1990—2009年上海市金山区居民肺癌死亡率及其所致寿命损失的趋势分析

Trend Analysis of Lung Cancer Mortality and Induced Life Loss among Residents in Jinshan District of Shanghai City during 1990-2009

目的了解上海市金山居民肺癌所致死亡率及其疾病负担的发展变化趋势,为政府和卫生行政部门制定肺癌防治策略和措施提供参考依据。方法采用M icrosoft Access对1990—2009年所有肺癌死亡病例进行数据录入;对数据采用SPSS10.0进行分析处理,计算肺癌别死亡率、标化死亡率、潜在减寿年(PYLL)、潜在减寿率(PYLLR)、标化减寿率(SPYLLR)等指标。结果 20年间,肺癌死亡率为43.09/10万,占恶性肿瘤死亡的25.26%,位居肿瘤死亡的首位。1990—2009年,金山区居民肺癌的粗死亡率随时间呈现较明显的上升趋势,但标化死亡率随时间仅表现为平缓的变化趋势。男性肺癌死亡率及标化死亡率均高于女性。20年间,65岁及以上老年人群肺癌死亡率与构成比随时间呈现明显的上升趋势,而其他年龄段人群肺癌死亡率与构成比则未表现出上升的趋势。1990—2009年,金山区居民因肺癌所致的PYLL和PYLLR均呈现较明显的上升趋势,但SPYLLR却随时间的增长表现为下降的趋势。结论近年来,金山区居民人口结构老龄化程度日益严重是造成肺癌死亡率及其所致寿命损失上升的重要因素之一,建议在加强肺癌死亡监测的同时,对肺癌死亡高发的老年人和男性居民采取必要的干预措施,以减缓肺癌死亡率的上升趋势。

[ Objective] To study the trend of mortality and disease burden of lung cancer in Jinshan District, and provide evidence and reference for government and health administrative departments to develop lung cancer prevention strategies. [ Methods ] Microsoft Access was adopted to create a database based on death reports of lung cancer from 1990 to 2009, and SPSS 10.0 was used to analyze the data and calculate mortality of different kinds of lung cancer, standardized mortality, potential years of life loss （ PYLL ）, potential years of life loss rate （ PYLLR） and standardized rate of potential years of life loss （ SPYLLR ）, etc. [ Results ] During 20 years , the lung cancer mortality was 43.09/ 100 000 , and the number of death cases occupied 25.26% of total death cases caused by malignant tumors. Lung cancer had been the first cause of death. From 1990 to 2009 lung cancer crude mortality in- creased obviously, but standardized mortality of lung cancer fluctuated smoothly during the same time. Mortality and standardized mortality of lung cancer of male were higher than that of female. During 20 years, mortality and proportion of lung cancer of people aged 65 years or above increased obviously and didnt increase in other age groups. From 1990 to 2009, PYLL and PYLLR caused by lung cancer increased obviously and SPYLLR decreased among residents in Jinshan District. [ Conclusion ] In recent years, mortality and life loss caused by lung cancer has increased that mainly caused by population aging of residents in Jinshan District. It is sugges- ted to strengthen the monitoring of lung cancer deaths and to adopt necessary intervention for the elderly and male residents with high risk of lung eancerj so as to prevent the increase of lung cancer mortality .