石春雷,陈培培,娄培安.2008~2014年江苏省徐州市肺癌死亡率状况及趋势分析[J].中国肿瘤,2016,25(11):847-853.
2008~2014年江苏省徐州市肺癌死亡率状况及趋势分析
Lung Cancer Mortality and Time Trends in Xuzhou from 2008 to 2014
投稿时间:2016-04-04  
DOI:10.11735/j.issn.1004-0242.2016.11.A003
中文关键词:  肺癌  死亡率  趋势  年度  徐州
英文关键词:lung cancer  mortality  trend  annual percentage change  Xuzhou
基金项目:国家重大公共卫生服务项目——城市癌症早诊早治项目
作者单位
石春雷 徐州医科大学公共卫生学院/徐州市疾病预防控制中心 
陈培培 徐州市疾病预防控制中心 
娄培安 徐州市疾病预防控制中心 
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中文摘要:
      摘 要:[目的] 分析徐州市肺癌死亡率状况及其随变化趋势。[方法] 分析整理2008~2014年间徐州市死因登记报告中肺癌数据资料,计算历年肺癌死亡率、标化死亡率(中标率)及分地区、分年龄段死亡率,并利用年度变化百分比(annual percentage change,APC)计算肺癌死亡率变化趋势。[结果] 2008~2014年,肺癌死亡人数共23 878例,其中市区死亡5074例(21.25%),农村死亡18 804例(78.75%);男性死亡16 948例(70.98%),女性死亡6930例(29.02%)。全市、市区及农村肺癌死亡率分别由2008年的32.08/10万(中标率22.21/10万)、38.50/10万、33.30/10万上升到2014年的40.41/10万(中标率 27.27/10万)、55.81/10万、37.86/10万;男性、女性肺癌死亡率分别由2008年的44.19/10万、19.30/10万上升到2014年的54.07/10万、25.70/10万。肺癌死亡率的APC为3.34%(95%CI:1.0%~5.7%),中标率的APC为3.07%(95%CI: 0.9%~5.3%),死亡率呈上升趋势。肺癌死亡率自40~岁年龄组开始上升,到80~岁年龄组达高峰(约380/10万),男性死亡高峰也在80~岁年龄组(约600/10万),女性高峰则出现在80岁之后,80~年龄组与85岁及以上年龄组死亡率相当(平均约230/10万)。[结论] 徐州市肺癌死亡率整体呈增长趋势,市区高于农村,男性高于女性,死亡高峰集中于老年龄段人群。
英文摘要:
      Abstract:[Purpose] To analyze the mortality of lung cancer and the time trends in Xuzhou from 2008 to 2014. [Methods] The lung cancer mortality and age-standardized mortality rate of lung cancer by China standard population (ASR China) were calculated. The mortality rates stratified by areas (urban/rural) and age group were analyzed. The time trends of lung cancer mortality form 2008 to 2014 was evaluated by annual percent change (APC).[Results] During 2008 and 2014,23 878 people died from lung cancer in Xuzhou,including 5074 (21.25%)in urban areas and 18 804 (78.75%) in rural areas. The number of male was 16 948 (70.98%) and that of female was 6 930 (29.02%). The mortality of lung cancer in all areas,urban areas and rural areas increased form 32.08/105(ASR China 22.21/105),38.50/105 and 33.30/105 in 2008 to 40.41/105(ASR China 27.27/105),55.81/105 and 37.86/105 in 2014,respectively. The male mortality increased from 44.19/105 in 2008 to 54.07/105 in 2014,while the female mortality increased from 19.30/105 in 2008 to 25.70/105 in 2014. The APC of crude mortality was 3.34% (95%CI:1.0%~5.7%),and that of ASR China was 3.07% (95%C:0.9%~5.3%). The cured mortality showed an upward trend. The mortality started to rise in age group of 40~ and reached the peak in age group of 80~ (380/105). Male mortality peaked in age of 80~ (600/105),while the female mortality peak appeared after 80 years,and the mortality in age of 80~ was equal to that in age of 85~(~230/105). [Conclusion] The mortality of lung cancer increased form 2008 to 2014 in Xuzhou,and higher mortality appeared in urban areas,male subjects and elderly population.
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