中国医学科学院学报

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中国医学科学院学报

中国医学科学院学报 ›› 2019, Vol. 41 ›› Issue (3): 338-343.doi: 10.3881/j.issn.1000-503X.10921

• 论著 • 上一篇    下一篇

1990~2016年云南省宣威市肺癌死亡流行特征分析

刘晓燕1,刘利群1,邹小农2,马祥云3,宁伯福3,宁友飞3,万霞1()   

  1. 1 中国医学科学院 北京协和医学院 基础学院流行病与卫生统计学系,北京 100730
    2 中国医学科学院 北京协和医学院 肿瘤医院全国肿瘤防治研究办公室,北京 100021
    3 云南省宣威市疾病预防控制中心,云南宣威 655400
  • 收稿日期:2018-10-14 出版日期:2019-06-30 发布日期:2019-07-04
  • 通讯作者: 万霞 E-mail:xiawan@ibms.pumc.edu.cn
  • 基金资助:
    中华医学基金会(15-208);中国医学科学院医学与健康科技创新工程(2016-I2M-3-001)

Epidemiological Features of Lung Cancer Mortality between 1990 and 2016 in Xuanwei City,Yunnan Province

LIU Xiaoyan1,LIU Liqun1,ZOU Xiaonong2,MA Xiangyun3,NING Bofu3,NING Youfei3,WAN Xia1()   

  1. 1 Department of Epidemiology,Institute of Basic Medical Sciences,CAMS and PUMC,Beijing 100730,China
    2 National Office for Cancer Prevention and Control,Cancer Hospital,CAMS and PUMC,Beijing 100021,China
    3 Xuanwei Center for Disease Control and Prevention,Xuanwei,Yunnan 655400,China
  • Received:2018-10-14 Online:2019-06-30 Published:2019-07-04
  • Contact: Xia WAN E-mail:xiawan@ibms.pumc.edu.cn
  • Supported by:
    Supported by the China Medical Board(15-208);The CAMS Innovation Fund for Medical ScienceCIFMS(2016-I2M-3-001)

摘要:

目的 描述1990~2016年云南省宣威市肺癌死亡流行趋势,为宣威肺癌防控提供科学依据。方法 数据来源包括1990~1992年及2004~2005年宣威市死因回顾调查数据、2011~2013年及2014~2016年宣威市死因监测数据,其中,针对不同时期的死因监测数据进行了相应的漏报校正,并计算以上4个时期不同特征肺癌粗死亡率、标化死亡率及其95%CI结果 1990~1992年、2004~2005年、2011~2013年和2014~2016年宣威市肺癌粗死亡率分别为34.0/10 万、89.8/10 万、102.3/10 万和87.2/10 万。自2004 年起,宣威市肺癌标化死亡率呈现下降趋势,但仍然维持在较高水平;各年龄组肺癌死亡率也大多呈现递减趋势,自2014 年起40 岁以下年龄组开始下降且有统计学意义;高发区除龙场外,其余各乡镇肺癌标化死亡率均呈现下降趋势。结论 宣威市肺癌死亡虽然仍维持在较高水平,但自2004 年以后肺癌标化死亡率已经呈现出逐步降低趋势。自2014 年以后,40 岁以下人群肺癌死亡率下降具有统计学意义。

关键词: 肺癌, 死亡率, 宣威

Abstract:

Objective To describe the trend of lung cancer mortality in Xuanwei City,Yunnan Province,from 1990 to 2016 and provide scientific evidence for the prevention and control of lung cancer in Xuanwei.Methods Mortality data from the 2nd(year 1990-1992)and 3rd(year 2004-2005)Retrospective Survey on Causes of Death,and the Routine Death Registration System(year 2011-2013 and 2014-2016)in Xuanwei were used in this study.We calibrated the missing report of the mortality data for the corresponding periods,calculated the crude mortality rates,standardized mortality rates and corresponding 95% CI of different types of lung cancers in the above four periods.Results The crude mortality rates of all lung cancers in Xuanwei for these four periods(1990-1992,2004-2005,2011-2013,and 2014-2016)were 34.0/100 000,89.8/100 000,102.3/100 000 and 87.2/100 000 respectively.The standardized morality rate of lung cancer remain high in Xuanwei although it has been decreasing since 2004.Morality rates of lung cancer for most age groups showed decreasing trends.The decrease has been statistically significant in the ≤ 40 year group since 2014.Except for Longchang,the standardized mortality rates have decreased in all other townships with high lung cancer prevalence.Conclusions Although the mortality rate of lung cancer remains high in Xuanwei,it has shown a decreasing trend since 2004.The decrease in lung cancer mortality in populations younger than 40 years is statistically significant.

Key words: lung cancer, mortality, Xuanwei

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