2003～2007年中国癌症死亡分析

An analysis of Cancer Mortality in China,2003～2007

[目的]分析中国肿瘤登记地区2003~2007年癌症死亡流行特征。[方法]对2003~2007年中国32个肿瘤登记地区的数据资料进行分析和描述不同地区、不同年龄和不同部位的恶性肿瘤死亡特点,并与世界184个国家和地区的死亡情况进行比较。[结果]2003~2007年中国肿瘤登记地区癌症死亡率为171.84/10万（男性210.94/10万,女性131.79/10万）,中国人口标化死亡率86.66/10万,世界人口标化率116.91/10万。农村地区高于城市地区。不论城市和农村,5年间癌症死亡率呈现上升趋势。中国城市地区常见癌症是肺癌、肝癌、胃癌、结直肠癌、食管癌、胰腺癌、女性乳腺癌;农村地区前4位为胃癌、食管癌、肝癌、肺癌,占全部癌症死亡的77.06%。中国癌症死亡率和世标率高于世界发达国家和发展中国家平均水平。[结论]癌症危害形势日趋严重,癌症死亡率呈缓慢上升趋势。城市和农村地区重点防控的癌症不同,城市地区应以肺癌为主,而农村地区则以上消化道癌症为主。

[Purpose]To investigate the cancer mortality in China Cancer Registries during 2003 to 2007.[Methods] Data of cancer mortality in 32 China Cancer Registries during 2003~2007 were collected. Cancer mortality by area,age and site were analyzed and compared with that of 184 countries and areas in the world. [Results] The cancer mortality in 32 China Cancer Registries during 2003~2007 was 171.84/105 （210.94/105 in male and 131.79/105 in female）,China population standardized mortality was 86.66/105,World population standardized mortality was 116.91/105. The mortality in rural areas was higher than that in urban areas. Both in rural and urban areas,the mortality kept increasing during 2003~2007. The most common cancers in China were lung cancer,liver cancer,stomach cancer,colorectal cancer,esophageal cancer,pancreas cancer and female breast cancer. The top 4 common cancers in the rural areas were stomach cancer,esophageal cancer,liver cancer and lung cancer,which accounted for 77.06% of all cancer. Compared with other countries and areas in the world,cancer mortality in China,as well as its World Standardized Rate,were higher than those of average level in developed and developing countries in the world. [Conclusion] The cancer mortality is increasing, the cancer burden is more and more serious in China. The prevention strategies should be different between rural and urban areas. Lung cancer in urban areas and upper digestive tract cancers in rural areas should be paid more attention.