2011-2015年舟山市恶性肿瘤发病和死亡特征分析

Malignant tumor incidence and death characteristics in Zhoushan,Zhejiang during 2011-2015

目的:了解2011-2015年舟山市居民恶性肿瘤的发病和死亡情况,掌握危害居民健康的主要恶性肿瘤的分布特征。方法:收集、整理2011-2015年舟山市恶性肿瘤发病及死亡数据,进行描述性分析。结果:2011-2015年舟山市恶性肿瘤年均报告发病率为341.77/10万,中国人口标化率为200.92/10万,世界人口标化率为196.42/10万,累积发病率(0~74岁)为22.38%,截缩发病率(35~64岁)为454.69/10万;发病率位于前10位的恶性肿瘤依次为肺癌、肝癌、胃癌、甲状腺癌、乳腺癌、宫颈癌、直肠癌、结肠癌、前列腺癌和食管癌,占所有恶性肿瘤发病的83.74%。2011-2015年恶性肿瘤死亡年均报告死亡率为230.35/10万,中标率为127.00/10万,世标率为126.55/10万,累积死亡率(0~74岁)为14.25%,截缩死亡率(35~64岁)为229.98/10万;死亡率位于前10位的恶性肿瘤依次为肺癌、肝癌、胃癌、食管癌、直肠癌、胰腺癌、前列腺癌、宫颈癌、结肠癌和胆囊癌,占所有恶性肿瘤死亡的83.57%。结论:肺癌、消化道癌、乳腺癌和宫颈癌是影响舟山市居民生命健康的主要恶性肿瘤,应该作为防控工作的重点,大力开展健康教育,积极开展相关恶性肿瘤的筛查。

Objective To analyze the malignant tumor morbidity and mortality in Zhoushan city from 2011 to 2015, to grasp the main malignant tumor distribution characteristics that endanger residents＂ health. Methods The data were collected of malignant tumors in Zhoushan from 2011 to 2015 and were analyzed by descriptive epidemiological method. Results During 2011-2015, the incidence rate of malignant tumor was 341.77/100,000. The age--standardized incidence rates by Chinese standard population（ASR China）and by world standard population（ASR world）were 200.92/ 100,000 and 196.42/100,000. The cumulative incidence rate（0-74 years old）and truncated age incidence rate（35-64 years old）were 22.38% and 454.69/100,000. The malignant tumors ranking the top 10 incidence rates were lung,liver, stomach, thyroid, breast, cervix, rectum, colon, prostate and esophagus cancer, accounting for about 83.74% of the total. During 2011- 2015, the mortality rate of malignant tumor was 230.55/100,000, and the age--standardized mortality rates by Chinese standard population（ASR China）and by world standard population（ASR world）were 127.00/ 100,000 and 126.55/100,000. The cumulative mortality rate（0-74 years old）and truncated age mortality rate（35-64 years old）were 14.25% and 229.98/100,000. The malignant tumors ranking the top 10 mortality rates were lung,liver, stomach, esophagus, rectum, pancreas, prostate, cervix, colon and gallbladder cancer, accounting for about 83.57% of the total. Conclusions Lung, digestive tract, breast and cervical cancer are major malignant tumors affecting residents＇ health of Zhoushan city,which should be focused on in the prevention and control work of cancer,and health education and screening for malignant tumors should be carried out.