| 李 丹,周 莹,王联君.2007—2019年北京市东城区居民恶性肿瘤死亡流行趋势分析[J].中国肿瘤,2021,30(12):911-918. |
| 2007—2019年北京市东城区居民恶性肿瘤死亡流行趋势分析 |
| Analysis on the Trend of Cancer Mortality in Dongcheng District of Beijing from 2007 to 2019 |
| 中文关键词 修订日期：2021-04-27 |
| DOI：10.11735/j.issn.1004-0242.2021.12.A006 |
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| 中文关键词: 恶性肿瘤 死亡率 时间趋势 北京 |
| 英文关键词:cancer mortality time trend Beijing |
| 基金项目:北京市东城区卫生健康委2020年卫生科技计划项目（东卫健研［2020］?鄄21） |
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| 中文摘要: |
| 摘 要：［目的］ 分析2007—2019年北京市东城区户籍居民恶性肿瘤死亡特征及变化趋势。［方法］ 收集整理2007—2019年北京市东城区户籍居民恶性肿瘤死亡资料，计算其死亡数、粗率、标化死亡率、构成比、顺位等指标，分析不同性别、年龄别人群恶性肿瘤死亡特征及主要死因恶性肿瘤的年龄分布情况。标化死亡率采用2010年中国标准人口构成标化，并计算年度变化百分比（annual percentage change，APC）和平均年度变化百分比（average annual percentage change，AAPC）来描述恶性肿瘤死亡的时间趋势特征。［结果］ 2007—2019年北京市东城区居民恶性肿瘤年均粗死亡率为189.94/10万，标化死亡率为100.23/10万，标化死亡率APC为-0.09%（P>0.05)，整体趋于平稳，分性别来看，男性标化死亡率整体高于女性。年龄别死亡率变化趋势无性别差异，5岁以上人群年龄别死亡率APC为10.03%。前10位恶性肿瘤死亡依次为肺癌、结直肠癌、肝癌、胃癌、胰腺癌、女性乳腺癌、食管癌、淋巴瘤、胆囊癌、肾癌，占全部恶性肿瘤死亡的85.38%。肺癌是男女共同的首位死因，男性的结直肠癌及女性乳腺癌、胰腺癌、卵巢癌死亡率呈持续上升趋势。结直肠癌和胰腺癌男女年龄别死亡率趋势一致，肺癌、胃癌、肝癌男女年龄别死亡率趋势不同。主要恶性肿瘤多在25~65岁呈现死亡率快速上升趋势。［结论］ 北京市东城区户籍居民恶性肿瘤死亡率变化趋于稳定，肺癌和消化系统恶性肿瘤是主要恶性肿瘤死因；结直肠癌和女性乳腺癌死亡出现持续上升趋势。主要恶性肿瘤死亡快速上升期多为青少年阶段，推广健康生活方式是干预的重要方向。 |
| 英文摘要: |
| Abstract：［Purpose］ To analyze the characteristics and trend of cancer mortality in Dongcheng District of Beijing from 2007 to 2019. ［Methods］ The cancer mortality data in Dongcheng District from 2007 to 2019 were collected. The deaths， crude mortality rate， age-standardized mortality rate(ASMR)， proportion and rank of main cancers in different genders and age groups were calculated， and the age distribution of main cancers was analyzed. The ASMR was adjusted by Chinese standard population in 2010. Annual percentage change(APC) and average annual percentage change(AAPC) for ASMR were calculated to reflect the time trend of mortality rate. ［Results］ From 2007 to 2019， the average crude mortality rate of cancer in Dongcheng District was 189.94/105， while ASMR China was 100.23/105 with APC of -0.09%（P>0.05). The overall mortality rate remained stable， while the mortality trend was different between male and female， with a higher mortality rate in male than that in female. The trend of age-standardized mortality was the same for male and female with the APC of 10.03% at the age group of 5~ years old. The top 10 causes of cancer death were lung cancer， colorectal cancer， liver cancer and stomach cancer， pancreas cancer， female breast cancer， esophageal cancer， lymphoma， gallbladder cancer and kidney cancer， accounting for 85.38% of total cancer deaths. Lung cancer was the first cause of cancer death in both genders. The mortality rate of male colorectal cancer and female breast cancer， pancreas cancer， ovary cancer presented sustained rising trend. The trend of male and female age-standardized mortality of colorectal cancer and pancreatic cancer was consistent， but that of lung cancer， gastric cancer and liver cancer was different. The rapid increasing trend of mortality rate for most cancers occurred during 25~65 years old. ［Conclusion］ The cancer mortality rate in Dongcheng District was stable from 2007 to 2019， lung cancer and digestive system malignant tumors were the main causes of death. Mortality rates of colorectal cancer and female breast cancer continue to rise. The main cancer mortality is increasing rapidly in the middle and young age group and to promote healthy life style is an important direction for intervention. |
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