1972—2016年江苏省启东市上消化道癌死亡流行特征分析

Epidemiological Characteristics of Upper Gastrointestinal Cancer Mortality in Qidong City of Jiangsu Province,1972—2016

[目的]研究江苏省启东市1972—2016年上消化道癌死亡流行特征,为制定上消化道癌预防控制措施与策略提供依据。[方法]根据1972—2016年启东市癌症死亡登记数据库和历年人口资料,计算上消化道癌粗死亡率(CR)、中国标化率(ASRC)、世界标化率(ASRW)、35~64岁截缩率、0~74岁累积率、累积风险、变化百分比(PC)、年度变化百分比(APC)等。[结果]1972—2016年启东上消化道癌死亡20658例,占全部癌症死亡的20.89%。上消化道癌的CR为40.85/10万,ASRC为16.59/10万,ASRW为27.69/10万;35~64岁截缩死亡率为36.01/10万,0~74岁累积死亡率为3.30%,上消化道癌死亡的累积风险为3.25%。年龄别死亡率分析显示死亡率随年龄的增长而升高,55~岁组达到并超过人群的平均死亡率水平,80;岁组达到死亡高峰。其中,男性死亡13429例,CR、ASRC、ASRW分别为53.81/10万、23.57/10万、39.93/10万;女性死亡7229例,CR、ASRC、ASRW分别为28.23/10万、10.38/10万、17.25/10万。1972—2016年上消化道癌死亡的CR、ASRC、ASRW的PC分别为59.32%、-51.23%、-42.55%,APC分别为0.65%、-2.24%、-2.00%。不同年龄组不同时期死亡率分析显示,除75~岁年龄组外,上消化道癌25~74岁各年龄组死亡率均有明显下降。[结论]启东上消化道癌的CR略有上升,ASRC、ASRW呈下降趋势,上消化道癌仍是影响启东市居民健康的恶性肿瘤之一。

[Purpose]To describe the epidemiological characteristics of upper gastrointestinal cancer mortality in Qidong from 1972 to 2016.[Methods]The data of upper gastrointestinal cancer were collected from Qidong cancer registry.Crude mortality rate(CR),age-standardized rate by Chinese standard population(ASRC),age-standardized rate by world Segi’s population(ASRW),35~64 years old truncated rate,0~74 years old cumulative rate,cumulative risk,percentage change(PC)and annual percentage change(APC)of the upper gastrointestinal cancer mortality were calculated.[Results]During 1972—2016,a total of 20658(male:13429,female:7229)deaths were occurred due to upper gastrointestinal cancer,accounting for 20.89%of all cancers.The CR,ASRC,ASRW,35~64 years old truncated rate,0~74 years old cumulative rate and cumulative risk were 40.85/10;,16.59/10;,27.69/10;,36.01/10;,3.30%and 3.25%,respectively.Age-specific mortality analysis showed CR increased with age,the mortality of 55~years old group exceeded the average mortality of the population,and that in 80;years old group reached the peak.For males,CR,ASRC,ASRW were 53.81/10;,23.57/10;,39.93/10;,respectively;and for females,CR,ASRC,ASRW were 28.23/10;,10.38/10;,17.25/10;,respectively.During 1972 to 2016,the PC in CR,ASRC,and ASRW of upper gastrointestinal cancer were 59.32%,-51.23%,-42.55%,respectively;and APC were 0.65%,-2.24%,-2.00%,respectively.Mortality analysis of different age groups in different periods showed that except for the 75~years old age group,the mortality of upper gastrointestinal cancer in 25~74 years age groups decreased significantly.[Conclusion]The CR of upper gastrointestinal cancer has increased slightly in Qidong City,While the ASRC and ASRW decreased significantly.Upper gastrointestinal cancer is still one of the main malignant tumors that most affect health and seriously threaten lives.