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[目的]比较厦门市城乡居民肝癌死亡和减寿趋势变化,为厦门市肝癌预防控制工作提供依据。[方法]收集整理2003~2014年厦门市城乡居民肝癌死亡资料,采用死亡率、平均减寿年数、死亡率年均变化百分比等指标进行评价。[结果]2003~2014年厦门市城市、农村居民肝癌死亡率分别为27.17/10万和40.48/10万;人均寿命损失分别为14.71年和19.03年。无论城市、农村,男性肝癌死亡率均明显高于女性;死亡率均随着年龄的增长而升高。2003~2014年城市肝癌死亡率年均下降1.94%(t=4.26,P<0.01),2004~2014年农村肝癌死亡率年均下降1.57%(t=-2.36,P>0.5)。城市肝癌造成的SPYLLR和AYLL均存在下降趋势,而农村未见明显升降。[结论]厦门市城乡居民肝癌死亡率仍保持高位态势,应以男性老年人群作为重点关注对象,重视肝癌防治工作。
[Objective] To compare the change of death and longevity of liver cancer between urban and rural residents in Xiamen and provide the basis for the prevention and control of liver cancer in Xiamen. [Methods] The data of liver cancer deaths among urban and rural inhabitants in Xiamen City from 2003 to 2014 were collected and analyzed. The mortality, the average number of years of life lost and the percentage change of annual average death rate were also evaluated. [Results] The death rates of liver cancer in urban and rural residents in Xiamen from 2003 to 2014 were 27.17 / lakh and 40.48 / lakh, respectively; and the average loss of life expectancy was 14.71 years and 19.03 years respectively. Regardless of urban, rural, male liver cancer mortality were significantly higher than women; mortality rates increased with age. From 2003 to 2014, the death rate of liver cancer in urban areas decreased by 1.94% (t = 4.26, P <0.01), and the annual death rate of liver cancer in rural areas decreased by 1.57% (t = -2.36, P> 0.5) from 2004 to 2014. There was a downward trend in both SPYLLR and AYLL caused by liver cancer in cities, but no obvious increase and decrease in rural areas. [Conclusion] The mortality rate of liver cancer in urban and rural residents in Xiamen still maintains high status. Male elderly population should be the focus of attention, with emphasis on prevention and treatment of liver cancer.