2008-2012年江阴市居民恶性肿瘤死亡水平分析

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目的了解江阴市2008-2012年居民恶性肿瘤死亡变化趋势,为政府制定预防控制规划、卫生决策提供科学依据。方法统计2008-2012年江阴市居民恶性肿瘤死亡病例,分析5年来江阴市恶性肿瘤死亡趋势及主要恶性肿瘤死亡情况。结果 2008-2012年江阴市恶性肿瘤死亡12 723例,占全死因人数的31.46%。年均死亡率为211.18/10万,居全死因首位,并有逐年上升趋势。男性死亡率(277.65/10万)高于女性(144.11/10万),差异有统计学意义(χ2=1273.83,P<0.05)。在恶性肿瘤的死亡顺位中,居前5位的依次为胃癌、肺癌、肝癌、食管癌和肠癌,占全部恶性肿瘤死亡率的74.26%。恶性肿瘤死亡35岁以下白血病居首位,35~54岁组肝癌居首位,55岁以上胃癌居首位。去恶性肿瘤死因期望寿命5年平均增加为4.65岁,男性为5.38岁,女性为3.48岁。结论恶性肿瘤是影响江阴市居民健康的主要原因,应根据不同年龄、不同性别、不同肿瘤采取相应的干预、控制措施,减少恶性肿瘤对居民健康的损害。 Objective To understand the trend of death of cancer among residents in Jiangyin from 2008 to 2012 and to provide a scientific basis for the government to make prevention and control plans and health decisions. Methods Statistics of deaths of malignant tumors among residents in Jiangyin City from 2008 to 2012 were conducted. The death trend of malignant tumors and the death of major malignant tumors in Jiangyin City during the past five years were analyzed. Results 12 723 malignant tumor deaths in Jiangyin City from 2008 to 2012 were made, accounting for 31.46% of the total deaths. The average annual death rate was 211.18 / 100000, ranking first in all causes of death and increasing year by year. Male mortality (277.65 / 100000) was higher than that of female (144.11 / 100000), the difference was statistically significant (χ2 = 1273.83, P <0.05). In the sequence of death of malignant tumor, the top 5 are gastric cancer, lung cancer, liver cancer, esophageal cancer and colorectal cancer, accounting for 74.26% of all malignant tumor deaths. Malignant Tumor Leukemia under 35 years old ranks first, with liver cancer ranking the first place among 35- to 54-year-old groups and gastric cancer over 55 years old. The 5-year life expectancy of cancer causes an average increase of 4.65 years, 5.38 years for males and 3.48 years for females. Conclusion Malignant tumor is the main reason that affects the health of residents in Jiangyin City. Corresponding intervention and control measures should be taken according to different age, gender and tumor type to reduce the damage to residents’ health caused by malignant tumor.
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