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目的分析恶性肿瘤对江西省章贡区居民造成的疾病负担,为当地恶性肿瘤防控策略提供参考。方法对章贡区2009-2011年恶性肿瘤发病和死亡数据进行分析,评价恶性肿瘤的疾病负担。结果恶性肿瘤发病率和标化发病率分别为226.83/10万和163.01/10万,死亡率和标化死亡率分别为130.29/10万和90.97/10万。肺癌和肝癌均位居居民恶性肿瘤发病和死亡的前两位。章贡区居民恶性肿瘤YLL和YLD分别为18.74 DALYs/千人和1.20 DALYs/千人,分别占总DALY的93.98%和6.02%;居民恶性肿瘤DALYs合计为26 102.43 DALYs,其中男性和女性分别占65.22%和34.78%。DALY位居前五位的恶性肿瘤分别为肝癌、肺癌、胃癌、结直肠癌和食管癌,占全部恶性肿瘤DALY的71.95%;恶性肿瘤的疾病负担主要集中于45岁及以上组居民。结论章贡区居民恶性肿瘤疾病负担主要由早死所致,恶性肿瘤防治的重点癌种为肝癌、肺癌、胃癌、结直肠癌、食管癌和乳腺癌。
Objective To analyze the burden of malignant diseases on residents in Zhanggong District of Jiangxi Province and provide reference for local prevention and control strategies of malignant tumors. Methods The incidence and mortality data of malignant tumors in Zhanggong District from 2009 to 2011 were analyzed to evaluate the disease burden of malignant tumors. Results The incidence of malignant tumor and the standardized incidence were 226.83 / lakh and 163.01 / lakh, respectively. The mortality and standardized mortality were 130.29 / lakh and 90.97 / lakh respectively. Lung cancer and liver cancer rank the top two in terms of morbidity and mortality among residents. The malignant tumors of Zhanggong district had YLL and YLD of 18.74 DALYs per thousand and 1.20 DALYs per thousand respectively, accounting for 93.98% and 6.02% of the total DALY respectively. The total number of DALYs of resident malignant tumors was 26 102.43 DALYs, of which, males and females accounted for 65.22% and 34.78% respectively. The top five malignant tumors of DALY were liver cancer, lung cancer, gastric cancer, colorectal cancer and esophageal cancer, accounting for 71.95% of all malignant tumors. The burden of malignant tumors was mainly concentrated in residents aged 45 and above. Conclusion The burden of malignant tumor in Zhanggong District is mainly caused by premature death. The key cancers for the prevention and treatment of malignant tumor are liver cancer, lung cancer, gastric cancer, colorectal cancer, esophageal cancer and breast cancer.