2015—2018年乌海市恶性肿瘤死因及寿命损失

徐肖倩; 宋阳; 朱立革; 王学梅; 苏雄; 赵静; 李海玲

doi:10.16462/j.cnki.zhjbkz.2020.09.014

2015—2018年乌海市恶性肿瘤死因及寿命损失

doi: 10.16462/j.cnki.zhjbkz.2020.09.014

徐肖倩¹,
宋阳²,
朱立革³,
王学梅⁴,
苏雄⁵,
赵静⁶,
李海玲^7, ,

1.
010000 呼和浩特, 内蒙古医科大学公共卫生学院环境与职业卫生学教研室
2.
016000 乌海市, 内蒙古乌海市疾病预防控制中心慢性病管理科
3.
010000 呼和浩特, 内蒙古自治区人民医院肾内科
4.
010000 呼和浩特, 内蒙古医科大学公共卫生学院统计学教研室
5.
010000 呼和浩特, 内蒙古医科大学公共卫生学院预防医学实验中心
6.
010000 呼和浩特, 内蒙古医科大学公共卫生学院预防医学专业
7.
010000 呼和浩特, 内蒙古医科大学公共卫生学院流行病学教研室

基金项目:

内蒙古医科大学科技百万工程项目 YKD2016KJBWD21

详细信息

通讯作者:
李海玲, E-mail:lihailing511@126.com

中图分类号: R181.3+7;R73
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- 文章访问数: 220
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- PDF下载量: 27
- 被引次数: 0
出版历程
- 收稿日期: 2020-02-29
- 修回日期: 2020-04-21
- 刊出日期: 2020-09-10

Analysis on death cause and life loss of malignant tumor in Wuhai from 2015 to 2018

1.
Department of Environment and Occupational Hygiene, School of Public Health, Inner Mongolia Medical University, Hohhot 010000, China
2.
Department of Chronic Disease Management, Wuhai City Center for Disease Control and Prevention, Wuhai 016000, China
3.
Department of Nephrology, Inner Mongolia People's Hospital, Hohhot 010000, China
4.
Department of Statistics, School of Public Health, Inner Mongolia Medical University, Hohhot 010000 China
5.
Experimental Center of Preventive Medicine, School of Public Health, Inner Mongolia Medical University, Hohhot 010000 China
6.
Preventive Medicine, School of Public Health, Inner Mongolia Medical University, Hohhot 010000, China
7.
Department of Epidemiology, School of Public Health, Inner Mongolia Medical University, Hohhot 010000 China

Funds:

Science and Technology Million Project of Inner Mongolia Medical University YKD2016KJBWD21

