摘要
目的分析2009—2020年广州市白云区的恶性肿瘤死亡流行病学特征与潜在因素的变化趋势,为白云区恶性肿瘤的防治策略提供针对性参考依据。方法收集广州市白云区2009—2020年恶性肿瘤的死亡数据,统计分析当地恶性肿瘤死亡率、标化死亡率、变化率,以及在不同性别、年龄、职业、婚姻状况等人群的分布情况。结果广州市白云区2009—2020年恶性肿瘤的累计死亡率为444.27/10万,累计标化死亡率为774.24/10万;恶性肿瘤死因中死亡率前三的肿瘤为肺癌(117.53/10万)、肝癌(72.67/10万)、结直肠癌(48.62/10万);男性除乳腺癌外,肺癌、肝癌、结直肠癌等的死亡率均显著高于女性(P<0.01);不用年龄段各恶性肿瘤死亡占比不同,恶性肿瘤死亡率随年龄增长而增长;农民为死亡占比最高的职业;不同婚姻状态在不同年龄段的死亡分布有差异。结论近年来广州市白云区的恶性肿瘤死亡率有所下降,但恶性肿瘤仍然是白云区常住人口的主要死因构成之一,特别是肺癌、肝癌、结直肠癌,应当加强生活环境以及空气质量的治理,提高当地居民的定期体检意识,有针对性地完善当地恶性肿瘤防治体系。
Objective To analyze the epidemiological characteristics and potential factors of malignant tumor death in Baiyun District,Guangzhou from 2009 to 2020 and provide targeted reference for the prevention and treatment strategies of malignant tumor.Methods To collect the data of deaths of malignant tumor in Baiyun District,Guangzhou from 2009 to 2020,analyze the local malignant tumor mortality rate,age-standardized rate,rate of change,and the distribution of people with different gender,age,occupation and marital status.Results The mortality rate of malignant tumors in Baiyun District,Guangzhou from 2009 to 2020 was 444.27/100000,and the cumulative age-standardized mortality rate was 774.24/100000.The top three causes of death were lung cancer(117.53/100000),liver cancer(72.67/100000)and colorectal cancer(48.62/100000).The mortality rates of lung cancer,liver cancer and colorectal cancer in males were significantly higher than those in females(P<0.01).The mortality rate of malignant tumors increased with the increase of age.Farmers were the occupations with the highest proportion of deaths.There were differences in the distribution of deaths in different age groups by marital status.Conclusion In recent years,the mortality rate of malignant tumors in Baiyun District of Guangzhou has decreased,but malignant tumors are still one of the main causes of death in the resident population of Baiyun District,especially lung cancer,liver cancer and colorectal cancer.It is necessary to strengthen the management of living environment and air quality,improve the awareness of regular physical examination of local resident and improve the local malignant tumor prevention and control system.
作者
黄咏梅
罗聆
杨菊
HUANG Yongmei;LUO Ling;YANG Ju(Baiyun Branch,Nanfang Hospital,Southern Medical University,Guangzhou 510500,China)
出处
《现代医院》
2023年第3期450-456,共7页
Modern Hospitals
基金
广东省基础与应用基础研究基金项目(2021A-1515220009)
广州市科技计划项目(202002030186)。
关键词
恶性肿瘤
死亡率
流行病学分析
婚姻状态
广州市白云区
Malignant tumor
Mortality
Epidemiological study
Marital status
Baiyun district,Guangzhou
