| 2004―2018年中国消化道恶性肿瘤死亡趋势 |
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| 引用本文： | 贾善群, 周乾宇, 刘慧敏, 刘丹丹, 孙长青. 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. doi: 10.16462/j.cnki.zhjbkz.2021.09.006 |
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| 作者姓名： | 贾善群 周乾宇 刘慧敏 刘丹丹 孙长青 |
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| 作者单位： | 1.450001 郑州，郑州大学公共卫生学院社会医学与卫生事业管理教研室;;2.450001 郑州，郑州大学护理与健康学院社区护理教研室 |
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| 基金项目： | 国家社会科学基金20BRK041 |
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| 摘 要： | 目的 分析2004―2018年中国消化道恶性肿瘤死亡状况及变化趋势。方法 收集2004―2018年全国疾病监测地区消化道恶性肿瘤死亡数据，计算各种消化道恶性肿瘤粗死亡率和标化死亡率，采用Joinpoint回归分析模型分析标化死亡率变化趋势。结果 2004―2018年，中国食管癌和胃癌标化死亡率呈下降趋势(AAPC食管癌=-4.7%, AAPC胃癌=-4.3%, 均有P＜0.05)，结直肠癌死亡率相对稳定(AAPC结直肠癌=0.4%, P=0.733)。各种消化道恶性肿瘤死亡率随年龄增长不断上升，男性标化死亡率均高于女性，且男性年均下降幅度较小；农村食管癌和胃癌标化死亡率高于城市，但农村年均下降速度较快；东部地区食管癌死亡率最高，中部地区胃癌标化死亡率最高，且中部地区下降速度较快；西部地区结直肠癌死亡率呈缓慢上升趋势。结论 2004―2018年期间，中国食管癌和胃癌死亡状况有所好转，但西部地区结直肠癌死亡率仍呈上升趋势，应继续加大防治力度，以减轻消化道恶性肿瘤疾病负担。
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| 关 键 词： | 消化道恶性肿瘤 死亡率 趋势分析 |
| 收稿时间： | 2021-01-16 |
| 修稿时间： | 2021-03-21 |
The mortality trend of digestive tract malignant tumor in China from 2004 to 2018 |
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| JIA Shan-qun, ZHOU Qian-yv, LIU Hui-min, LIU Dan-dan, SUN Chang-qing. The mortality trend of digestive tract malignant tumor in China from 2004 to 2018[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(9): 1020-1025. doi: 10.16462/j.cnki.zhjbkz.2021.09.006 |
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| Authors: | JIA Shan-qun ZHOU Qian-yv LIU Hui-min LIU Dan-dan SUN Chang-qing |
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| Affiliation: | 1. Department of Social Medicine and Health Management, College of Public Health, Zhengzhou University, Zhengzhou 450001, China;;2. Department of Community Nursing, College of Nursing and Health, Zhengzhou University, Zhengzhou 450001, China |
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| Abstract: | Objective To analyze the mortality status and trend of digestive tract malignant tumors in China from 2004 to 2018. Methods The mortality data of digestive tract malignant tumors in the national disease surveillance areas from 2004 to 2018 were collected. The crude and standardized mortality rates with various digestive tract malignant tumors were calculated. The trend of standardized mortality was analyzed using Joinpoint regression model. Results From 2004 to 2018, the standardized mortality rates of esophageal cancer and gastric cancer in China showed a general downward trend, with an average annual percent change (AAPC) of -4.7% and -4.3%(all P < 0.05), respectively. The mortality rate of colorectal cancer showed no significant change(AAPC=0.4%, P=0.733). The mortality rates of various digestive tract malignant tumors increased with age. The standardized mortality rates of various digestive tract malignant tumors among males were higher than those of females, and the average annual decline was smaller. The standardized mortality rates of esophageal cancer and gastric cancer in rural areas were higher than those in urban areas, but the average annual decrease was larger. The standardized mortality rate of esophageal cancer in eastern areas was the highest. The standardized mortality rate of gastric cancer in central areas was highest, and the rate of decline was faster. The mortality rate of colorectal cancer in western areas increased slowly. Conclusions From 2004 to 2018, the mortality rates of esophageal cancer and gastric cancer had improved, but the mortality rate of colorectal cancer was still on the rise in western areas. The preventive measures of digestive tract malignant tumors should be strengthened to reduce the burden of digestive tract malignant tumors. |
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| Keywords: | Digestive tract malignant tumor Mortality Trend analysis |
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