厦门市2002～2009年大肠癌死亡状况及YLL分析

An Analysis on Mortality and YLL of Colorectal Cancer in Xiamen,Fujian Province(2002-2009)

目的了解2002～2009年厦门市大肠癌死亡率、分布特征及寿命损失情况。方法对2002～2009年厦门市大肠癌死亡登记资料和人口数据进行统计分析,计算粗死亡率、标化率、累积率及寿命损失年(YLL)等指标,绘制死亡率分布地图。结果 2002～2009年厦门市大肠癌平均死亡率为7.66/10万,标化死亡率为4.57/10万,0～74岁累积率为0.75%,居恶性肿瘤死亡顺位第5位,显著低于2006年全国肿瘤登记地区大肠癌死亡水平(标化死亡率6.20/10万),但总体呈明显上升趋势,女性死亡率上升幅度明显高于男性。大肠癌主要危及中老年人群,平均死亡年龄为66.2岁,86.45%死亡病例发生在50岁以上人群,城市死亡率高于农村,男性死亡率高于女性。2002～2009年厦门市大肠癌PYLL为10127.5人年,占全死因PYLL的1.62%,AYLL为10.5人年,减寿率为0.80‰。结论厦门市大肠癌死亡率上升趋势明显,对中老年人群危害日益严重,对女性尤为突出,应积极采取有效干预措施。

Objective To investigate the mortality rate,distribution characteristics and years of life lost（YLL） of colorectal cancer in Xiamen during the period of 2002-2009.Methods Based on the data of demography and death collected through Xiamen＇s Disease Surveillance System（2002-2009）.The mortality rate,age-standardized rate,cumulative rate,and YLL and district mortality map were used to describe the levels.Results The crude mortality rate,the age-standardized rate by Chinese population and the cumulative rate（0-74 years old） of colorectal cancer were 7.66/105,4.57/105 and 0.75% respectively from 2002 to 2009 in Xiamen,which was lower than the age-standardized rate by Chinese population in China（6.20/105）.In term of cancer sites,colorectal cancer was the fifth leading site.The mortality of colorectal cancer was significantly increased in these years,and the ascending speed of mortality in female was higher than in male.Colorectal cancer main endangered health of the middle-aged and elderly people,and the average age at death was 66.2 years old.The majority（86.45%） of the mortalities of colorectal cancer was seen in the age group of 50 years and older.The mortality rate was higher in urban areas than in rural areas,and higher in male than in female.The potential years of life lost（PYLL） of colorectal cancer was 10127.5 years,and that was 1.62% of total death.The average years of life lost（AYLL） and rate of PYLL（PYLL‰） were 10.5 years and 0.80‰ respectively in Xiamen during the period of 2002-2009.Conclusion The mortality rate of colorectal cancer in Xiamen has been significantly increased in these years,and endangered health of the middle-aged and elderly people,especially for the female.The effective measures should be carried out for colorectal cancer.