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目的了解厦门市城乡居民肺癌死亡和减寿趋势变化,为厦门市肺癌预防控制工作提供依据。方法通过厦门市死因监测系统收集2003-2014年厦门市城乡居民肺癌死亡资料,采用SAS 9.1软件对死亡率、标化死亡率(SMR)、潜在寿命损失年(PYLL)、寿命损失率(PYLLR),标化寿命损失率(SPYLLR)、平均减寿年数(AYLL)、死亡率年均变化百分比等指标进行评价。结果 2003-2014年厦门市城市、农村居民肺癌死亡率分别为29.64/10万和25.40/10万,年均分别上升5.63%和4.98%;标化死亡率分别为32.78/10万和27.13/10万;无论城市、农村,肺癌标化死亡率男性均明显高于女性;死亡率均随着年龄的增长而升高,在70~79岁年龄组达到高峰。城市居民肺癌所致PYLL、PYLLR、SPYLLR、AYLL分别为27 944人年、2.11‰、2.41‰和7.12年,而农村分别为17 807人年、2.47‰、2.69‰和9.74年。结论厦门市城乡居民肺癌死亡呈上升趋势和老龄化趋势,应以男性、老年人群作为重点关注对象,重视肺癌防治工作。
Objective To understand the changes of death and longevity of lung cancer among urban and rural inhabitants in Xiamen City and provide basis for prevention and control of lung cancer in Xiamen City. Methods Mortality data of urban and rural inhabitants from 2003 to 2014 in Xiamen City were collected from death cause monitoring system in Xiamen City from 2003 to 2014. Mortality, standardized mortality (SMR), years of potential life lost (PYLL), life lost (PYLLR) , Standardized life expectancy loss (SPYLLR), average life expectancy (AYLL), the annual percentage change in mortality and other indicators were evaluated. Results The death rates of lung cancer in urban areas and rural residents in Xiamen City from 2003 to 2014 were 29.64 / lakh and 25.40 / lakh respectively, up by 5.63% and 4.98% respectively. The standardized death rates were 32.78 / lakh and 27.13 / 10 In both urban and rural areas, the standardized death rate of lung cancer was significantly higher in males than in females. The mortality rate increased with age and peaked in the 70-79 age group. PYLL, PYLLR, SPYLLR and AYLL caused by lung cancer in urban residents were 27,944 person-years, 2.11 ‰, 2.41 ‰ and 7.1.2 years respectively, while in rural areas, 17,807 persons were 2.47 ‰, 2.69 ‰ and 9.74 years respectively. Conclusion The mortality rate of lung cancer in urban and rural areas of Xiamen City is on the rise and the trend of aging is high. Men and the elderly population should be the focus of attention, with emphasis on prevention and treatment of lung cancer.