摘要
目的分析2004--2005年中国人群结直肠和肛门癌死亡率状况及变化趋势。方法利用2004--2005年全国第3次死因回顾抽样调查中结直肠和肛门癌死亡数据（共调查142660482人年、死亡人数为10586例），分析不同人群结直肠和肛门癌粗死亡率、标化死亡率、肿瘤死因构成比和死因顺位等指标，并与第1次（1973—1975年）、第2次（1990--1992年）全国死因回顾调查资料进行比较。结果2004--2005年全国结直肠和肛门癌粗死亡率为7．42／10万（10586／142660482），占全部恶性肿瘤死亡人数的5．46％，位居癌症死亡第5位，中国人口标化死亡率（简称中标率）和世界人口标化死亡率（简称世标率）分别为4．79／10万和6．57／10万。其中，男性粗死亡率为8．38／10万（6114／72970241），女性粗死亡率为6．42／10万（4472／69690241）。城市和农村粗死亡率分别为10．01／10万（4796／47899806）和6．11／10万（5790／94760676）；东、中、西部地区粗死亡率分别为8．67／10万（4558／52556694）、7．19／10万（3580／49781225）和6．07／10万（2448／40322563）。与1990--1992年粗死亡率（5．30／10万）和中标率（4．54／10万）相比，中国结直肠和肛门癌粗死亡率上升了40．00％，中标率上升了5．51％；与1973--1975年粗死亡率（4．17／10万）和中标率（4．27／10万）相比则分别上升了77．94％和12．18％。结论结直肠和肛门癌死亡率在我国呈快速上升趋势，并且男性居民死亡率高于女性，城乡及不同地区间的死亡率存在较大差异。
Objective To describe the mortality of colorectoral and anal cancer in the Chinese population during 2004 -2005. Methods Mortality of colorectoral and anal cancer from The 3rd National Death Retrospective Sampling Survey （2004 -2005 ） were analyzed, with that the total population was 142 660 482 person-year and the number of death cases was l0 586. Crude death rate, age-standardized death rate by Chinese standard population （CASR） and world standard population （WASR）, the constitute proportion to all cancer deaths and rank of cancer death were calculated and compared with The 1 st （ during 1973 - 1975 ） and The 2nd （ during 1990 - 1992 ） National Death Retrospective Surveys. Results The mortality of colorectoral and anal cancer in China was 7.42/100 000（ 10 586/142 660 482） during 2004 - 2005,accounting for 5.46% of total cancer deaths and ranked the 5th leading cause of death from cancer. CASR and WASR were 4. 79/100 000 and 6. 57/100 000 ,respectively. Gender specific mortality was higher for males with 8.38/100 000 （6114/72 970 241 ）than for females with 6.42/100 000 （4472/69 690 241 ）. The crude death rates were 10. 01/100 000 （4796/47 899 806 ） in urban areas and 6. ll/100 000（5790/94 760 676） in rural areas, moreover, the crude death rates in Eastern, Middle and Western part of China were 8.67/100 000 （ 4558/52 556 694 ）, 7. 19/100 000 （ 3580/49 781 225 ） and 6. 07/100 000（2448/40 322 563 ） respectively. Compared to the crude death rate 5.30/100 000 and CASR 4. 54/100 000 during 1990 - 1992, the crude death rate and CASR from colorectoral and anal cancer increased by 40. 00% and 5.51% , whereas compared to the crude death rate 4. 17/100 000 and CASR 4. 27/100 000 during 1973 -1975 ,the crude death rate and CASR had increased by 7＂7. 94% and 12. 18% respectively. Conclusion The mortality of colorectoral and anal cancer has been increasing rapidly in China. The mortality is higher in males, and appears to be diverse in different areas.
出处
《中华预防医学杂志》
CAS
CSCD
北大核心
2010年第5期403-407,共5页
Chinese Journal of Preventive Medicine
基金
卫生部、科技部全国第三次死因回顾抽样调查项目