More Information

Corresponding author: LI Hai-ling, E-mail:lihailing511@126.com

摘要

摘要: 目的分析乌海市居民恶性肿瘤死亡分布特点，为制定相应干预措施提供依据。方法根据2015—2018年乌海市居民死亡资料，计算恶性肿瘤死亡率、死因构成、死因顺位及寿命损失指标等。结果乌海市居民男性、女性和合计恶性肿瘤死亡率分别为199.66/10万、122.99/10万和163.02/10万，标化死亡率分别为216.47/10万、142.68/10万和180.45/10万，男女性别比为1.52：1。男性和女性的前3位恶性肿瘤死因均为肺癌、胃癌和肝癌。15~岁组死亡率最低（2.46/10万）；而85~岁组死亡率最高（3 042.28/10万）。14岁以前主要恶性肿瘤死因为白血病，15岁以后为肺癌、胃癌和肝癌。恶性肿瘤导致的潜在减寿年数（potential years of life lost，PYLL）占全死因的46.9%，男性和女性中均为肺癌最高；男性平均减寿年数（average years of life lost，AYLL）最高是肝癌，女性最高是乳腺癌，其次为宫颈癌。结论恶性肿瘤已经成为乌海市居民的主要致死原因之一，肺癌、胃癌和肝癌是严重危害乌海市居民健康的恶性肿瘤死因，也应重点防治女性乳腺癌和宫颈癌的发生。应有针对地开展提高居民健康水平的健康教育工作。
- 死因监测 /
- 恶性肿瘤 /
- 死亡率 /
- 寿命损失
Abstract: Objective To analyze the characteristics of malignant tumor death distribution of residents in Wuhai City, and to provide basis for formulating corresponding intervention measures. Methods According to the death data of residents in Wuhai City from 2015 to 2018, the mortality rate, the constituent ratio of death cause, the order of death causes and the indicators of life loss of malignant tumors were calculated. Results The mortality rates of male, female and total malignant tumor were 199.66/100 000, 122.99/100 000 and 163.02/100 000 respectively, and the standard mortality rates were 216.47/100 000, 142.68/100 000 and 180.45/100 000 respectively. Ratio of male to female was 1.52:1. The top three causes of death for men and women were lung cancer, stomach cancer and liver cancer. The lowest mortality rate was 2.46/100 000 in the aged 15 to 19 years, while the highest mortality rate was 3042.28/100 000 in the aged 85 years or above. The major cause of malignancy death in aged before 14 years was leukemia, and in aged after 15 years was lung cancer, stomach cancer and liver cancer. Potential years of life lost (PYLL) caused by malignancy accounted for 46.9% of all, and lung cancer was the highest among both men and women. Average years of life lost (AYLL) showed that liver cancer was the highest in men and breast cancer in women, followed by cervical cancer. Conclusions Malignant tumor has become one of the main causes of death for residents of Wuhai City. Lung cancer, stomach cancer and liver cancer are the causes of death of malignant tumors that seriously endanger the health of residents in Wuhai City. In addition, the prevention and treatment of female breast cancer and cervical cancer should also be emphasized. There should be targeted work to reduce malignant tumor mortality and improve the health of residents.
- Death surveillance /
- Malignant tumor /
- Mortality rate /
- Loss of life

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图 1 2015—2018年乌海市居民恶性肿瘤死亡率随年龄变化趋势

Figure 1. Trend of malignant tumor mortality in Wuhai residents with age from 2015 to 2018

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表 1 2015—2018年乌海市居民恶性肿瘤主要死因顺位

Table 1. Rank order of causes of death of malignant tumors in Wuhai residents from 2015 to 2018

死因顺位	男性				女性				合计
死因顺位	死因	死亡人数	构成比(%)	死亡率(/10万)	死因	死亡人数	构成比(%)	死亡率(/10万)	死因	死亡人数	构成比(%)	死亡率(/10万)
1	肺癌	740	31.9	63.68	肺癌	309	23.62	29.06	肺癌	1 049	28.91	47.14
2	胃癌	367	15.82	31.58	胃癌	145	11.09	13.63	胃癌	512	14.11	23.01
3	肝癌	309	13.32	26.59	肝癌	143	10.93	13.45	肝癌	452	12.46	20.31
4	食管癌	133	5.73	11.45	乳腺癌	98	7.49	9.22	食管癌	173	4.77	7.77
5	结肠癌	80	3.45	6.88	宫颈癌	66	5.05	6.21	胰腺癌	133	3.67	5.98
6	直肠癌	78	3.36	6.71	胰腺癌	63	4.82	5.92	结肠癌	132	3.64	5.93
7	胰腺癌	70	3.02	6.02	结肠癌	52	3.98	4.89	直肠癌	125	3.45	5.62
8	膀胱癌	53	2.28	4.56	直肠癌	47	3.59	4.42	乳腺癌	99	2.73	4.45
9	前列腺癌	37	1.59	3.18	食管癌	40	3.06	3.76	宫颈癌	66	1.82	2.79
10	胆囊癌	32	1.38	2.75	卵巢癌	32	2.45	3.01	膀胱癌	64	1.76	2.88
合计		1 899	81.85	163.43		995	76.07	93.56		2 805	77.32	126.04

