摘要
目的:了解2005-2018年上海上钢社区居民恶性肿瘤死亡流行特点及其趋势,为制定相应的社区防治措施提供依据。方法:收集2005年1月1日-2018年12月31日死亡登记报告的户籍居民死亡资料,通过根本死因编码分析死因构成和顺位,采用死亡率,年度变化百分比(APC)等指标对上海上钢社区居民恶性肿瘤死亡资料进行分析。结果:2005-2018年上海上钢社区居民恶性肿瘤死亡率为304.94/10万,男性高于女性(360.73/10万比248.63/10万,P<0.001)。2005-2018年上海上钢社区居民恶性肿瘤死亡率呈上升趋势,其中45~64岁年龄段死亡率上升趋势显著(APC=3.19%,P=0.0066);肺癌(APC=1.58%,P=0.0258)、结直肠癌(APC=2.58%,P=0.0426)、胰腺癌(APC=5.84%,P<0.001)死亡率也逐年上升。结论:上海上钢社区居民恶性肿瘤死亡率较高,肺癌、结直肠癌和胰腺癌死亡率呈上升趋势,45~64岁居民恶性肿瘤死亡率上升趋势明显。提示在肿瘤防控上应结合社区医疗机构特点和优势,针对不同人群和不同癌种采取不同的干预措施,尤其是针对45~64岁年龄段居民的健康宣教和生活方式干预。
Objective:To explore the epidemiological characteristics and trend of malignant tumor mortality in the residents in Shanggang Community of Shanghai from 2005 to 2018 for providing reference to development of corresponding community prevention and control measures.Methods:The death data of household registration residents from January 1,2005 to December 31,2018 were collected,the cause of death and its sequence were analyzed by coding the basic cause of death,and the death data of malignant tumors of the residents in Shanggang Community,Shanghai were analyzed by mortality and annual percentage of change(APC).Results:The mortality rate of malignant tumors of the residents in Shanggang Community,Shanghai from 2005 to 2018 were 304.94/100000,and the mortality of the male was higher than that of the female(360.73/100000 vs.248.63/100000,P<0.001).From 2005 to 2018,the mortality rate of malignant tumors in Shanggang Community,Shanghai showed an upward trend,among them,the mortality rate of the 45-64 age group increased significantly(APC=3.19%,P=0.0066);mortality rates of lung cancer(APC=1.58%,P=0.0258),colorectal cancer(APC=2.58%,P=0.0426)and pancreatic cancer(APC=5.84%,P<0.001)also increased year by year.Conclusion:The malignant tumor mortality rate of the residents in Shanggang Community,Shanghai is high and the mortality rates of lung cancer,colorectal cancer and pancreatic cancer show an upward tendency.The mortality rate of malignant tumors of the residents aged 45-64 years is increasing.It is suggested that the prevention and control of tumors should be combined with the characteristics and advantages of community medical institutions,and different intervention measures should be taken for different populations and different cancer types,especially the health education and lifestyle intervention for the residents aged 45-64.
作者
陈晓娇
王海棠
刘祖素
杜兆辉
CHEN Xiaojiao;WANG Haitang;LIU Zusu;DU Zhaohui(Department of Prevention and Health Care of Shanggang Community Health Service Center of Pudong New District,Shanghai 200126,China)
出处
《上海医药》
CAS
2020年第14期47-50,共4页
Shanghai Medical & Pharmaceutical Journal
基金
上海市卫生计生系统优秀学科带头人(2017BR053)
浦东新区卫生系统重要薄弱学科(PWZbr2017-07)
浦东新区卫生系统领先人才(PWRl2016-03)
上海市“医苑新星”青年医学人才培养资助计划(沪卫计人事[2019]72号)。
关键词
恶性肿瘤
死亡率
流行病学
趋势分析
malignant tumor
mortality
epidemiology
trend analysis
