2005～2014年厦门市鼻咽癌死亡特征与趋势分析

Epidemiologic study on the mortality associated with nasopharyngeal carcinoma in residents in Xiamen City

目的探讨厦门市居民鼻咽癌死亡变化趋势，为厦门市鼻咽癌综合防治工作提供依据。方法收集整理2005~2014 年厦门市居民鼻咽癌死亡资料，计算死亡率等评价指标，用多因素logistic 回归分析鼻咽癌死亡的影响因素。结果2005~2014 年，厦门市居民鼻咽癌死亡率2.31/10 万，男性死亡率是女性的2.64 倍；死亡率随着年龄的增加逐渐升高，死亡年龄中位数为57 岁，10 年间死亡率处于较平稳水平（P>0.05）。男性（OR=2.95，95%CI：2.38~3.67）和年龄（OR=1.32，95%CI：1.29~1.36）可能是鼻咽癌死亡的危险因素。结论厦门市居民鼻咽癌死亡率处于较平稳水平，未来应以男性、老年人群作为重点关注对象，重视鼻咽癌防治工作。

Objective To investigate the mortality associated with nasopharyngeal carcinoma in residents living in Xiamen City for supplying basic data to control and prevent this entity. Methods The deaths associated with nasopharyngeal carcinoma were collected in population in Xiamen City from 2005 to 2014, and the death rate as well as influencing factors were analyzed with multiple logistic regression model. Results The average mortality for nasopharyngeal carcinoma was 2.13 per 100 000 population in Xiamen between 2005 and 2014. The death rate in men was 2.64 times than that in women, and mortality was increased with age(median age: 57 years), yet maintained at stable level. Risk factors for death from nasopharyngeal carcinoma were involved in gender(male: OR=2.95; 95% CI: 2.38~3.67) and ages (OR=1.32; 95% CI: 1.29~1.36). Conclusion The mortality for nasopharyngeal carcinoma are kept in stable level in population in Xiamen City, and following prevention of this entity should be focused on men and the aged population.