江苏省海安县2006-2010年居民恶性肿瘤死亡及寿命损失变化趋势分析

Analysis of the trends of malignant tumors death and life loss of the residents from 2006 to 2010 in Hai-an county, Jiangsu Province

目的 分析海安县2006-2010年居民恶性肿瘤死亡及寿命损失变化趋势,为制定恶性肿瘤防治规划提供依据.方法 利用海安县2006-2010年恶性肿瘤死亡登记报告数据库及人口资料,进行恶性肿瘤死亡率、累积死亡率分析；采用年度变化百分比（APC）分析各种率的时间变化趋势；采用简略寿命表计算去恶性肿瘤死因期望寿命和因恶性肿瘤死亡期望寿命损失百分率；采用直线回归分析去恶性肿瘤死因期望寿命变化趋势；采用潜在减寿年数（YPLL）、标化潜在减寿率（SYPLL）、平均减寿年数（AYLL）进行减寿分析.结果 2006-2010年海安县恶性肿瘤粗死亡率、标化死亡率分别为231.99/105、111.79/105;0～74岁累积死亡率为13.08％; 2006-2010年海安县居民平均期望寿命为80.58岁,去恶性肿瘤平均期望寿命为84.38岁,寿命损失3.80年；男、女性去恶性肿瘤死因后期望寿命平均每年分别增加了0.453 9岁和0.448 4岁,呈现明显增长的趋势（P＜0.05）.1～69岁居民恶性肿瘤累计PYLL为62 352.5人年,AYLL为5.72人年,SYPLL为18.80‰.结论 海安县2006-2010年恶性肿瘤死亡率各年份存在轻微波动,下降趋势不明显,仍位于全死因、减寿顺位第1位.应重点加强对严重影响居民期望寿命的主要癌种进行干预,应用适宜推广技术开展对高危人群恶性肿瘤的早诊、早治工作.

Objective To analyze the trends of malignant tumors death and lite loss of the residents lrom 2006 to 2010 in Hal-an county. Methods The information of registration data base of cancer death and population data from 2006 to 2010 in Hal-an county was used to analyze the mortality and the cumulative morbidity of the malignant tumors. The method of the annual percent change （APC） was utilized to analyze the time trend of the tumor mortality and morbidity. The abridged life table was applied for calculating the cause-deleted life expectancy of malignant tumors and life expectancy loss percentage due to the death of malignant tumor. The trends of the cause-deleted life expectancy of malignant tumors were analyzed with linear regression analysis. The indexes of the years of potential life lost （YPLL）, SYPLL rate, average years of life lost （AYLL） were used to analyze the life lost. Results The crude death rate, China standardized death rate of the malignant tumors from 2006 to 2010 in Hal-an county were 231.99/10^5 and 111.79/10^5, respectively. The cumulative mortality of residents （0-74 years old） was 13.08%. The average life expectancy of the residents in Hal-an county from 2006 to 2010 was 80.58 years old, the average life expectancy of the residents without tumors in Hal-an county was 84.38 years old, so the potential life lost was 3.80 years old. After excluding the death cause of tumors, the average life expectancy of the males and females in Hal-an county increased 0.453 9 years and 0.448 4 years （P〈0.05）. PYLL, AYLL and SYPLL in residents （1-69 years old） with malignant tumors in Hal-an county were 62 352.5 person years, 5.72 person years and 18.80‰, respectively. Conclusion The cancer mortality from 2006 to 2010 in Hal-an changed slightly without obvious decline trend and was still the first of the whole mortality and the life lost pick. Intervention should be focused on the main cancers which seriously affect the residents＇ life expectancy in Hal-an county. The early diagnosis and treatment of malignant tumors should be improved.