2004-2020年中国胃癌死亡趋势分析

Analysis of The Death Trend of Gastric Cancer in China from 2004 to 2020

目的:分析2004—2020年中国胃癌死亡的时间变化趋势,为胃癌防治策略与措施的制定提供参考。方法:整理汇总《中国卫生统计年鉴》中2004—2020年中国城乡居民胃癌死亡率数据,利用Joinpoint回归模型对中国城乡居民及年龄别胃癌标化死亡率的时间趋势进行分析。结果:2004—2020年中国居民胃癌标化死亡率表明农村高于城市,男性高于女性;Joinpoint回归最佳模型显示,城市居民胃癌标化死亡率2004—2020年平均每年下降2.32%(P<0.05),其中男性平均每年下降2.19%(P<0.05),女性平均每年下降2.70%(P<0.05);农村居民胃癌标化死亡率2004—2020年平均每年下降4.28%(P<0.05),其中男性平均每年下降3.98%(P<0.05),女性平均每年下降4.81%(P<0.05);城市居民胃癌标化死亡率25~、60~、85~岁年龄段差异无统计学意义(P>0.05),其它年龄段呈下降趋势(P<0.05);农村居民胃癌标化死亡率35~84岁年龄段呈下降趋势(P<0.05)。结论:2004—2020年中国居民胃癌标化死亡率呈下降趋势,不同地区、性别胃癌死亡率有差别;胃癌防治应采取综合性措施。

Objective:To analyze the changing trend of gastric cancer mortality in China from 2004 to 2020,and to provide a reference for the formulation of prevention and treatment strategies for gastric cancer.Methods:The data of gastric cancer mortality rate of Chinese urban and rural residents from 2004 to 2020 were collected and summarized in China Health Statistics Yearbook,and the Joinpoint regression model was used to analyze the time trend of standardized gastric cancer mortality rate of Chinese urban and rural residents and different age groups.Results:The standardized mortality rate of gastric cancer in Chinese residents from 2004 to 2020 was higher in rural areas than in urban areas,and higher in males than in females.According to the Best Model of Joinpoint Regression,the standardized mortality rate of gastric cancer in urban residents decreased by 2.32%(P<0.05)per year from 2004 to 2020,with an average annual decrease of 2.19%(P<0.05)for males and 2.70%(P<0.05)for females.The standardized mortality rate of gastric cancer in rural areas decreased by 4.28%per year(P<0.05)from 2004 to 2020,with an average annual decrease of 3.98%(P<0.05)for males and 4.81%(P<0.05)for females.The standardized mortality rate of gastric cancer among urban residents in the 25~,60~and 85~years old age groups was not statistically significant(P>0.05),but there was a downward trend in other age groups(P<0.05).The standardized mortality rate of gastric cancer among rural residents showed a downward trend in the age group of 35~84 years old(P<0.05).Conclusion:From 2004 to 2020,the standardized mortality rate of gastric cancer in Chinese residents showed a downward trend,and there were differences in the mortality rate of gastric cancer in different regions and genders.Therefore,comprehensive measures should be taken for the prevention and treatment of gastric cancer.