60 years of age. The potential rate of longevity (PYLL) resulting from malignancy is 20.23 person-years / 1000, with an average APD of 14.30 person-years. Dingcheng District, Changde City, the expected life expectancy of 79.80 years old, expectant life expectancy to malignant 2.40 years old. Conclusion The malignant tumors in Dingcheng District of Changde City between 2013 and 2015 seriously endanger the life and health of residents, resulting in huge potential life expectancy and loss of life expectancy. Bronchial and lung cancer, liver cancer and gastric cancer are the major cancers and should be targeted at the characteristics of cancer deaths in different populations Targeted prevention and control.