發(fā)布時間：2018-07-21 11:14

【摘要】：背景與目的肺癌發(fā)病率和死亡率在男性和女性人群持續(xù)上升,但是有關(guān)肺癌所致的潛在減壽年和去肺癌死因可增加期望壽命時間變化趨勢的研究較少。本研究旨在探究江蘇省昆山市1981年-2015年去肺癌死因可增加期望壽命和肺癌所致的潛在減壽年時間趨勢。方法 1981年-2015年肺癌死亡病例來源于死因監(jiān)測,以計算去肺癌死因可增加期望壽命和潛在減壽年。用中國2000年第五次人口普查的年齡結(jié)構(gòu)計算分性別的年齡標(biāo)化潛在減壽年。使用年度變化百分比(estimate annual percentage change,e APC)評價去肺癌可增加期望壽命和潛在減壽年在年份之間變化趨勢。結(jié)果總?cè)巳褐腥シ伟┧酪蚩稍黾悠谕麎勖?981年的0.34歲上升到2015年的0.86歲,上升趨勢有統(tǒng)計學(xué)意義(APC=3.2%,95%CI:2.8%-3.6%);男性人群(APC=3.0%,95%CI:2.5%-3.5%)和女性人群中(APC=3.6%,95%CI:3.0%-4.2%)去肺癌死因可增加期望壽命也呈現(xiàn)上升趨勢。肺癌所致的標(biāo)化潛在減壽年在總?cè)巳?APC=-0.1%,95%CI:-0.6%-0.4%)和男性人群(APC=-0.5%,95%CI:-1.1%~0.1%)無明顯趨勢變化,而女性人群中明顯上升(APC=1.5%,95%CI:0.3%-2.7%)。結(jié)論雖然因肺癌所致的過早死亡沒有趨勢變化,而肺癌死因?qū)θ巳浩谕麎勖挠绊懺诔掷m(xù)上升,有針對性的肺癌預(yù)防控制措施亟需開展。
[Abstract]:Background and objective Lung cancer morbidity and mortality continue to increase in both male and female populations, but there are few studies on the trends of the potential years of life lost due to lung cancer and the death causes of lung cancer to increase life expectancy. The purpose of this study was to investigate the trend of death from lung cancer in Kunshan, Jiangsu Province from 1981 to 2015, which could increase the life expectancy and the potential life loss due to lung cancer. Methods death cases of lung cancer from 1981 to 2015 were collected from the cause of death, and the death causes of lung cancer were calculated to increase the life expectancy and the potential years of life loss. The age structure of the fifth population census of China in 2000 was used to calculate the age standardized potential life loss years by sex. The percentage of annual change (estimate annual percentage) was used to evaluate the tendency of lung cancer eradication to increase the expected life expectancy and the potential years of life loss over the years. Results the death rate of lung cancer increased from 0.34 years in 1981 to 0.86 years in 2015. There was a statistically significant increase in the death rate of lung cancer in the total population (APC 3.2i 95 CI: 2.8- 3.6%), and in the male population (APCT 3.095 CI: 2.5-3.5%) and the female population (APC3.36%, 95CIW 3.0-4.2%), the mortality of lung cancer also increased. The standardized potential life loss due to lung cancer did not change significantly in the general population (APC-0.1) and in the male population (APC-0.5 + 95% CI: -1.1%), while in the female population there was a significant increase (APC-1.595 CI: 0.3-2.7%). Conclusion although there is no trend of premature death caused by lung cancer, and the effect of lung cancer death causes on life expectancy of the whole population is increasing, the prevention and control measures for lung cancer need to be carried out.
【作者單位】： 江蘇省昆山市疾病預(yù)防控制中心慢性非傳染性疾病預(yù)防控制科;昆山高新區(qū)社區(qū)衛(wèi)生服務(wù)中心;蘇州大學(xué)醫(yī)學(xué)部公共衛(wèi)生學(xué)院流行病與衛(wèi)生統(tǒng)計學(xué)系;
【基金】：昆山市社會發(fā)展科技項目(No.KS1655)資助~~
【分類號】：R734.2

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