江西省第3次死因回顾恶性肿瘤调查结果分析

目的 分析江西省第3次死因回顾调查地区恶性肿瘤死亡分布特点和流行趋势,为制定恶性肿瘤干预措施提供依据.方法 抽取2004-2005年全国第3次死因回顾调查江西省2个市6个县恶性肿瘤死亡资料,按性别和地区分别计算恶性肿瘤死亡专率、恶性肿瘤死因构成比、年龄别恶性肿瘤死因构成比、中国和世界人口标化死亡率(简称中标率、世标率)、恶性肿瘤死因顺位.结果 2004-2005年江西省恶性肿瘤死亡病例7842例,死亡率为115.37/10万,男性为144.59/10万,女性为83.77/10万；中标率为83.41/10万,男性为110.03/10万,女性为56.68/10万；世标率为110.34/10万.恶性肿瘤死亡率男性高于女性,城市高于农村,差异均有统计学意义(P＜0.01).江西省居民恶性肿瘤死亡的前5位分别为肺癌、肝癌、胃癌、结直肠癌和食管癌.前3位恶性肿瘤死因中城市依次为肺癌、肝癌和胃癌,农村依次为肝癌、胃癌和肺癌.结论 江西省第3次死因回顾调查地区恶性肿瘤死亡率低于全国平均水平,而高于西部地区水平,肺癌、肝癌和胃癌是严重危害江西省城乡居民最主要的肿瘤死因.

Analysis of Malignant Neoplasm in the Third Death Cause Retrospective Review in Jiangxi Province

Objective To analyze the mortality distribution characteristics and epidemiological trend of cancer from the 3rd National Death Retrospective Sampling Survey areas in Jiangxi province.Methods All death records of cancer from 2 city and 6 counties in Jiangxi province were extracted from the 3rd National Death Retrospective Sampling Survey database.Crude rate,the constitute proportion to all cancer deaths,age-specific proportion,age-standardized mortality rate by Chinese population and by world standard population and rank of cancer-specific mortality were calculated by different gender and area groups.Results There were 7 842 deaths caused by cancer with death rate of 115.37 per 100 000,age-standardized mortality rate by Chinese population of 83.41 per 100 000 and 110.34 per 100 000 by world standard population in Jiangxi province in 2004-2005.The total death rates were 144.59 per 100 000 in male and 83.77 per 100 000 in female.Mortality rate was higher in male than that in female and higher in urban than that in rural areas.The top five malignant tumors causing death were lung,liver,stomach,colorectal and esophageal cancer.The top three leading causes of deaths from cancer in urban areas were lung,liver and stomach cancers,and in rural areas were liver,stomach and lung cancers.Conclusion The mortality of cancers is lower from the 3rd National Death Retrospective Sampling Survey areas in Jiangxi province than that in the whole country and higher than western region in 2004-2005.Lung,liver,and stomach cancers remain the most common causes of cancer deaths in Jiangxi province.