2013~2018年青岛市黄岛区户籍居民恶性肿瘤死因分析

Analysis on causes of malignant tumor death among household registered residents,Huangdao district,Qingdao city,2013-2018

目的了解青岛市黄岛区户籍居民恶性肿瘤死亡死因分布,为制定恶性肿瘤的防治对策提供依据。方法收集山东省慢病监测信息系统中黄岛区户籍居民死亡监测数据,对青岛市黄岛区2013~2018年户籍居民恶性肿瘤死亡情况进行分析。结果2013~2018年青岛市黄岛区户籍居民恶性肿瘤死亡率为212.34/10万(14810/697476),各年度死亡率差异有统计学意义(P<0.01)。男性死亡率280.27/10万(9774/3487335),女性144.40/10万(5036/3487432)(P<0.01)。恶性肿瘤前5位死因依次为肺癌、肝癌、胃癌、(直肠癌、结肠、肛门癌)、食管癌,占恶性肿瘤死亡的76.52%(11332/14810)。除宫颈癌和乳腺癌外,其余恶性肿瘤疾病男性死亡率高于女性(P<0.01)。随年龄的增长,死亡率呈现持续上升趋势(P<0.01),特别是中老年人的恶性肿瘤死亡率偏高。结论青岛市黄岛区恶性肿瘤死亡率较高,降低肺癌、胃癌、肠癌、食道癌的死亡率是青岛市黄岛区防控重点,中老年人是重点防控人群。

Objective To understand the distribution of death causes of malignant tumors among registered residents in Huangdao district,Qingdao city,so as to provide a basis for formulating prevention and treatment measures for malignant tumors.Methods To collect the death monitoring data of Huangdao district residents from the chronic disease surveillance information system of Shandong province,and then analyze the deaths of malignant tumors of the household residents of Huangdao district during 2013-2018.Results From 2013 to 2018,the mortality of malignant tumors of registered residents in Huangdao district of Qingdao city was 212.34/10~5,and the difference was statistically significant by years(P<0.01).The mortality of malignant tumors was 280.27/10~5(9774/3487335)in males and 144.40/10~5(5036/3487432)in females(P<0.01).The top 5 causes of death of malignant tumors were lung cancer,liver cancer,gastric cancer(rectal cancer,colon cancer,anal cancer)and esophageal cancer,accounted for 76.52%(11332/14810)of malignant tumor deaths.Except for cervical cancer and breast cancer,the mortality of males with other malignant tumors was higher than that of females(P<0.01).As the age increases,the mortality continued to increase(P<0.01),especially the malignancy of middle-aged and elderly people.Conclusion The mortality of malignant tumors in Huangdao district,Qingdao city is relatively high,reducing the mortality of lung cancer,gastric cancer,intestinal cancer and esophageal cancer is the focus of prevention and control,and the middle-aged and elderly is the critical population of prevention and control.