| 胡文斌,张 婷,秦 威.江苏省昆山市1981~2015年去胃癌死因期望寿命与潜在减寿年分析[J].中国肿瘤,2017,26(10):786-791. |
| 江苏省昆山市1981~2015年去胃癌死因期望寿命与潜在减寿年分析 |
| Impact of Gastric Cancer Deaths on Life Expectancy and Potential Years of Life Lost from 1981 to 2015 in Kunshan City，Jiangsu Province |
| 投稿时间：2017-04-14 |
| DOI：10.11735/j.issn.1004-0242.2017.10.A008 |
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| 中文关键词: 胃肿瘤 潜在减寿年 年度变化百分比 去肿瘤死因期望寿命 |
| 英文关键词:gastric neoplasms potential years of life lost annual percentage change increased by gastric cancer eliminated life expectancy |
| 基金项目:昆山市社会发展科技项目（KS1655） |
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| 中文摘要: |
| 摘 要：［目的］ 探讨昆山市1981~2015年去胃癌可增加期望寿命和胃癌所致的潜在减寿年时间趋势。［方法］ 1981~2015年恶性肿瘤死亡病例来源于死因监测，以计算去胃癌死因可增加期望寿命和潜在减寿年；去胃癌死因可增加期望寿命=去胃癌死因期望寿命-平均期望寿命。用中国2000年第五次人口普查的年龄结构计算分性别的年龄标化潜在减寿年。使用年度变化百分比（eAPC）评价去胃癌可增加期望寿命和潜在减寿年在年份之间的变化趋势。［结果］ 总人群中去胃癌死因期望寿命由1981年的0.82岁下降到2015年的0.54岁（APC=-1.4%，95%CI：-1.8%~-1.0%）；男性人群（APC=-1.3%，95%CI：-1.8%~-0.8%）和女性人群（APC=-1.5%，95%CI：-2.1%~-0.9%）去胃癌死因可增加期望寿命也呈现下降趋势。胃癌所致的标化潜在减寿年在总人群（APC=-4.3%，95%CI：-4.8%~-3.8%）、男性人群（APC=-4.8%，95%CI：-5.4%~-4.2%）及女性人群（APC=-3.4%，95%CI：-4.3%~-2.5%）均明显下降。［结论］ 去胃癌死因可增加期望寿命和胃癌所致的年龄标化潜在减寿年在35年间持续下降，说明因胃癌所致过早死亡和对全人群健康影响均在持续下降。 |
| 英文摘要: |
| Abstract：［Purpuse］ To examine impact of gastric cancer on life expectancy and potential years of life lost (PYLL) in Kunshan City，Jiangsu Province，1981~2015. ［Methods］ Data were collected from vital registry of Kunshan city. Gastric cancer-eliminated life expectancy and the PYLL were calculated. Increased life expectancy by elimination of gastric cancer was defined as gastric cancer-eliminated life expectancy minus average life expectancy. The Chinese population in 2000 was used to calculate age-standardized PYLL. Estimate annual percentage changes (eAPC) and 95% confidence interval (CI) were used to examine the temporal trend of increased gastric cancer-eliminated life expectancy and PYLL. ［Results］ During 1981 to 2015，substantially decreasing trend was observed for the increased gastric cancer-eliminated life expectancy，which decreased by 0.82 years in 1981 to 0.54 in 2015 (APC=-1.4%，95%CI: -1.8%~-1.0%)，and there were a significant decreasing trend was found both in males (APC=-1.3%，95%CI: -1.8%~-0.8%) and in females (APC=-1.5%，95%CI: -2.1%~-0.9%). Moreover，the age-standardized PYLL among both sex （APC=-4.3%，95%CI：-4.8%~-3.8%），males（APC=-4.8%，95%CI：-5.4%~-4.2%） and females （APC=-3.4%，95%CI：-4.3%~-2.5%） were all decreased. ［Conclusion］ An overall decreasing trends are observed in increased gastric cancer-eliminated life expectancy and age standardized PYLL in Kunshan City 1981~2015，indicating that the impact of gastric cancer on premature deaths in the population has been alleviated gradually. |
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