南京2007—2013年恶性肿瘤死亡流行趋势分析

目的 了解江苏省南京市户籍居民2007-2013年恶性肿瘤死亡特征及其流行趋势,为政府制定恶性肿瘤防制规划提供依据.方法 分析南京市2007-2013年全部户籍人口死亡资料,描述死因构成和顺位,采用年估计变化百分比(EAPC)分析死亡率的时间变化趋势.结果 2007-2013年,南京市恶性肿瘤平均死亡率为182.96/10万(178.80/10万~186.78/10万),其中胰腺癌(EAPC=5.93%)、肠癌(EAPC=3.28%)和肺癌(EAPC=2.09%)的死亡率逐年上升,而胃癌(EAPC=-2.95%)、肝癌(EAPC=-2.28%)的死亡率逐渐下降.结论 南京市户籍人口的恶性肿瘤死亡率保持稳定,但不同癌肿的构成有变化.在重视各种癌症防制的基础上,政府部门更应加强对胰腺癌、肠癌和肺癌等死亡率逐年升高的癌肿的防制.

Trend in cancer mortality in residents of Nanjing city,2007-2013

Objective To find out the characteristics and trend of cancer death among permanent residents in Nanjing city from 2007 to 2013 and to provide a basis for making cancer prevention policy.Methods Mortality data of residents in Nanjing from 2007-2013 were collected and proportion and rank of death cause were analyzed.Eestimating average annual percent change(EAPC)was adopted to assess the changing trend of mortality rate.Results From 2007 to 2013,the average annual mortality rate of cancer in the residents of Nanjing was 182.96/100 000(178.80/100 000-186.78/100 000).The major cancers presenting an increased mortality rate were pancreatic cancer(EAPC=5.93%),colorectal cancer(EAPC=3.28%),and lung cancer(EAPC=2.09%);whereas,those showing a decreased mortality rate were gastric cancer(EAPC=-2.95%)and hepatic carcinoma(EAPC=-2.28%).Conclusion The overall mortality rate of cancer remained stable from 2007 to 2013 among the residents in Nanjing city,with slight changes in the proportion of cancer types in recent years.On the basis of general cancer prevention,the control of some cancers such as pancreatic and colorectal cancer should be strengthened.