2005-2024年北京市丰台区户籍居民恶性肿瘤死亡趋势及减寿分析
Analysis on Trends in Mortality and Years of Life Lost Due to Malignant Neoplasms in Fengtai District of Beijing, 2005-2024
投稿时间:2025-09-01  修订日期:2025-12-23
DOI:
中文关键词:  恶性肿瘤  死亡率  潜在减寿年数  平均减寿年数
英文关键词:malignant tumor  mortality  years of potential life lost  average years of life lost
基金项目:
作者单位邮编
王琳 北京市丰台区疾病预防控制中心(北京市丰台区卫生健康监督所) 100071
武宇晨 北京市丰台区疾病预防控制中心(北京市丰台区卫生健康监督所) 
马健桐 北京市丰台区疾病预防控制中心(北京市丰台区卫生健康监督所) 
李博雯 北京市丰台区疾病预防控制中心(北京市丰台区卫生健康监督所) 
王露 北京市丰台区疾病预防控制中心(北京市丰台区卫生健康监督所) 
谢俊卿* 北京市丰台区疾病预防控制中心(北京市丰台区卫生健康监督所) 100071
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中文摘要:
      [目的] 了解2005-2024年北京市丰台区户籍居民恶性肿瘤死亡情况及减寿趋势。[方法] 采用粗死亡率、年龄标化死亡率、潜在减寿年数(Potential Years of Life Lost, PYLL)、平均减寿年数(Average Years of Life Lost,AYLL)等描述恶性肿瘤死亡、减寿情况,采用年度变化百分比(Annual Percent Change,APC)分析恶性肿瘤死亡、减寿情况的时间变化趋势。[结果] 2005-2024年,丰台区户籍居民恶性肿瘤粗死亡率由162.78/10万上升到230.48/10万,年龄标化死亡率由120.37/10万下降到90.23/10万,APC值为-1.185(P<0.001)。20年间,恶性肿瘤粗死亡率在30-54岁、65-79岁均呈下降趋势,其中男性35-39岁组、女性70-74岁组下降幅度最大,分别下降84.43%、51.21%。死因顺位前五位依次为肺癌、结直肠癌、肝癌、胃癌、胰腺癌,其中男性前列腺癌由第十位上升至第四位,且年龄标化死亡率呈上升趋势,APC值为1.863(P=0.007)。0-69岁丰台区户籍居民恶性肿瘤PYLL前三位的为肺癌、肝癌、结直肠癌。子宫颈癌位于女性AYLL首位,为29.86年/人。[结论] 2005-2024年北京市丰台区户籍居民年龄标化死亡率呈下降趋势,肺癌、结直肠癌、肝癌为主要死因。性别特有癌种死亡上升明显,应针对不同疾病特点构建联防联控网络。
英文摘要:
      [Purpose] To investigate the trends in mortality and years of life lost due to malignant neoplasms in Fengtai District of Beijing, 2005-2024. [Methods] Crude mortality rate, age-standardized mortality rate, the Potential Years of Life Lost (PYLL) and the Average Years of Life Lost (AYLL) were calculated to describe the status of mortality and years of life lost due to malignant neoplasms, and Annual Percent Change (APC) was calculated to analyze the time trends. [Results] From the year 2005 to 2024, crude mortality rate of malignant neoplasms increased from 162.78/105 to 230.48/105, and age-standardized mortality rate decreased statistically from 120.37/105 to 90.23/105 (APC=-1.185, P<0.001). Over the past 20 years, crude mortality rate of malignant neoplasms appeared to have a declining tendency in the age groups of 30-54 and 65-79, in which largest decreases of crude mortality rate occurred in males at age group of 35-39 (84.43%) and in females at 70-74 (51.21%) . The five leading causes of cancer-related death were lung, colorectum, liver, stomach and pancreas cancer, in which prostate cancer in males was ranked from 10th to 4th, with a significantly increased age-standardized mortality rate (APC=1.863, P=0.007) during the study period. Cancer PYLL mainly came from lung, liver and colorectum cancers in inhabitants at the age of 0 to 69. The AYLL of cervical cancer was 29.86 years per person, which was ranked 1st in females. [Conclusion] From 2005 to 2024, age-standardized mortality rate of malignant neoplasms demonstrated a decreasing trend in residents of Fengtai District. Lung, colorectum and liver cancer were major causes of neoplasm death. Sex-specific cancers caused a remarkably increased mortality, which suggested that networks for cancers control and prevention should be established according to diseases characteristics.
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