衢州市2018年恶性肿瘤早死概率及对期望寿命影响分析

Analysis on the probability of early death and impact on life expectancy of malignant tumors in Quzhou in 2018

目的了解衢州市恶性肿瘤早死概率和对期望寿命的影响,为当地开展肿瘤防控工作提供参考。方法通过浙江省慢性病监测信息管理系统收集2018年衢州市户籍居民恶性肿瘤死亡信息,计算恶性肿瘤粗死亡率、标化死亡率、早死概率,编制寿命表,计算期望寿命和去除恶性肿瘤死因后的期望寿命。率的比较采用χ^2检验。结果2018年衢州市恶性肿瘤粗死亡率为166.19/10万,标化死亡率为145.48/10万,农村高于城市,男性高于女性。恶性肿瘤死亡率随年龄增长呈上升趋势,各年龄段差异有统计学意义(χ^2趋势=9820.419,P<0.01)。恶性肿瘤早死概率为8.25%,男性(10.94%)高于女性(5.12%),农村(8.74%)高于城市(7.36%)。各种恶性肿瘤中,肺癌早死概率最高,为3.21%;其次是肝癌和胃癌,早死概率分别为1.27%和0.8%。2018年衢州市期望寿命为79.41岁,其中男性77.25岁,女性82.03岁,去除恶性肿瘤死因后期望寿命增加2.89岁。去除肺癌死因后,期望寿命增加最多,为0.98岁。结论恶性肿瘤死亡率和早死概率高,影响期望寿命,农村居民和男性是高危人群,政府应进一步加强肿瘤防治工作。

Objective To know the probability of premature death and impact on life expectancy of malignant tumors,provide suggestions for local cancer prevention and control.Methods The mortality data were collected from Zhejiang Chronic Disease Surveillance Information and Management System in 2018,we calculated the mortality rate,standard mortality rate and probability of early death of malignant tumors and created life tables with all causes of death and with eliminating causes of malignant tumors death to analyze life expectancy and the life.Chi-square test was used to compare rates.Results The crude mortality rate of malignant tumors was 166.19/100000(standardized rate 145.48/100000)in Quzhou in 2018,the rate of residents in the rural areas was higher than that in urban and the rate of males was higher than that in females.The mortality of malignant tumors was increased with age(χ2trend=9820.419,P<0.01).The probability of premature death of malignant tumors was 8.25%,and it was higher in males(10.94%)than that in females(5.12%)as well as higher in urban areas(8.74%)than in rural areas(7.36%).The top 3 malignant tumors were lung cancer(3.21%),liver cancer(1.27%),stomach cancer(0.8%).Life expectancy was 79.41 years in Quzhou in 2018,and the males and females were77.25 years and 82.03 years,respectively.After eliminating the causes of malignant tumors,life expectancy increased 2.89 years.Removing the effect of lung cancer life expectancy increased 0.98 years.Conclusion The mortality rate and probability of premature death of malignant tumors are both high,and there are great influence on life expectancy.Rural residents and male have high risk of death from malignant tumors.Governments should attach great importance on cancer prevention and control.