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厦门市居民2005—2014年食管癌死亡的流行病学研究

Epidemiologic Investigation on Mortality Due to Esophagus Cancer in Residents in Xiamen, 2005-2014

  • 摘要:
    目的  探讨厦门市居民食管癌死亡变化趋势,为厦门市食管癌综合防治工作提供依据。
    方法  收集整理2005—2014年厦门市居民食管癌死亡资料计算死亡率等评价指标,用多因素Logistic回归分析食管癌死亡的影响因素。
    结果  2005—2014年,厦门市居民食管癌死亡率22.49/10万,年均下降1.98%,男性死亡率是女性的3.27倍;死亡率随着年龄的升高逐渐升高,死亡年龄中位数为67岁。男性(OR=4.06, 95%CI: 3.78~4.37)、年龄较大(OR=1.52, 95%CI: 1.50~1.53)、生活在农村(OR=0.43, 95%CI: 0.41~0.46)可能是食管癌死亡的危险因素。
    结论  厦门市居民食管癌仍保持较高态势,不能放松警惕,应以农村、男性、老年人群作为重点关注对象,加强食管癌防治工作。

     

    Abstract:
    Objective  To explore the trend of mortality due to esophagus cancer in the residents in Xiamen, so as to provide the basis data on preventing esophagus cancer in Xiamen.
    Methods  The data of residents in Xiamen dying of esophagus cancer from 2005 to 2014 were collected and cleared up to calculate the evaluation indexes such as the mortality rate. The multiple logistic regressions were used to analyze the impact factors associating with the death due to esophagus cancer.
    Results  From 2005 to 2014, the average mortality rate of esophagus cancer in the residents in Xiamen was 22.49 per 100,000 persons, of which in male was 3.27 times as that in female. The average percentage change (APC) was -1.98%. The mortality rate rose as the age grew and the median age was 67 years old. Male (OR=4.06, 95%CI: 3.78-4.37), old age (OR=1.52, 95%CI: 1.50-1.53), living in the rural (OR=0.43, 95%CI: 0.41-0.46) and living from 2005 to 2009 (OR=0.89, 95%CI: 0.84-0.95) may be the dead risk factors due to esophagus cancer.
    Conclusion  The mortality of esophagus cancer in Xiamen still stays at a high level. We should pay more attention on preventing and curing esophagus cancer especially on the rural, male and elderly population.

     

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