江苏省启东市1972—2016年胃癌死亡趋势分析

丁璐璐; 朱健; 张永辉; 陈永胜; 王军; 陈建国

doi:10.3971/j.issn.1000-8578.2020.20.0142

江苏省启东市1972—2016年胃癌死亡趋势分析

Mortality Trends of Stomach Cancer in Qidong City, 1972—2016

摘要

摘要:
目的分析江苏省启东市1972—2016年胃癌死亡情况及其流行特征。
方法根据启东市1972—2016年癌症死亡登记数据库及历年人口资料，对胃癌死亡率作性别、年龄趋势分析，计算指标包括粗死亡率(CR)、中国人口标化率(CASR)、世界人口标化率(WASR)、35~64岁截缩率、0~74岁累积率、累积风险、累积死亡率年度变化百分比(APC)等。
结果 1972—2016年启东市胃癌死亡15 863例，占全部癌症死亡的16.04%，CR为31.37/10万，CASR为21.66/10万，WASR为21.39/10万，35~64岁截缩死亡率为28.86/10万；0~74岁累积死亡率2.54%；胃癌死亡的累积风险为2.51%。男性死亡10 114例，CR为40.53/10万，CASR为28.52/10万，WASR为30.13/10万；女性死亡5 749例，CR为22.45/10万，CASR为15.21/10万，WASR为13.92/10万。年龄别死亡率曲线显示死亡率随年龄的增长而升高，男女性死亡率高峰年龄组均在≥80岁组，分别为365.44/10万和185.26/10万。45年间胃癌CR、CASR、WASR的APC值分别为0.55%(男：0.56%、女：0.50%)、-2.08%(男：-2.29%、女：-1.91%)、-2.12%(男：-2.23%、女：-2.02%)(均P < 0.05)。
结论启东市1972—2016年胃癌标化死亡率逐渐下降，但粗死亡率呈上升趋势，应因地制宜采取有效的预防控制措施。

Abstract:
Objective To investigate the mortality trends of stomach cancer from 1972 to 2016 in Qidong, Jiangsu Province.
Methods We collected and analyzed the mortality of stomach cancer in Qidong from 1972 to 2016 by gender and age from the cancer registry data. Statistics parameter included crude mortality rate(CR), China age-standardized rate(CASR), World age-standardized rate(WASR), truncated rate 35-64 year old, cumulative rate 0-74 year old, cumulative risk and annual percentage change(APC).
Results There were 15863 stomach cancer deaths, accounting for 16.04% of all cancer deaths. The CR, CASR and WASR were 31.37/10⁵, 21.66/10⁵ and 21.39/10⁵, respectively. The truncated rate 35-64 year old, cumulative rate 0-74 year old and cumulative risk were 28.86/10⁵, 2.54% and 2.51%, respectively. CR, CASR and WASR were 40.53/10⁵, 28.52/10⁵ and 30.13/10⁵ for 10 114 male cancer deaths and 22.45/10⁵, 15.21/10⁵ and 13.92/10⁵ for 5749 female cancer deaths, respectively. The age-specific mortality curve showed that the mortality rate increased with age, and the peak age groups of male and female mortality were both the ≥80-year-old group, which were 365.44/10⁵ and 185.26/10⁵, respectively. The 45-year APC values of CR, CASR and WASR for gastric cancer were 0.55% (male: 0.56%, female: 0.50%), -2.08% (male: -2.29%, female: -1.91%) and -2.12% (male: -2.23%, female: -2.02%) (all P < 0.05).
Conclusion Although the standardized mortality of gastric cancer in Qidong from 1972 to 2016 is gradually decreasing, the crude mortality is increasing. Effective prevention and control measures should be adopted according to local conditions.

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