福州市2011—2018年居民肝癌死亡状况分析

Amalysis on death cause of liver cancer in Fuzhou city from 2011-2018

目的了解福州市居民肝癌死亡率水平、三间分布特征、变化趋势及其对居民潜在寿命损失和潜在工作损失的影响,为制定肝癌的综合防治策略和措施提供依据。方法采用入户调查的方法,按ICD-10的标准和方法进行死因分类,对福州市2011—2018年居民肝癌死亡状况进行全面分析。结果 2011—2018年福州市居民肝癌死亡10 531例,平均死亡率为26.25/10万,男性高于女性,差异有统计学意义(Z=55.600,P<0.001);农村高于城市,差异有统计学意义(Z=13.075,P<0.001);40岁以上人群是肝癌死亡率高发人群。居民减寿率为2.69‰、潜在工作损失率3.60‰,肝癌对男性潜在寿命损失和潜在工作损失的影响较女性大,潜在寿命损失年(YPLL)为4.38‰和0.92‰,潜在工作损失(WYPLL)为5.85‰和1.25‰。结论肝癌是威胁福州市居民的主要死亡原因之一,且对男性影响更大,应采取综合性干预措施,预防或减少肝癌的发生。

Objective To explore the mortality level,distribution characteristics and trend of liver cancer and its impact on residents’potential life lost and potential work losses in Fuzhou city,and to provide the basis for the formulation of comprehensive prevention and treatment strategies and measures for liver cancer.Methods Through the household survey,the death cause of liver cancer in Fuzhou city from 2011-2018 were overall analyzed according to the standard and method of ICD-10.Results Totally 10 531 death cause of liver cancer were reported in Fuzhou city from 2011-2018 with the average mortality rate of 26.25/100 000,and the mortality rate in males was higher than that in females,and the difference was statistically significant(Z=55.600,P<0.001).Rural mortality was higher than that in the city,and the difference was statistically significant(Z=13.075,P<0.001).People above 40 years old were the high-risk group.The rate of years of potential life lost(YPLL)and potential working life lost(WYPLL)among residents was 2.69‰and 3.60‰,respectively.The influences of YPLL and WYPLL from liver cancer in male’s were more conspicuous than those in females(YPLL:4.38‰vs.0.92‰;WYPLL:5.85‰vs.1.25‰).Conclusion Liver cancer have become the main cause of death among residents in Fuzhou city,and the influence in males is more conspicuous.It is necessary to carry out the comprehensive intervention measures to prevent and decrease the incidence rate of liver cancer.