1974—2015年上海市杨浦区宫颈癌死亡趋势分析

Mortality trend analysis on cervical carcinoma in Yangpu District of Shanghai during 1974-2015

【目的】了解1974—2015年上海市杨浦区人群宫颈癌死亡趋势变化。【方法】数据来源于杨浦区肿瘤登记系统中1974—2015年杨浦区宫颈癌死亡资料,采用Joinpoint回归和年龄-时期-队列模型分析杨浦区宫颈癌死亡趋势,并采用Segi标准人口年龄构成进行标化。【结果】1974—2015年间,上海市杨浦区共报告宫颈癌死亡例数476例,粗死亡率为2.34/10万,标化死亡率为1.33/10万。宫颈癌在60岁及以上女性中死亡率较高,死亡人数占69.75%。【结论】上海市杨浦区宫颈癌在1996—2015年间死亡率整体呈上升趋势,60岁及以上人群属于宫颈癌死亡高危人群。

[Objective] To analyze the mortality of cervical carcinoma among female population in Yangpu District of Shanghai from 1974 to 2015. [Methods] The clinical data on cervical carcinoma from 1974 to2015 were sorted out from the death registration system in Yangpu District. The Joinpoint Regression Program and age-period-cohort（ APC） model were used for data analyses. The mortality was standardized by utilizing the Segi standard population age composition. [Results] A total of 476 deaths of cervical carcinoma were reported in Yangpu District from 1974 to 2015. The crude mortality rate of cervical carcinoma was 2. 34/100 000. The standardized mortality rate of cervical carcinoma was 1. 33/100 000.Cervical cancer had a higher mortality rate in women aged 60 and older,which accounted for 69. 75%.[Conclusion]The mortality of cervical carcinoma increases in Yangpu District on a yearly basis from 1996 to 2015. With cervical carcinoma,the women over 60 are high-risk groups.