2014年至2018年我国癌症死亡偏好趋势分析

Trend Analysis of Cancer Death Preference in China from 2014 to 2018

目的研究我国城镇居民癌症死亡的偏好趋势。方法本研究以2014年至2018年我国官方发布的统计年鉴为资料,运用对应分析法对36个性别、年龄组和15种癌症类型进行对应定性和定量分析。结果在性别、年龄组和癌症死亡类型组成的540对对应关系中,有230对(占42.59%)表现出偏好关系(偏好值>0)。城镇女性居民全年龄段罹患癌症死亡风险高于城镇男性居民。城镇居民与癌症的偏好关系主要分为3类:年轻人群偏好鼻咽癌、白血病、肝癌和脑及神经系统恶性肿瘤;老年男性偏好食管癌,前列腺癌,肺癌,膀胱癌,胃癌,结肠、直肠和肛门癌;中年女性偏好卵巢癌,宫颈癌,乳腺癌,胆囊癌,胰腺癌,结肠、直肠和肛门癌。结论在我国城镇居民癌症死亡中,不同性别、年龄组和癌症类型之间具有不同的偏好关系,对应分析有助于行政管理部门和医疗机构根据性别、年龄特点制定相应的健康服务预防和规划,做到早预防、早发现和早治疗,以降低癌症死亡事件的发生率。

Objective To study the trend of cancer death preference among urban residents in China.Methods The statistical yearbooks officially released in China from 2014 to 2018 were used as data,and corresponding qualitative and quantitative analyses were performed on 36 sex-age groups and 15 cancer types.Results Among the 540 pairs of gender-age groups and cancer types,230(42.59%)showed a preference relationship(preference value>0).The risk of cancer death in female urban residents is higher than that in male urban residents.The preference relationship between urban residents and cancer can be divided into three categories as follow:Young people prefer nasopharyngeal carcinoma,leukemia,liver cancer and malignant tumors of the brain and nervous system;old men prefer esophageal cancer,prostate cancer,lung cancer,bladder cancer,gastric cancer and colon,rectal and anal cancer;middle-aged women prefer ovarian cancer,cervical cancer,breast cancer,gallbladder cancer,pancreatic cancer and colon cancer,rectal cancer and anal cancer.Conclusion In the cancer deaths of urban residents in China,there are different preferences between different gender,age groups and cancer types.Correspondence analysis can help administrative departments and medical institutions to formulate corresponding prevention and planning of health services according to sex and age characteristics,so as to achieve early prevention,early detection and early treatment to reduce the incidence of cancer deaths.