广州市2010－2013年恶性肿瘤疾病负担空间分布特征分析

罗傲; 李科; 李燕; 杨智聪; 董航; 杨琼英; 廖羽; 林晓; 林国桢; 郝元涛

Abstract

罗傲,李科,李燕,杨智聪,董航,杨琼英,廖羽,林晓,林国桢,郝元涛.广州市2010－2013年恶性肿瘤疾病负担空间分布特征分析[J].Chinese journal of Epidemiology,2019,40(10):1262-1268

广州市2010－2013年恶性肿瘤疾病负担空间分布特征分析

Spatial distribution of cancer-related burden in Guangzhou from 2010 to 2013

Received:January 24, 2019

DOI：10.3760/cma.j.issn.0254-6450.2019.10.017

KeyWord: 恶性肿瘤疾病负担伤残调整寿命年空间分布

English Key Word: Cancer Burden of disease Disability adjusted life year Spatial distribution

FundProject:全国第六次卫生服务调查-居民健康状况分析（5100071020342）

Author Name	Affiliation	E-mail
Luo Ao	Department of Medical Statistics, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China
Li Ke	Department of Cause of Death and Cancer Surveillance, Guangzhou Center for Disease Control and Prevention, Guangzhou 510440, China
Li Yan	Department of Cause of Death and Cancer Surveillance, Guangzhou Center for Disease Control and Prevention, Guangzhou 510440, China
Yang Zhicong	Department of Cause of Death and Cancer Surveillance, Guangzhou Center for Disease Control and Prevention, Guangzhou 510440, China
Dong Hang	Department of Cause of Death and Cancer Surveillance, Guangzhou Center for Disease Control and Prevention, Guangzhou 510440, China
Yang Qiongying	Department of Cause of Death and Cancer Surveillance, Guangzhou Center for Disease Control and Prevention, Guangzhou 510440, China
Liao Yu	Department of Medical Statistics, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China Institude for Infectious Disease Control and Prevention, Guangdong Provincial Center for Disease Control and Prevention, Guangzhou 511430, China
Lin Xiao	Department of Medical Statistics, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China
Lin Guozhen	Department of Cause of Death and Cancer Surveillance, Guangzhou Center for Disease Control and Prevention, Guangzhou 510440, China	1417252502@qq.com
Hao Yuantao	Department of Medical Statistics, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China	haoyt@mail.sysu.edu.cn

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Abstract:

目的评价2010－2013年广州市各行政区域恶性肿瘤疾病负担并描述其空间分布特征。方法以2010－2013年广州市恶性肿瘤登记数据和人口学数据为基础，将伤残调整寿命年（DALY）作为疾病负担的主要评价指标，参照全球疾病负担研究的方法估算广州市恶性肿瘤疾病负担。结果 2010－2011年和2012－2013年广州市居民恶性肿瘤发病率分别为256.22/10万和270.04/10万，死亡率分别为143.17/10万和148.01/10万。恶性肿瘤疾病负担DALYs分别为606 238.95和623 763.80人年，每千人口损失DALYs分别为37.63和37.81人年，中标DALY率分别为34.51‰和34.00‰。恶性肿瘤疾病负担最大的3个行政区是越秀区、海珠区和荔湾区，其DALYs共占全市比重的45%，最小为萝岗区。从化区最大疾病负担肿瘤为肝癌，其余各区为肺癌。结论广州市恶性肿瘤疾病负担呈现新城区负担凸显、老城区高居不下的双重压力的特点，肿瘤防治任务艰巨。

English Abstract:

Objective To evaluate the burden and to describe the characteristics of spatial distribution caused by malignant tumors among different administrative areas in Guangzhou from 2010-2013. Methods Based on data from the Cancer Registry system and population in Guangzhou in 2010-2013, disability-adjusted life year (DALY) was assessed on the disease burden of cancer, in accordance with the method used in the Global Burden of Disease study. Results The crude incidence rates of cancer appeared as 256.22/10⁵ in 2010-2011 and 270.04/10⁵ in 2012-2013, with the crude mortality rates as 143.17/10⁵ and 148.01/10⁵, respectively, in Guangzhou. Cancers caused 606 238.95 DALYs in 2010-2011 and 623 763.80 DALYs in 2012-2013 for both sexes and 37.63 and 37.81 person year per 1 000 persons, with the standardized DALY rates as 34.51‰, 34.00‰ respectively. Three administrative districts (Yuexiu, Haizhu and Liwan) were with the largest disease burden of cancers that accounted for 45% of the DALYs for the whole Conghua district, with liver cancer was the leading cancer on DALYs, and tracheal, bronchus and lung cancer ranked the first in the other districts. Conclusions In Guangzhou, disease burden caused by cancers was both prominently seen in the newly developed urban area and the old districts. It remains an arduous task to continue programs on control and prevention of cancers in this city.

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