1972 - 2016年江苏省启东市肺癌死亡流行特征分析

目的 研究启东市1972 - 2016年肺癌死亡水平及变化趋势。方法 根据启东市1972 - 2016年癌症死亡登记数据库，分别计算粗死亡率（CR）、中国标化率（CASR）、世界标化率（WASR）、35～64岁截缩率、0～74岁累积率、累积风险，死亡率年度变化百分比等。结果 1972 - 2016年启东肺癌死亡18 662例， CR为36.91/10万，占全部癌症死亡的18.88%，位居癌症死亡第2位。CASR和WASR分别为15.13/10万和25.26/10万；35～64岁截缩死亡率为32.98/10万；0～74岁累积死亡率为3.14%；肺癌死亡的累积风险为3.10%。男性肺癌死亡13 384例，CR、CASR、WASR分别为53.63/10万、23.19/10万与39.64/10万，女性肺癌死亡5 278例，CR、CASR、WASR分别为20.61/10万、8.06/10万和13.17/10万。肺癌男女死亡性比值CR、CASR、WASR分别为2.60、2.88、3.01。45年间肺癌死亡的CR、CASR、WASR的变化百分比（PC）分别为+842.85%、+194.28%与+250.01%，年均变化百分比（APC）分别为+4.88%、+1.92%、+2.18%。用年龄 - 出生队列方法分析显示，各低年龄组出生队列死亡率变化趋势也不明显，而55岁以后的各年龄组出生队列死亡率有明显的上升趋势。结论 启东45年来肺癌死亡率水平较高，且上升趋势明显。

Epidemiologic features for lung cancer mortality in Qidong City of Jiangsu from 1972 to 2016

To study the mortality level and trends of lung cancer in Qidong from 1972 to 2016. Methods The lung cancer data were collected from Qidong Cancer Registry, crude mortality rate (CR), China age -standardized rate (CASR),World age-standardized rate (WASR), 35-64 years truncated rate, 0-74 years cumulative rate, cumulative risk and annual percentage change (APC) were calculated. Results The 18662 lung cancer cases (male13384, female 5278) were included,accounting for 18.88% of all cancer. The CR, CASR, WASR were 36.91/100000, 15.13/100000, 25.26/100000, respectively.35-64 years truncated rate, 0-74 years cumulative rate and cumulative risk were 32.98/100000, 3.14%, 3.10%, respectively.For male, CR, CASR and WASR were 53.63/100000, 23.19/100000, 39.64/100000, respectively. For female, CR, CASR and WASR were 20.61/100000, 8.06/100000, 13.17/100000, respectively. The sex ratios of CR, CASR and WASR were 2.60,2.88, 3.01, respectively. During the forty -five years in Qidong, the CR, CASR and WASR of lung cancer respectively increased 8.43 times, 1.94 times and 2.50 times, and the annual percent change (APC) were 4.88% , 1.92% and 2.18%respectively. Age-specific mortality rate by period for lung cancer unremarkably increased with age in people aged over 55 years, showing an increased trend for the birth -cohort mortality rate. Conclusion The mortality of lung cancer among residents during 1972-2016 in Qidong remarkably increase.