福州市2014—2019年宫颈癌死亡流行趋势分析

Analysis of cervical cancer death trend in Fuzhou from 2014 to 2019

目的分析福州市宫颈癌死亡率的变化特征及趋势,为福州市宫颈癌的防治和研究提供依据。方法采用入户调查的方法,按ICD-10的标准和方法进行死因分类,对福州市2014—2019年宫颈癌死亡状况进行全面分析。结果2014—2019年福州市宫颈癌共死亡782例,平均死亡率为4.15/10万,农村(4.78/10万)高于城市(2.86/10万),差异有统计学意义(Z=6.069,P<0.001);40岁以上人群(8.26/10万)是宫颈癌死亡率高发人群。宫颈癌减寿率为0.48‰、潜在工作损失率0.64‰。结论福州市宫颈癌死亡率呈波动上升趋势,死亡主要集中在中老年人群,应建立适宜我市的宫颈癌综合防控体系,预防或减少宫颈癌的发生。

Objective To study the changing characteristics and trends of cervical cancer mortality in Fuzhou,and to provide basis for prevention and research of cervical cancer in Fuzhou.Methods Through the household survey,the death cause of cervical cancer in Fuzhou city from 2014 to 2019 were overall analyzed according to the standard and method of ICD-10.Results Totally 782 death cause of cervical cancer were reported in Fuzhou city from 2014 to 2019 with the average mortality rate of4.15/100000.The mortality rate in rural areas was higher than that in urban areas(4.78/100000 vs.2.86/100000),and the difference was statistically significant(Z=6.069,P<0.001).People above40 years old(8.26/100000)were the high-risk group.The rate of YPLL and WYPLL among female residents was 0.48‰and 0.64‰,respectively.Conclusion The mortality rate of cervical cancer in Fuzhou is on a fluctuating upward trend,and deaths are mainly concentrated in the middle-aged and elderly people.A comprehensive cervical cancer prevention and control system suitable for Fuzhou city should be established to prevent or reduce the occurrence of cervical cancer.