王一, 徐静依. 上海市卢湾区1993~2004年恶性肿瘤死亡趋势分析[J]. 疾病监测, 2005, 20(9): 495-499. DOI: 10.3784/j.issn.1003-9961.2005.9.495
引用本文: 王一, 徐静依. 上海市卢湾区1993~2004年恶性肿瘤死亡趋势分析[J]. 疾病监测, 2005, 20(9): 495-499. DOI: 10.3784/j.issn.1003-9961.2005.9.495
WANG Yi, XU Jing-yi. Analysis on the Mortality Trend of Malignant Tumors from 1993 to 2004 in Luwan District of Shanghai City[J]. Disease Surveillance, 2005, 20(9): 495-499. DOI: 10.3784/j.issn.1003-9961.2005.9.495
Citation: WANG Yi, XU Jing-yi. Analysis on the Mortality Trend of Malignant Tumors from 1993 to 2004 in Luwan District of Shanghai City[J]. Disease Surveillance, 2005, 20(9): 495-499. DOI: 10.3784/j.issn.1003-9961.2005.9.495

上海市卢湾区1993~2004年恶性肿瘤死亡趋势分析

Analysis on the Mortality Trend of Malignant Tumors from 1993 to 2004 in Luwan District of Shanghai City

  • 摘要: 目的分析上海市卢湾区居民恶性肿瘤死亡变化及趋势,为制定地区肿瘤防治策略提供科学依据。方法对1993~2004年卢湾区居民恶性肿瘤死亡及人口监测资料进行统计分析。1993~2001年的死因分类按国际疾病分类法ICD-9,2002~2004年的按国际疾病分类法ICD-10标准进行。用2000年全国人口构成进行标化率计算,进一步计算各种恶性肿瘤YPLL(潜在减寿年数)及YPLL'(标化减寿年数)。结果1993~2004年卢湾区居民恶性肿瘤粗死亡率总体趋势有所上升,且一直占死因顺位的第二位。男性恶性肿瘤死亡率高于女性,性比值比为1.34~1.55。居民恶性肿瘤死亡居前6位的分别是肺癌、胃癌、肝癌、肠癌、食管癌、女性乳腺癌。12年间,白血病、肠癌、乳腺癌上升趋势明显,而胃癌、食管癌、肝癌则有所下降。YPLL分析结果显示,1993~1996、1997~2000、2001~20043个时期对卢湾区居民健康危害最大的恶性肿瘤为肝癌(标化YPLL分别为2855.77、2701.91、1797.39)。结论1993~2004年卢湾区居民恶性肿瘤的死亡率呈缓慢上升趋势,男性高于女性。肺癌、胃癌、肝癌、肠癌、食管癌、女性乳腺癌等是威胁人群的主要肿瘤,而其他一些癌种如白血病在青壮年人群中的死亡率上升趋势较快,应重点加强人群中这部分肿瘤的控制和预防。

     

    Abstract: Objective The present study was conducted to analyze the change in the mortality trend of malignancies among the inhabitants in Luwan distinct of Shanghai city,in order to provide a scientific basis for the formulation of strategies for the control and prevention of malignant tumors.Methods Statistical analysis was done on the mortality of malignant tumors and the data from population monitoring from 1993 to 2004.The International Classification of Diseases (ICD-9) was used to code and classify the cause of death over the period from 1993 to 2001 and ICD-10 was used for the classification from 2002 to 2004.The standardized rate was calculated based on the result of nationai census in 2000,and the YPLL (potential years of life lost) and Ypll (standardized potential years of life lost) of various malignant tumors were figured out.Results It was found thart the total mortality of malignant tumors in Luwan distinct took on an increasing trend in the period from 1993 to 2004,and was ranked as the second cause of all deaths.The mortality of malignant tumors was higher in the male than in the female with a ratio of 1.34-1.55.The top six malignant tumors causing death were pulmonary caricmoma, gastric carcinoma.Hepatocacinoma,bowel cancer,esophageal carcinoma,and female breast cancer respectively.The mortality of gastric carcinoma hepatocarcinoma,esophageal carcinoma decreased,but that of leukemia,intestine carcinoma and breast cancer were significantly increased over the 12 years.The findings from YPLL analysis showed that the malignant tumor that was most harmful to the health of the inhabitants in Luwan distinct over the period from 1993 to 1996,1997 to 2000,and 2001 to 2004 was hepatocarcinoma with the standardized YPLL being 2855.77.2701.91and.

     

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