湖州市2013—2017年宫颈癌发病及死亡分析

Incidence and mortality of cervical cancer among women in Huzhou city from 2013 to 2017

【目的】分析湖州市2013-2017年宫颈癌发病及死亡情况,为湖州市宫颈癌防治工作提供科学依据。【方法】计算发病率(死亡率)、年龄别发病率(死亡率)及标化率、潜在减寿年等指标,采用趋势检验、χ^2检验对发病率(死亡率)进行分析。【结果】2013-2017年宫颈癌年均发病率为19.35/10万,中国人口标化率为17.21/10万,发病顺位为第5位;年均死亡率为3.64/10万,中国人口标化率为3.08/10万,死亡顺位为第10位。5年间,宫颈癌发病率呈上升趋势(z=4.39,P<0.0001)。2013-2017年宫颈癌潜在减寿年数、平均减寿年、潜在减寿率分别为2 315人年、14.38年和0.38‰。【结论】湖州市宫颈癌发病率及死亡率较高,发病高峰后移。因此,在倡导接种宫颈癌疫苗的政策下,还应加大对老年人群宫颈癌防治的宣传力度,重视癌症筛查,倡导健康生活方式。

[Objective]To analyze the incidence and death of cervical cancer in women from 2013 to 2017 in Huzhou city,and to provide scientific basis for prevention and treatment of cervical cancer.[Methods]The data on cervical cancer from 2013 to 2017 were used to calculate the incidence(mortality)rate,age incidence(mortality)rate and the standardized rate,and the potential life loss years.By means of trend test and 2 inspection were analyzed its morbidity and mortality.[Results]The annual incidence of cervical cancer from 2013 to 2017 in Huzhou city was 19.35/10 5,the standardized rate was 17.21/10 5 and its incidence sequence was 5 th.The annual mortality was 3.64/10 5,the standardized rate was 3.08/10 5 and its death sequence was 10 th.Over the past 5 years,the incidence of cervical cancer increased with time(z=4.39,P<0.000 1).During 2013 and 2017,the overall YPLL of cervical cancer was 2 315 person years,AYLL 14.38 years and PYLLR 0.38‰.[Conclusion]The incidence and mortality of cervical cancer among women in Huzhou city was relatively high,and the incidence peak moved back.Therefore,under the policy of promoting vaccination against cervical cancer,the publicity of prevention and treatment of cervical cancer among the elderly should be strengthened.