摘要
目的:研究江苏省淮安市淮安区胃癌1998—2016年发病情况、1990—2016年死亡情况及趋势。方法:收集江苏省淮安市淮安区1990—2016年胃癌病例登记资料及人口资料,应用SPSS 23和Excel 2016软件计算发病(死亡)构成比、胃癌发病(死亡)粗率、中国人口标准化率(简称中标率)、世界人口标准化率(简称世标率)、截缩率(35~64岁)和发病(死亡)年龄特征。采用Joinpoint 4.6软件计算年度变化百分比、平均年度变化百分比。计算各区域发病(死亡)粗率,分析地理位置差异对胃癌发病及患者死亡水平的影响。结果:1998—2016年淮安市淮安区胃癌新发病例10183例,男女构成比为2.17;1990—2016年死亡病例11107例,男女构成比为1.93。胃癌发病粗率、中标率、世标率和截缩率分别为44.75/10万、36.03/10万、36.08/10万和44.39/10万;胃癌患者死亡粗率、中标率、世标率和截缩率分别为34.81/10万、33.05/10万、33.16/10万和42.36/10万。发病、死亡的高峰均在70~74岁年龄组。胃癌发病和患者死亡中标率总体均呈下降趋势,平均年度变化百分比分别为-5.1%和-4.0%,均有统计学意义(P值均<0.05)。淮安区各区域的粗发病率和死亡率均存在差异(P<0.05),均是渠南>运西>渠北,无性别差异。结论:淮安区胃癌发病和死亡水平持续降低,但与全国相比仍处于较高水平。老年人是淮安区胃癌防治工作的重点人群,渠南是胃癌重点防治区域。
Objective:To evaluate the trends of incidence of stomach cancer from 1998 to 2016,and the mortality from 1990 to 2016,in Huai’an District of Huai’an City.Methods:The registration data and population data of stomach cancer cases from 1990 to 2016 was obtained from Huai’an District.The constituent ratio of incidence and mortality,the crude rates of incidence and mortality,the age-standardized rates(ASRs)by Chinese standard population and Segi’s world standard population,the truncate rate of 35-64 years,and the age characteristics of incidence and mortality were calculated by SPSS version 23 and Excel 2016.The annual percentage change(APC),average annual percentage change(AAPC)were calculated by Joinpoint 4.6 software.The crude rates of incidence and mortality in different regions were calculated to analyze the influence of geographical differences on the incidence and mortality of stomach cancer.Results:From 1998 to 2016,a total of 10183 new cases were identified in Huai’an District,Huai’an City,and the male-female ratio was 2.17.From 1990 to 2016,a total of 11107 death cases were identified in Huai’an District,Huai’an City,and the male-female ratio was 1.93.The crude incidence rate,the age-standardized incidence rates by Chinese standard population and Segi’s world standard population,and the truncate rate were 44.75/10~5,36.03/10~5,36.08/10~5 and 44.39/10~5,respectively.The crude mortality rate,the age-standardized mortality rates by Chinese standard population and Segi’s world standard population,and the truncate rate were 34.81/10~5,33.05/10~5,33.16/10~5 and 42.36/10~5,respectively.The peak of incidence and mortality was in the 70-74 age group.The age-standardized incidence and mortality rates by Chinese standard population of stomach cancer showed the downward trends[AAPC=-5.1%,P<0.05;AAPC=-4.0%,P<0.05]with significance.The crude incidence and mortality rates in different areas of Huai’an District exhibited significant difference(P<0.05),with the order of Qunan>Yunxi>Qubei,and without sex difference.Conclusion:The incidence and mortality of stomach cancer patients in Huai’an District decreased continuously,but it was still remained relatively high level as compared with the national data.The elderly are the key population in the prevention and treatment of stomach cancer in Huai’an District.Qunan is the key area for the prevention and treatment of stomach cancer in the future.
作者
陈子彤
苏明
宋光
王凯
开海涛
王少康
孙桂菊
CHEN Zitong;SU Ming;SONG Guang;WANG Kai;KAI Haitao;WANG Shaokang;SUN Guiju(Key Laboratory of Environmental Medicine and Engineering of Ministry of Education,Department of Nutrition and Food Hygiene,School of Public Health,Southeast University,Nanjing 210009,Jiangsu Province,China;Huai’an District Center for Disease Control and Prevention,Huai'an 223200,Jiangsu Province,China)
出处
《肿瘤》
CAS
CSCD
北大核心
2020年第9期633-640,共8页
Tumor
基金
国家自然科学基金资助项目(编号:81673147)。
关键词
胃肿瘤
发病率
死亡率
流行趋势
淮安区
Stomach neoplasms
Incidence
Mortality
Epidemic trends
Huai’an District
