Abstract：Objective To investigate the trends in mortality and life lost due to cancer among residents in Ouhai District, Wenzhou City from 2013 to 2020, so as to provide the evidence for formulating the cancer control strategy. Methods The mortality data of cancer patients in Ouhai District from 2013 to 2020 were collected through Zhejiang Provincial Information Management System for Surveillance of Chronic Diseases. The crude mortality, standardized mortality, years of potential life lost ( YPLL ), years of potential life lost rate ( YPLLR ), standardized years of potential life lost ( SYPLL ), standardized years of potential life lost rate ( SYPLLR ), average years of life lost ( AYLL ) and annual percent change ( APC ) were estimated to analyze the trends in mortality and life lost due to cancer. Results Totally 5 435 deaths occurred due to cancer in Ouhai District from 2013 to 2020, and the crude and standardized mortality rates were 154.10/105 and 119.41/105, respectively. The crude mortality of cancer was higher in men than in women ( 196.26/105 and 111.09/105; χ2=415.623, P<0.001 ). The standardized mortality of cancer among whole populations, the crude mortality in men and the standardized mortality in men showed a tendency towards a reduction ( P<0.05 ), with APC of -3.25%, -2.18% and -4.78%, respectively. The crude mortality of cancer showed an upward trend with age ( χ2trend=9 260.583, P<0.001 ). Lung cancer, liver cancer, stomach cancer, colorectal cancer and esophagus cancer were the five leading causes of cancer-related mortality, which accounted for 66.68% of all cancer mortality. Liver cancer, lung cancer, stomach cancer, colorectal cancer and brain cancer were the five leading causes of life lost, with YPLL of 11 191.50, 8 231.00, 6 000.00, 3 892.00 and 2 693.50 person-years, respectively. Leukemia was the primary cause of AYLL ( 25.17 years per person ). Conclusions Both the standardized mortality and the life lost due to cancer showed a tendency towards a reduction in Ouhai District from 2013 to 2020, and men and the elderly were high-risk populations. Lung cancer, liver cancer, stomach cancer, colorectal cancer, leukemia, brain cancer, and female breast cancer should be listed among cancers in Ouhai District prioritized for control
倪建晓, 吴文秀, 苏依所, 郑剑勇, 黄秀敏, 吴旭光. 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 Jianxiao, WU Wenxiu, SU Yisuo, ZHENG Jianyong, HUANG Xiumin, WU Xuguang. Trends in mortality and life lost due to cancer in Ouhai District from 2013 to 2020. Preventive Medicine, 2022, 34(4): 413-418.
[1] 孙可欣,郑荣寿,张思维,等.2015年中国分地区恶性肿瘤发病和死亡分析[J].中国肿瘤,2019,28(1):4-14. SUN K X,ZHENG R S,ZHANG S W,et al.Report of cancer incidence and mortality in different areas of China,2015[J].China Cancer,2019,28(1):4-14. [2] 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.中国居民预期寿命及危险因素研究报告[M].北京:中国协和医科大学出版社,2017. Statistical Information Center,National Health and Family Planning Commission of People's Republic of China,Chinese Center for Disease Control and Prevention.The report of life expectancy and risk factors in Chinese residents[M].Beijing:Peking Union Medical College Press,2017. [3] 倪建晓,苏依所,郑剑勇,等.瓯海区居民死因及减寿分析[J].预防医学,2018,30(12):1258-1260. NI J X,SU Y S,ZHENG J Y,et al.Analysis of death causes and life loss in Ouhai District[J].Prev Med,2018,30(12):1258-1260. [4] 谢建妙,郑剑勇.温州市瓯海区2010—2012年居民恶性肿瘤死亡原因分析[J].上海预防医学,2015,27(1):43-47. XIE J M,ZHENG J Y.Death causes of malignant tumor among residents in Ouhai District,Wenzhou City from 2010 to 2012[J].Shanghai J Prev Med,2015,27(1):43-47. [5] 周莹,高源,黄辉,等.2006—2016年北京市东城区居民恶性肿瘤死亡特征及减寿分析[J].中国慢性病预防与控制,2018,26(9):81-85. ZHOU Y,GAO Y,HUANG H,et al.Death characteristics and life loss due to cancer among residents in Dongcheng District of Beijing from 2006 to 2016[J].Chin J Prev Control Chron Dis,2018,26(9):81-85. [6] 孙晓凯,刘付东,梁季,等.2008—2018年江苏省盐城市恶性肿瘤所致早死概率及变化趋势分析[J].中国慢性病预防与控制,2021,29(7):557-560. SUN X K,LIU F D,LIANG J,et al.Analysis on the probability and trend of premature death caused by cancer in Yancheng City,Jiangsu Province from 2008 to 2018[J].Chin J Prev Control Chron Dis,2021,29(7):557-560. [7] 王良友,林海江,乔冬菊,等.2010—2014年浙江省台州市恶性肿瘤死亡趋势分析[J].中国卫生统计,2017,34(1):61-64. WANG L Y,LIN H J,QIAO D J,et al.Trend in mortality of cancer in Taizhou City,Zhejiang Province from 2010 to 2014[J].Chin J Health Stat,2017,34(1):61-64. [8] 张艳,刘庆敏,李莉,等.杭州市居民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.nalysis on the death trend of malignant tumor among residents in Hangzhou[J].Prev Med,2017,29(7):705-707. [9] 潘少聪,张之海,戴垚垚,等.2011—2015年南通市开发区居民恶性肿瘤死亡情况分析[J].现代预防医学,2018,45(4):638-641,662. PAN S C,ZHANG Z H,DAI Y Y,et al.Analysis on death of malignant cancer for the residents of Nantong development between 2011 and 2015[J].Mod Prev Med,2018,45(4):638-641,662. [10] TURNER M C,ANDERSEN Z J,BACCARELLI A,et al.Outdoor air pollution and cancer:an overview of the current evidence and public health recommendations[J].CA Cancer J Clin,2020,70(6):460-479. [11] LI W,WANG D Z,ZHANG H,et al.Study on smoking attributed death and effects of smoking cessation in residents aged 35-79 years in Tianjin,2016[J].China J Epidemiol,2017,38(11):1533-1536. [12] GUO Y, LI Z X,ZHANG J Y,et al.Association between lifestyle factors,vitamin and garlic supplementation,and gastric cancer outcomes:a secondary analysis of a randomized clinical trial[J/OL].JAMA Netw Open,2020,3(6)(2020-06-26)[2022-02-15].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7320300.DOI:10.1001/jamanetworkopen.2020.6628.
