文章摘要
周金意,罗鹏飞,俞 浩,韩仁强,杨 婕,武 鸣.2013年江苏省居民恶性肿瘤死亡和潜在减寿分析[J].南京医科大学学报,2016,(12):1561~1566,1572
2013年江苏省居民恶性肿瘤死亡和潜在减寿分析
Analysis of the mortality and PYLL related to malignancies in Jiangsu,2013
投稿时间:2016-08-07  
DOI:10.7655/NYDXBNS20161244
中文关键词: 恶性肿瘤  死亡率  潜在减寿年数
英文关键词: malignancy  mortality  potential years of life lost
基金项目:
作者单位
周金意 江苏省疾病预防控制中心,江苏 南京 210009 
罗鹏飞 江苏省疾病预防控制中心,江苏 南京 210009 
俞 浩 江苏省疾病预防控制中心,江苏 南京 210009 
韩仁强 江苏省疾病预防控制中心,江苏 南京 210009 
杨 婕 江苏省疾病预防控制中心,江苏 南京 210009 
武 鸣 江苏省疾病预防控制中心,江苏 南京 210009 
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中文摘要:
      目的:了解2013年江苏省恶性肿瘤死亡情况及其所致潜在寿命损失特征,为肿瘤的预防提供依据?方法:通过江苏省死因监测系统搜集2013年恶性肿瘤的死亡个案信息,利用从公安部门获取的人口学信息,计算死亡率?标化死亡率?潜在减寿年数(potential years of life lost,PYLL)和标化潜在减寿年数(standardized potential years of life lost,SPYLL)等指标,评价恶性肿瘤的死亡和早死负担及其人群分布特征?结果:2013年恶性肿瘤导致死亡135 236例,占2013年总死亡人数的29.38%,男?女分别为86 736?48 500例?恶性肿瘤死亡率和标化死亡率分别为196.80/10万和111.59/10万,死亡率男女比为1.77,城乡比为0.95?死亡率前5位依次为肺癌?胃癌?食管癌?肝癌和结直肠肛门癌,占全部恶性肿瘤的75.10%?恶性肿瘤所致PYLL和SPYLL分别为788 367和582 620.68人年,PYLLR男女比为1.78,城乡比为0.93,PYLL前5位依次为肝癌?肺癌?胃癌?食管癌和白血病,女性中乳腺癌取代食管癌处第4位?结论:导致全人群死亡和早死的主要恶性肿瘤为肺癌?胃癌?食管癌?肝癌?结直肠肛门癌和白血病,以及女性乳腺癌?对于恶性肿瘤死亡率和潜在减寿率,男性远高于女性?农村居民略高于城市居民?应针对重点癌种和人群,开展相关预防干预措施?
英文摘要:
      Objective:The mortality and PYLL of malignancies in Jiangsu province in 2013 were studied to provide basic data for cancer prevention and control. Methods:Death case information related to malignancies and demographic information was collected through Provincial Death Cause Surveillance System and police department,disease burden of malignancies and its population distributive characteristics were analyzed by calculating mortality,standardized mortality,PYLL and SPYLL,etc. Results:Totally 135 236 cases were died of malignant tumor,which accounted for 29.38%. Arnong the sabjects,86 736 cases were male and 48 500 cases were female. The crude and standardized mortality were 196.80/100 000 and 111.59/100 000,respectinely the male to female ratio of crude mortality was 1.77,while the urban to rural ratio was 0.95,and the top five were lung cancer,stomach cancer,esophageal cancer,liver cancer,and colorectal cancer,which accounted for 75.54% of all. PYLL and SPYLL was 788 367 and 582 620.68 people*years,respectively,the male to female ratio of PYLL was 1.78,while the urban to rural ratio was 0.93. Liver cancer,lung cancer,stomach cancer,esophagus cancer and leukemia were the top five,however,breast cancer had replaced the fourth place of esophagus cancer in the female. Conclusion:The leading malignancies related to death and early death in the whole population were lung cancer,gastric cancer,esophageal cancer,liver cancer,colorectal cancer and leukemia,as well as breast cancer in the female. Malignant tumor mortality and PYLLR of the male was much higher than those of the female,and those of the rural residents was slightly higher than those the urban of. Preventive interventions should focus on key population and malignancy with higher mortality burden.
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