徐培培,沙留强,韩颖颖,等.2023年江苏省如皋市肺癌发病和死亡流行特征及2014—2023年趋势分析[J].肿瘤学杂志,2026,32(10):859-865.
2023年江苏省如皋市肺癌发病和死亡流行特征及2014—2023年趋势分析
Analysis on Incidence and Mortality of Lung Cancer in Rugao City of Jiangsu Province in 2023 and Its Trend from 2014 to 2023
投稿时间:2026-03-21  
DOI:10.11735/j.issn.1671-170X.2026.10.B007
中文关键词:  肺肿瘤  发病率  死亡率  趋势分析  江苏
英文关键词:lung neoplasms  incidence  mortality  trend analysis  Jiangsu
基金项目:
作者单位
徐培培 如皋市疾病预防控制中心(如皋市卫生监督所) 
沙留强 如皋市疾病预防控制中心(如皋市卫生监督所) 
韩颖颖 南通市疾病预防控制中心(南通市卫生监督所) 
王雅倩 如皋市疾病预防控制中心(如皋市卫生监督所) 
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中文摘要:
      摘 要:[目的] 分析2023年江苏省如皋市户籍居民肺癌的发病和死亡流行特征,以及2014—2023年变化趋势。[方法] 利用如皋市肿瘤登记处2014—2023年收集的肺癌发病和死亡数据,计算粗发病(死亡)率、中国人口标化发病(死亡)率(age-standardized incidence/mortality rate by Chinese standard population,ASIRC/ASMRC),世界人口标化发病(死亡)率(age-standardized incidence/mortality rate by world standard population,ASIRW/ASMRW)等指标。采用Joinpoint 5.4.0软件计算发病(死亡)率平均年度变化百分比(average annual percentage change,AAPC),并分析变化趋势。[结果] 2023年如皋市肺癌粗发病率为91.23/10万,ASIRC为31.90/10万,ASIRW为31.71/10万,粗死亡率为56.06/10万,ASMRC为17.50/10万,ASMRW为17.33/10万,男性肺癌发病率和死亡率均高于女性;肺癌年龄别发病率在75~79岁年龄组达到高峰,年龄别死亡率在85岁及以上年龄组达到高峰。2014—2023年,如皋市肺癌粗发病率和粗死亡率均呈上升趋势(AAPC分别为3.89%和1.54%,P均<0.05),肺癌中标发病率呈上升趋势(AAPC=1.06%,P<0.05),女性肺癌中标发病率上升趋势明显(AAPC=4.20%,P<0.001),男性中标发病率变化趋势无统计学意义(AAPC=-0.49%,P=0.554);肺癌中标死亡率呈下降趋势(AAPC=-2.19%,P<0.001),男性和女性中标死亡率均呈下降趋势(AAPC分别为-1.71%和-3.08%,P均<0.05)。[结论] 肺癌是严重威胁如皋市居民健康的恶性肿瘤,中老年男性是肺癌防控的重点对象,女性肺癌发病趋势上升需引起高度重视。
英文摘要:
      Abstract:[Objective] To analysis the incidence and mortality of lung cancer in Rugao City of Jiangsu Province in 2023, and its trend from 2014 to 2023. [Methods] Data on the incidence and mortality of lung cancer in Rugao City from 2014 to 2023 were collected through the Rugao Cancer Registry. Crude incidence (mortality) rates, age-standardized incidence/mortality rate by Chinese standard population (ASIRC/ASMRC), age-standardized incidence/mortality rate by world standard population (ASIRW/ASMRW) were calculated. The Joinpoint 5.4.0 software was used to calculate the average annual percentage change (AAPC) of incidence (mortality) rates of lung cancer and analyze the changing trends. [Results] In 2023, the crude incidence of lung cancer in Rugao was 91.23/105, the ASIRC was 31.90/105, the ASIRW was 31.71/105. The crude mortality rate was 56.06/105, the ASMRW was 17.50/105 and the ASMRW was 17.33/105. The incidence and mortality of lung cancer in males were higher than those in females. The age-specific incidence of lung cancer peaked in the age group of 75-79 years old, and the age-specific mortality peaked in the age group of 85 years old and above. From 2014 to 2023, the crude incidence and crude mortality of lung cancer in Rugao City showed an upward trend (AAPC was 3.89 % and 1.54%, all P<0.05). The ASIRC of lung cancer showed an upward trend(AAPC was 1.06%, P<0.05). From 2014 to 2023, the increasing trend of ASIRC of lung cancer was obvious in females(AAPC was 4.20%, P<0.001) in Rugao City, but the ASIRC of lung cancer was not statistically significant (AAPC was -0.49 %, P=0.554 ) in males. The ASMRC of lung cancer showed a downward trend (AAPC was -2.19 %, P<0.001), and the ASMRC of male and female showed a downward trend (AAPC was -1.71% and -3.08%, all P<0.05) also . [Conclusion] Lung cancer is a malignant tumor that seriously threatens the health of residents in Rugao City. Medium-elderly men are the focus of lung cancer prevention and control, and the rising incidence of lung cancer in women needs to be highly valued.
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