文章摘要
梁迪,李道娟,师金,张亚琛,郭甜甜,贺宇彤.河北省1973-2013年恶性肿瘤死亡变化分析[J].中华流行病学杂志,2018,39(1):35-39
河北省1973-2013年恶性肿瘤死亡变化分析
Trend of cancer mortality in Hebei province, 1973-2013
收稿日期:2017-06-26  出版日期:2018-01-13
DOI:10.3760/cma.j.issn.0254-6450.2018.01.007
中文关键词: 恶性肿瘤;死亡率;过早死亡损失寿命年;疾病负担
英文关键词: Cancer;Mortality rate;Years of life lost due to premature mortality;Disease burden
基金项目:2016年度河北省科技支撑计划(162777193);2017年河北省医学科学研究重点课题(20170765,20170159)
作者单位E-mail
梁迪 050011 石家庄, 河北医科大学第四医院肿瘤研究所  
李道娟 050011 石家庄, 河北医科大学第四医院肿瘤研究所  
师金 050011 石家庄, 河北医科大学第四医院肿瘤研究所  
张亚琛 050011 石家庄, 河北医科大学第四医院肿瘤研究所  
郭甜甜 050011 石家庄, 河北医科大学第四医院肿瘤研究所  
贺宇彤 050011 石家庄, 河北医科大学第四医院肿瘤研究所 hytong69@yahoo.com 
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中文摘要:
      目的 分析1973-2013年河北省恶性肿瘤死亡数据以了解其疾病负担变化情况。方法 根据第一、第二、第三次全死因回顾性调查以及河北省21个肿瘤登记处上报的恶性肿瘤死亡数据进行统计学分析,计算恶性肿瘤的死亡率、标化死亡率以及过早死亡损失寿命年(YLLs),分析河北省近40年恶性肿瘤以及各个癌种死亡变化情况。结果 1973-2013年河北省的恶性肿瘤死亡率呈直线上升趋势,死亡率由1973-1975年的98.52/10万上升到2011-2013年的149.33/10万。1973-1975年男性YLLs为17.0/1 000,女性为12.8/1 000;2011-2013年男性上升至23.2/1 000,女性上升至15.9/1 000。1973-1975年,食管癌、胃癌和肝癌为主要致死恶性肿瘤,到2011-2013年,肺癌、胃癌和肝癌为主要致死病因。食管癌和宫颈癌在40年间大幅度下降,肺癌和乳腺癌死亡率上升。结论 河北省恶性肿瘤的疾病负担日益加重,应加强一级预防以及早诊早治工作,对其发展进行防控。
英文摘要:
      Objective To analyze the data of malignant tumor mortality and change in disease burden in Hebei province from 1973 to 2013. Methods Cancer mortality rate, age-standardized mortality rate and the years of life lost due to premature mortality (YLLs) were calculated by using the data from three rounds of all death causes survey and database of cancer registry in Hebei during 1973-2013. Results From 1973 to 2013, a linear upward of malignant tumor mortality was observed, with a 51.57% increase. The mortality rate during 1973-1975 was 98.52/100 000 and it was 149.33/100 000 during 2011-2013. During 1973-1975, the YLLs was 17.0/1 000 in males and 12.8/1 000 in females. While during 2011-2013, the YLLs was 23.2/1 000 in males and 15.9/1 000 in females. During 1973-1975, esophagus cancer, stomach cancer and liver cancer were top three leading causes of deaths. During 2011-2013, lung cancer, stomach cancer and liver cancer were main leading causes of deaths. During the past 40 years, the deaths of esophagus cancer and cervix cancer decreased dramatically, but the deaths of lung cancer and breast cancer increased sharply. Conclusions The disease burden caused by malignant tumor is becoming more serious in Hebei. It is necessary to strengthen the primary prevention and screening of malignant tumor.
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