2016—2020年四川省泸县女性宫颈癌死亡水平分析

Analysis on the death level of female cervical cancer in Luxian County of Sichuan Province from 2016 to 2020

目的了解2016—2020年四川省泸县女性宫颈癌的死亡水平,为政府制定防控策略提供依据。方法利用人口死亡信息登记管理系统收集2016—2020年泸县因宫颈癌死亡的户籍人口信息,按照《疾病和有关健康问题的国际统计分类》(ICD-10)进行死因分类和根本死因编码,分别计算宫颈癌的粗死亡率、标化死亡率、年龄别死亡率、早死概率和年度变化百分比(APC)等指标,不同率之间的比较采用χ^(2)检验,APC检验采用t检验,以检验水准为α=0.05。结果2016—2020年,女性宫颈癌死亡率分别为7.88/10万、8.28/10万、6.14/10万、7.52/10万和6.34/10万,差异无统计学意义(χ^(2)=2.561,P=0.634)。标化死亡率分别为2.68/10万、2.22/10万、2.13/10万、1.93/10万和2.35/10万。粗死亡率随着年龄的增加和升高,≥60岁组达到峰值,2016—2020年宫颈癌早死概率在0.47%~0.31%之间波动。结论泸县宫颈癌的防控形势依然严峻,本研究提示应继续加大健康教育、疫苗接种及癌症筛查力度,扩大“两癌”筛查受益人群数量。

Objective To understand the death level of female cervical cancer in Luxian County of Sichuan Province from 2016 to 2020,and to provide basis for the government to formulate prevention and control strategies.Methods China’s CDC“population death information registration and management system”was used to collect the registered residence information of cervical cancer patients in Luxian County from 2016 to 2020.According to the international statistical classification of diseases and related health problems (ICD-10),the death cause and the death cause encoding were calculated,and the crude mortality,standardized mortality rate and age specific mortality rate of cervical cancer were calculated respectively.Early death probability and annual percentage change(APC) were used for comparison among different rates byχ^(2)test.APC test adopted t test andα=0.05 was the inspection level.Results From 2016 to 2020,the mortality rates of female cervical cancer were 7.88/10^(5),8.28/10^(5),6.14/10^(5),7.52/10^(5) and 6.34/10^(5)respectively,the difference was no statistically significant(χ^(2)=2.561,P=0.634).The standardized mortality rates were 2.68/10^(5),2.22/10^(5),2.13/10^(5),1.93/10^(5) and 2.35/10^(5) respectively.With the increase of age,the crude mortality rate reaches the peak in the 60-year-old group.The probability of early death of cervical cancer fluctuates between 0.47%and 0.31%from 2016 to 2020.Conclusions The situation of cervica cancer prevention and control in Luxian county is still severe.This study suggests that we should continue to strengthen health education,vaccination and cancer screening,the number of screening beneficiaries should be expanded.