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| Trends in cancer mortality in Wuyi County from 2015 to 2019 |
| WANG Qianqian, XU Li
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| Department of Non-communicable Disease Control and Prevention, Wuyi Center for Disease Control and Prevention, Wuyi, Zhejiang 321200, China |
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Abstract Objective To investigate the trends in cancer mortality among residents in Wuyi County, so as to provide insights into the development of the cancer control strategy. Methods The deaths due to cancer among residents in Wuyi County from 2015 to 2019 were collected from Zhejiang Provincial Information Management System for Surveillance of Chronic Diseases. The crude mortality and standardized mortality of cancer and annual percent change (APC) of were calculated to analyze the trends in cancer mortality and causes of death. Results A total of 3 424 deaths occurred due to cancer in Wuyi County from 2015 to 2019, and the crude and standardized mortality rates of cancer were 199.65/105 and 185.87/105, respectively. The crude mortality of cancer was significantly higher in men than in women (271.53/105 vs. 125.40/105;χ2=459.374, P<0.001). The standardized mortality of cancer showed a tendency towards a reduction among all study subjects, men and residents at ages of 45 to 59 years (APC=-3.87%, -4.44%,-11.46%, all P<0.05), and the crude mortality of cancer appeared a tendency towards a rise with age in all study subjects, men and women (χ2=7 063.842, 2 155.609, 5 492.128, all P<0.001). Lung cancer, liver cancer, gastric cancer, bowel cancer and esophageal cancer were the five leading causes of cancer-related mortality, which accounted for 71.41% of all cancer mortality. The crude mortality of central nervous system cancer (2.07/105) and leukemia (1.66/105) was high among residents at ages of 0 to 14 years, and the crude mortality of liver cancer (3.02/105) and lung cancer (2.01/105) was high among residents at ages of 15 to 44 years, while the crude mortality of lung cancer (51.57/105) and liver cancer (36.22/105)was high among residents at ages of 45 to 59 years, and the crude mortality of lung cancer (305.48/105) and gastric cancer (114.65/105) was high among residents at ages of 60 years and older. Conclusions The standardized mortality of cancer appeared a tendency towards a reduction in Wuyi County from 2015 to 2019, and men and the elderly were high-risk populations for cancer. Screening, early diagnosis and treatment of lung cancer, gastrointestinal cancer and cervical cancer should be given a high priority.
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Received: 21 March 2022
Revised: 11 May 2022
Published: 19 July 2022
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[1] BRAY F,FERLAY J,SOERJOMATARAM I,et al.Global cancer statistics 2018:GLOBOCAN estmates of incidence and mortality wordwide for 36 cancers in 185 countries[J].CA Cancer J Clin,2018,68(6):394-424.
[2] 刘月姣.《中国居民营养与慢性病状况报告(2020年)》发布[J]. 中国食物与营养,2020,26(12):封2.
[3] 王倩倩,鲍章法.武义县2011—2013年居民恶性肿瘤发病与死亡分析[J].预防医学,2016,28(2):157-159.
WANG Q Q,BAO Z F.Analysis of incidence and death of malignant tumors in Wuyi County from 2011 to 2013[J]. Prev Med,2016,28(2):157-159.
[4] 陈晓南,王倩倩.武义县2006—2008年居民恶性肿瘤死因分析[J].预防医学,2010,22(5):24-28.
CHEN X N,WANG Q Q.Analysis of incidence and death of malignant tumors in Wuyi County from 2011 to 2013[J].Prev Med,2010,22(5):24-28.
[5] 费方荣,胡如英,钟节鸣,等.浙江省2014年恶性肿瘤发病死亡分析[J].中华流行病学杂志,2016,37(5):694-698.
FEI F R,HU R Y,ZHONG J M,et al.Morbidity and mortality of malignant tumor in Zhejiang province,2014[J].Chin J Epidemiol,2016,37(5):694-698.
[6] 中华人民共和国国家卫生和计划生育委员会统计信息中心,中国疾病预防控制中心慢性非传染病性疾病预防控制中心.中国死因监测数据集2013[M].北京:科学普及出版社,2015.
