上海市闸北区1995～2004年恶性肿瘤流行特征分析(英文)

Epidemiological Characteristics of Cancer in Recent 10 Years in Zhabei District

[目的]了解本地区1995-2004年居民恶性肿瘤死亡流行特征，为制定肿瘤防治措施提供依据。[方法]应用描述流行病学的方法对闸北区1995～2004年恶性肿瘤死亡资料进行统计分析。[结果]1995～2004年闸北区恶性肿瘤死亡率为209．52／／10^5-236．86／／10^5，（男性242．09／10^5-280．31／10^5，女性171．29／10^5-201．37／10^5），居全死因第2位。恶性肿瘤死亡率呈上升趋势（X^2=19．52，P〈0．05）。肺癌死亡率位居全部恶性肿瘤首位，其次是胃癌和肝癌。肺癌和肠癌死亡率呈上升趋势，女性肠癌死亡率上升的趋势较男性明显，女性肺癌死亡率呈上升趋势，男性尚不能反映。0～14岁组白血病的死亡率最高，15～44岁组肝癌的死亡率居第1位。45～64岁和65岁以上组以肺癌、胃癌、肝癌、食管癌和肠癌为恶性肿瘤主要死因。男女性各瘤别标化死亡率顺位略有不同。恶性肿瘤死亡的潜在寿命损失年（YPLL）位居全死因第1，为86748人年，人均损失5．64年，潜在寿命损失率为12．52‰。男性恶性肿瘤死亡导致的潜在寿命损失高于女性。[结论]恶性肿瘤已成为危害闸北区居民健康的主要疾病之一，人口老龄化是导致恶性肿瘤死亡率上升的只要原因，应制定以肺癌、胃癌、肝癌、肠癌和食管癌为主的恶性肿瘤防治措施。

[Objective] To analyze the epidemiological characteristics of cancer in recent 10 years in Zhabei District and to provide scientific clues for prevention and intervention of cancers. [Methods] Epidemiological descriptive analysis was conducted. The main indices include mortality, age-specific death rate, cause-specific death rate, proportion death of a specific cause and YPLL （years of potential life lost）. [Results] During 1995-2004, the mortality of cancers were 209.52/10^5-236.86/10^5 for the whole population, and separately 242.09/10^5-280.31 / 10^5 and 171.29/ 10^5-201.37/10^5 in males and females. Cancer was the second death cause of inhabitants in Zhabei District. Mortality of cancers showed increasing trend （X^2= 19.52, P〈0.05）. Among all the cancers, the mortality of lung cancer was one of the highest and followed by stomach cancer and liver cancer. Mortality of lung cancer and colorectal cancer both showed increasing trend. The increasing trend of mortality rate of colorectal cancer in women was more evident than in men. The mortality of lung cancer showed increasing trend in women but not in men. The mortality of leukemia was highest in 0-14 age group, and the mortality of liver cancer was the highest in 15-44 age group. In 45 -64 and ≥ 65 age groups, the main death causes of cancer were lung cancer, stomach cancer, liver cancer, oesophagus cancer and colorectal cancer. The sequences of the standardized mortality of cancers showed little difference between men and women. YPLL in cancer was higher than that in any other kind of disease, counting for a total of 86 748 years and average 5.64 years per person. YPLL rate caused by cancer was 12.52‰. The potential life loss caused by cancer in men was larger than that in women. [Gonclusion] Cancer was one of the most harmful diseases in Zhabei District. The aging of the population played a key role in cancer mortality increasing. There were five main cancers in Zhabei District including the lung cancer, stomach cancer, liver cancer, colorectal cancer and oesophagus cancer. Emphasis should be put to prevent these main cancers.