2015年泰安市食管癌死亡与去死因寿命分析

Analysis of mortality and cause eliminated life of esophageal cancer in Taian in 2015

目的为了了解泰安市食管癌死亡情况及其对寿命的影响,为慢性病防控工作提供参考依据,对2015年泰安市食管癌死亡与去死因寿命进行分析。方法根据2015年泰安市食管癌死亡统计资料,用寿命表法以及计算标化率对人口寿命进行分析,人口标化率计算以2000年中国标准人口进行标化。运用SPSS 20.0进行数据分析,计算死亡率、构成比等数据。结果 2015年泰安市居民食管癌共死亡2 221例,死亡率为39.32/10万,男性死亡率为55.64/10万,女性死亡率为22.57/10万,男性死亡率明显高于女性且差异有统计学意义(χ~2=392.91,P<0.01)。泰安市食管癌分布存在地区差异,6个县市区食管癌死亡率差异有统计学意义(χ~2=740.95,P<0.01),死亡率最高的是宁阳县,为72.18/10万。2015年泰安市总体人口期望寿命为79.86岁,去食管癌死因后全人群期望寿命为80.51岁,每千人口食管癌潜在减寿年数为4.75年。结论泰安市是我国食管癌高发地区,2012—2015年死亡率无明显变化,食管癌仍位于泰安市居民癌症死因第2位,男性死亡率高于女性且差异有统计学意义;食管癌分布存在地区差异,6个县市区死亡率差异有统计学意义;食管癌对泰安市居民期望寿命影响较大,降低食管癌死亡率可有效减少寿命损失。

Objective To understand the death of esophageal cancer in Taian and its impact on life expectancy, and to provide reference for chronic disease prevention and control work, by analyzing death and cause eliminated life of esophageal cancer in Taian in 2015. Methods According to the statistics of esophageal cancer death in Taian in 2015, the standardized rate was calculated by the method of life table and analysis of life expectancy. The standardized rate of population was calculated according to the standard population of 2000 in China. SPSS 20.0 was used to analyze the data, calculate the mortality and pro-portion. Results 2 221 patients died of esophageal cancer in Taian in 2015, and the death rate was 39.32/10 million, the mor-tality rate for male was 55.64/10 million, while the female mortality rate was 22.57/10 million, and the male mortality rate was significantly higher than that of female with statistical significance （X： = 392. 91, P〈0.01). There was regional difference for distribution of esophageal cancer in Taian, and the mortality difference of esophageal cancer in six counties was statistically signif-icant （X2 = 740. 95, P〈0.01). The highest mortality rate was 72.18 / 10 million in Ningyang county. In 2015, the overall life expectancy of Taian City was 79.86 years old. Death from esophageal cancer excluded, the life expectancy of the whole popula-tion was 80.51 years, and the potential lifetime of esophageal cancer per thousand population was 4.75 years. Conclusion Taian city is the high incidence area of esophageal cancer in China. There is no significant change in mortality between 2012 and 2015. Esophageal cancer is still the second largest cause of cancer death in Taian city. The male mortality rate is significantly higher than that of female and the difference is statistically significant. There was regional difference for the distribution of esoph-ageal cancer, and the difference in mortality is statistically significant in six counties. Esophageal cancer has a greater impact on the life expectancy of Taian residents, and the decrease of esophageal cancer mortality can effectively reduce the loss of life.