摘要
目的了解2007—2021年苏州市女性乳腺癌死亡趋势和寿命损失情况,为完善苏州市乳腺癌防治策略提供依据。方法通过苏州市慢性病监测系统收集2007—2021年苏州市女性乳腺癌死亡病例资料,包括性别、年龄和死因等;分析粗死亡率、标化死亡率、潜在减寿年数(YPLL)、潜在减寿率(YPLLR)、标化潜在减寿年数(SYPLL)、标化潜在减寿率(SYPLLR)和平均减寿年数(AYLL),采用2000年第五次全国人口普查数据进行标化;采用平均年度变化百分比(AAPC)分析乳腺癌死亡趋势。结果2007—2021年苏州市女性乳腺癌死亡4425例,粗死亡率为8.67/10万,呈上升趋势,AAPC值为1.83%(t=5.080,P=0.001);标化死亡率为4.68/10万,无明显变化趋势,AAPC值为0.13%(t=0.356,P=0.727)。2007—2021年15~<35岁、35~<65岁和≥65岁女性乳腺癌粗死亡率分别为0.62/10万、10.33/10万和21.69/10万,随年龄增长呈上升趋势(χ^(2)_(趋势)=2315.683,P=0.001)。城市女性乳腺癌粗死亡率为8.66/10万,农村为8.86/10万,均呈上升趋势,AAPC值分别为1.73%(t=3.290,P=0.006)和2.68%(t=6.565,P=0.001)。女性乳腺癌YPLL为44485人年,SYPLL为30387人年,YPLLR为0.99‰,SYPLLR为0.68‰,AYLL为14.94年/人;其中YPLLR和AYLL均呈下降趋势,AAPC值分别为-1.06%(t=-2.193,P=0.047)和-1.53%(t=-4.783,P=0.001)。结论2007—2021年苏州市女性乳腺癌粗死亡率呈上升趋势,潜在减寿率和平均减寿年数呈下降趋势,老年人群是乳腺癌防治重点人群。
Objective To investigate the trends in mortality and life lost due to female breast cancer among in Su⁃zhou City from 2007 to 2021,so as to provide insights into improvements of breast cancer control strategy in Suzhou City.Methods The epidemiological and clinical data pertaining to dead female breast cancer cases in Suzhou City from 2007 to 2021 were collected from Suzhou Municipal Chronic Disease Surveillance System,including gender,age and cause of death.The crude mortality,standardized mortality,years of potential life lost(YPLL),years of potential life lost rate(YPLLR),standardized YPLL(SYPLL),standardized YPLLR(SYPLLR)and average years of life lost(AYLL)due to female breast cancer were calculated.All data were standardized by the Fifth National Population Cen⁃sus in 2000,and the trends in mortality of breast cancer were estimated using average annual percent change(AAPC).Results Totally 4425 death occurred due to female breast cancer in Suzhou City from 2007 to 2021,with a crude mortality rate of 8.67/105,which appeared a tendency towards a rise(AAPC=1.83%,t=5.080,P=0.001),and the standardized mortality was 4.68/105,which appeared no significant changes(AAPC=0.13%,t=0.356,P=0.727).The crude mortality rates of female breast cancer were 0.62/105,10.33/105 and 21.69/105 among women at ages of 15 to 34,35 to 64 years and 65 years and older,respectively,which appeared a tendency towards a rise(χ^(2)_(trend)=2315.683,P=0.001).The crude mortality of female breast cancer was 8.66/105 in urban areas and 8.86/105 in rural areas,both appearing a tendency towards a rise(urban areas:AAPC=1.73%,t=3.290,P=0.006;rural areas:AAPC=2.68%,t=6.565,P=0.001).The YPLL,SYPLL,YPLLR,SYPLLR and AYLL of female breast cancer were 44485 person-years,30387 person-years,0.99‰,0.68‰and 14.94 years per person,and both YPLLR(AAPC=-1.06%,t=-2.193,P=0.047)and AYLL(AAPC=-1.53%,t=-4.783,P=0.001)appeared a tendency towards a reduction,respectively.Conclu⁃sion The crude mortality of female breast cancer appeared a tendency towards a rise and the life loss appeared a tendency towards a decline in Suzhou City from 2007 to 2021.The elderly population should be given a high priority for breast cancer control.
作者
崔俊鹏
陆艳
黄春妍
华钰洁
王临池
CUI Junpeng;LU Yan;HUANG Chunyan;HUA Yujie;WANG Linchi(Department of Chronic Non-communicable Disease Control and Prevention,Suzhou Center for Disease Control and Prevention,Suzhou,Jiangsu 215004,China)
出处
《预防医学》
2023年第5期380-383,共4页
CHINA PREVENTIVE MEDICINE JOURNAL
基金
江苏省预防医学科研课题(Y2018032)
苏州市重大疾病、传染病预防和控制关键技术研究(GWZX201901)
江苏省老年健康科研项目(LKM2023038)
姑苏卫生人才培养项目(GSWS2021054)
苏州市科技局民生科技项目(SYS2018098,SS201807,SYS2020197)。
关键词
乳腺癌
死亡率
潜在减寿年数
平均年度变化百分比
breast cancer
mortality
years of potential life lost
average annual percent change