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表 2 2015—2018年乌海市居民不同年龄组恶性肿瘤主要死因顺位

Table 2. Rank order of causes of death of malignant tumors in different age groups of Wuhai residents

死因顺位	0~岁			15~岁			40~岁			≥65岁
死因顺位	死因	构成比(%)	死亡率(/10万)	死因	构成比(%)	死亡率(/10万)	死因	构成比(%)	死亡率(/10万)	死因	构成比(%)	死亡率(/10万)
1	淋巴样白血病	27.78	1.81	胃癌	18.95	1.99	肺癌	25.39	41.54	肺癌	32.15	356.66
2	未特指类型白血病	27.78	1.81	肝癌	15.79	1.66	肝癌	16.79	27.46	胃癌	14.19	157.41
3	脑脊膜癌	11.11	0.73	肺癌	13.68	1.43	胃癌	13.85	22.65	肝癌	9.57	106.16
4	脑癌	11.11	0.73	白血病	9.47	0.99	乳腺癌	4.66	7.63	食管癌	5.42	60.14
5	其他和不明部位癌	5.56	0.36	乳腺癌	6.32	0.66	食管癌	4.02	6.57	直肠癌	4.34	48.11
6	弥漫性非霍奇金淋巴癌	5.56	0.36	脑癌	4.21	0.44	结肠癌	3.44	5.63	胰腺癌	4.01	44.45
7	多发性骨髓瘤和恶性浆细胞肿瘤	5.56	0.36	淋巴、造血其他癌	3.16	0.33	胰腺癌	3.3	5.4	结肠癌	3.82	42.36
8	淋巴、造血和有关组织其他额未特指的癌	5.56	0.36	结肠癌	3.16	0.33	宫颈癌	2.94	4.81	膀胱癌	2.45	27.19
9				胆囊癌	3.16	0.33	直肠癌	2.3	3.75	前列腺癌	1.6	17.78
10				宫颈癌	3.16	0.33	胆囊癌	1.79	2.93	乳腺癌	1.32	14.64
合计		100	6.53		81.05	8.50		78.48	128.37		78.88	879.91

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表 3 2015—2018年乌海市居民主要恶性肿瘤死因寿命损失分析

Table 3. Analysis of life loss of major malignant tumors in Wuhai residents from 2015 to 2018

死因顺位	男性						女性						合计
死因顺位	肿瘤类型	PYLL (人年)	PYLLR (‰)	SPYLL (人年)	SPYLLR (‰)	AYLL (年)	肿瘤类型	PYLL (人年)	PYLLR (‰)	SPYLL (人年)	SPYLLR (‰)	AYLL (年)	肿瘤类型	PYLL (人年)	PYLLR (‰)	SPYLL (人年)	SPYLLR (‰)	AYLL (年)
1	肺癌	5 143	4.43	4 836	4.16	6.95	肺癌	3 308	3.11	2 787	2.62	10.71	肺癌	9 276	4.17	4 215	1.89	8.84
2	肝癌	4 657	4.01	4 511	3.88	15.17	乳腺癌	2 290	2.15	2 136	2.01	23.37	肝癌	6 439	2.89	3 152	1.42	14.25
3	胃癌	3 038	2.61	2 739	2.36	8.28	胃癌	2 111	1.98	1 727	1.62	14.56	胃癌	5 819	2.61	2 629	1.18	11.37
4	食管癌	857	0.74	760	0.65	6.44	肝癌	1 474	1.39	1 240	1.17	10.31	乳腺癌	2 070	0.93	987	0.44	20.91
5	胰腺癌	729	0.63	673	0.58	10.41	宫颈癌	1 384	1.30	1 216	1.14	20.97	胰腺癌	1 401	0.63	637	0.29	10.53
全恶性肿瘤死因		20 749	17.86	19 683	16.94	8.94		17 285	16.25	14 990	14.1	13.21		40 463	18.18	18 369	16.17	11.15

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