Statistical Information Center,National Health and Family Planning Commission of People's Republic of China,Center for Chronic Noncommunicable Diseases,Chinese Center for Disease Control and Prevention.China cause-of-death surveillance data set 2013[M].Beijing:Popular Science Press,2015.
[7] 浙江省疾病预防控制中心.浙江省居民死因慢性病伤害监测年度报告[R].杭州:浙江省疾病预防控制中心,2019.
Zhejiang Provincial Center for Disease Control and Prevention.Annual report on the monitoring of death causes and chronic disease injuries of residents in Zhejiang Province [R].Hangzhou:Zhejiang Provincial Center for Disease Control and Prevention,2019.
[8] 倪建晓,吴文秀,苏依所,等.2013—2020年瓯海区居民恶性肿瘤死亡趋势及减寿分析[J].预防医学,2022,34(4):413-418.
NI X J,WU W X,SU Y S,et al.Trends in mortality and life lost due to cancer in Ouhai District from 2013 to 2020[J].Prev Med,2022,34(4):413-418.
[9] 张艳,刘庆敏,李莉,等.杭州市恶性肿瘤死亡趋势分析[J].预防医学,2017,29(7):705-707.
ZHANG Y,LIU Q M,LI L,et al.Trends in mortality of malignant tumors in Hangzhou City[J].Prev Med,2017,29(7):705-707.
[10] 关云琦,梁明斌,何青芳,等.浙江省成年居民饮酒与高血压的关联研究[J].预防医学,2021,33(9):877-883.
GUAN Y Q,LIANG M B,HE Q F,et al.Association between alcohol consumption and hypertensionin adults of Zhejiang Province[J]. Prev Med,2021,33(9):877-883.
[11] 贾善群,周乾宇,刘慧敏,等.2004—2018年中国消化道恶性肿瘤死亡趋势[J].中华疾病控制杂志,2021,25(9):1020-1025.
JIA S Q,ZHOU Q Y,LIU H M,et al.The mortality trend of digestive tract malignant tumor in China from 2004 to 2018[J].Chin J Dis Control Prev,2021,25(9):1020-1025.
[12] WEN W,SHU X O,GAO Y T,et al.Environmental tobacco smoke and mortality in Chinese women who have never smoked:prospective cohort study[J/OL].BMJ,2006,333[2022-05-11].https://doi.org/10.1136/bmj.38834.522894.2F.
[13] 王莹,周敬文,周林.济南市居民2011—2016年恶性肿瘤死亡流行趋势及减寿分析[J].中国卫生统计,2018,25(6):922-925.
WANG Y,ZHOU J W,ZHOU L,et al.Analysis on the epidemic trend of nausea and tumor death and life loss of residents in Jinan from 2011 to 2016[J].Chin J Health Stat,2018,25(6):922-925.
[14] 胡尚英,郑荣寿,赵方辉,等.1989至2008年中国女性子宫颈癌发病和死亡趋势分析[J].中国医学科学院学报,2014,36(2):119-125.
HU S Y,ZHENG R S,ZHAO F H,et al.Trend analysis of cervical cancer incidence and mortality rates in Chinese women during 1989-2008[J].Acta Acad Medicinae Sinicae,2014,36(2):119-125.
[15] 丁璐璐,朱健,张永辉,等.1972—2016年江苏省启东市女性生殖系统主要恶性肿瘤死亡趋势分析[J].中国肿瘤,2021,30(4):274-279.
DING L L,ZHU J,ZHANG Y H,et al.Mortality trend of female reproductive system cancer from 1972 to 2016 in Qidong City,Jiangsu Province[J].China Cancer,2021,30(4):274-279.
[16] 任建松,乔友林.原发性肝癌危险因素与预防研究进展[J].中国肿瘤,2008,17(4):293-296.
REN J S,QIAO Y L.Recent advance in risk factor and prevention for primary liver cancer[J].China Cancer,2008,17(4):293-296. |
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