| 陈梦星,冯 祥,郭艳霞,等.2014—2023年江苏省扬中市居民恶性肿瘤死亡趋势分析[J].中国肿瘤,2026,35(3):202-207. |
| 2014—2023年江苏省扬中市居民恶性肿瘤死亡趋势分析 |
| Analysis of Malignant Tumors Among Residents in Yangzhong City， Jiangsu Province from 2014 to 2023 |
| 投稿时间：2025-09-01 |
| DOI：10.11735/j.issn.1004-0242.2026.03.A005 |
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| 中文关键词: 恶性肿瘤 死亡率 死因顺位 江苏 |
| 英文关键词:malignant tumors mortality rate cause of death ranking Jiangsu |
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| 中文摘要: |
| 摘 要：［目的］ 分析2014—2023年江苏省扬中市居民恶性肿瘤死亡情况。［方法］ 基于 2014—2023年扬中市死因监测数据及历年常住人口资料，计算恶性肿瘤死亡粗率、中国人口标化率（简称中标率）、死亡构成比、死因顺位等指标。采用Joinpoint回归模型计算中标率的年度变化百分比（annual percentage change，APC），分析其流行特征及变化趋势。［结果］ 2014—2023年扬中市居民恶性肿瘤年均粗死亡率为316.88/10万，中标率为124.41/10万，男性粗死亡率显著高于女性。胃癌为首位死因，粗死亡率为77.17/10万，其后依次为食管癌、肺癌、肝癌。恶性肿瘤死亡率随年龄增长呈上升趋势，60岁后快速上升，85岁及以上年龄组达死亡高峰；不同年龄组主要恶性肿瘤死因顺位存在差异。总人群恶性肿瘤中标死亡率呈显著下降趋势（APC=-12.92%，P<0.001），男性中标死亡率同样显著下降（APC=-12.50%，P<0.001），女性变化趋势平稳（APC=-0.14%，P=0.832）。［结论］ 2014—2023年扬中市居民恶性肿瘤中标死亡率呈显著下降趋势，胃癌、食管癌、肺癌为重点防控癌种；应结合本地流行病学特征，制定针对性综合防控措施，强化高危人群筛查与健康干预，降低恶性肿瘤疾病负担。 |
| 英文摘要: |
| Abstract： ［Purpose］ To analyze the mortality of malignant tumors among residents in Yangzhong City， Jiangsu Province from 2014 to 2023. ［Methods］ Based on the death cause monitoring data and annual permanent population data of Yangzhong City during 2014—2023， indicators such as crude mortality rate of malignant tumors， age-standardized rate by Chinese standard population (ASRC)， death composition ratio， and cause of death ranking were calculated. The Joinpoint regression model was used to compute the annual percentage change (APC) of ASRC， so as to analyze the epidemiological characteristics and changing trends. ［Results］ From 2014 to 2023， the average crude mortality rate of malignant tumors among residents in Yangzhong City was 316.88/105， with an ASRC of 124.41/105. The crude mortality rate in male was significantly higher than that in female. Stomach cancer was the leading cause of death， with a crude mortality rate of 77.17/105， followed by esophageal cancer， lung cancer， and liver cancer in sequence. The mortality rate of malignant tumors showed an upward trend with increasing age， increasing rapidly after 60 years old， and reaching the peak mortality in the age group of 85 years old and above； there were differences in the ranking of major malignant tumor causes of death among different age groups. The age-standardized mortality rate of malignant tumors in the general population showed a significant downward trend (APC=-12.92%， P<0.001)， and the ASRC in male also decreased significantly (APC=-12.50%， P<0.001)， while the trend in female was relatively stable(APC=-0.14%， P=0.832). ［Conclusion］ From 2014 to 2023， the ASRC of malignant tumors among residents in Yangzhong City showed a significant downward trend. Stomach cancer， esophageal cancer， and lung cancer are the key cancer types for prevention and control. Targeted comprehensive prevention and control measures should be formulated in combination with local epidemiological characteristics， and screening of high-risk groups and health interventions should be strengthened to reduce the disease burden of malignant tumors. |
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