2014-2019年锦州市城区居民肺癌死亡特征及减寿分析

Analysis on mortality characteristics and life lost due to lung cancer among urban residents, Jinzhou city,2014-2019

目的 分析2014-2019年锦州市城区居民肺癌死因数据,研究其流行特征及减寿情况,为肺癌防治工作提供科学依据。方法 采用ICD-10死因分类法进行死因分类,计算肺癌的死亡率、中标死亡率、世标死亡率、潜在减寿年数(YPLL)、平均减寿年数(AYLL)、标化潜在减寿年数(SPYLL)及标化减寿率(SPYLLR)等指标。结果 2014-2019年锦州市城区居民肺癌死亡率为72.51/10万,中标率为59.17/10万,世标率为45.27/10万,死亡率男性高于女性,差异有统计学意义(P<0.01);30岁以后随着年龄的增加肺癌死亡率呈上升趋势,变化趋势差异有统计学意义(P<0.01);肺癌死亡率呈年度上升趋势,由2014年的65.63/10万上升到2019年的78.85/10万,年度变化百分比(APC)为3.15%,变化趋势差异有统计学意义(P<0.01);不同年组肺癌死亡年度变化趋势不同;肺癌PYLL为20 330.00人年,SPYLL为16 540.84人年,SPYLLR为2.85‰,AYLL为9.99年/人;6年间肺癌PYLL、SPYLL、SPYLLR无明显变化趋势,肺癌AYLL呈逐年递减趋势,差异有统计学意义(P<0.01)。结论 锦州市城区居民肺癌死亡处在较高的水平,中老年的男性群体应作为防治的重点人群。

Objective To analyze the data of death causes of lung cancer among urban residents in Jinzhou city during 2014-2019,and study the epidemiological characteristics and life expectancy, so as to provide scientific basis for prevention and treatment of lung cancer. Methods The death causes were classified using the ICD-10 cause of death classification method, and indicators including lung cancer mortality, bid-winning mortality, world standard mortality, years of potential life lost(YPLL),average life lost(AYLL),standardized potential life lost(SPYLL) and standardized life lost rate(SPYLLR) were calculated. Results The mortality of lung cancer among urban residents in Jinzhou city during 2014-2019 was 72.51/lakh, the age-standardized mortality by Chinese standard population and by world standard population were 59.17/lakh and 45.27/lakh, and the mortality was higher in males than that in females(P<0.01).After 30 years of age, the mortality of lung cancer increased with the increase of age(P<0.01).The mortality of lung cancer showed an annual upward trend, it increased from 65.63/lakh in 2014 to 78.85/lakh in 2019,the annual percentage change(APC) was 3.15%,and the difference in trend was statistically significant(P<0.01);the annual change trend of lung cancer mortality was different in different age groups;PYLL was 20 330.00 person-years, SPYLL was 16 540.84 person-years, SPYLLR was 2.85‰,AYLL was 9.99 person-years;there were no statistically differences in the trend of PYLL,SPYLL and SPYLLR by year;AYLL of lung cancer showed a decreasing trend by year(P<0.01). Conclusion The mortality of lung cancer among urban residents in Jinzhou city is at a higher level.Middle-aged and old male population should be taken as the focus of the prevention and control strategy.