浙江省居民恶性肿瘤减寿分析

目的]分析1970年至今30年来浙江省居民恶性肿瘤死亡变化情况及其对居民健康和社会的危害,为制定浙江省恶性肿瘤防治工作重点和策略提供依据。方法]采用浙江省1973～1975年,1990～1992年以及2004～2006年死因回顾调查资料,以标化死亡率、标化减寿率、平均减寿年数、工作寿命损失率和平均工作寿命损失年数等指标进行分析。结果]浙江省的恶性肿瘤死亡率男性高于女性,城市高于农村,标化死亡率在30年间上升20.5%,男性与农村的标化死亡率分别相对女性与城市有明显上升。肺癌、膀胱癌和乳腺癌的标化死亡率分别上升了341.55%、50.81%和47.66%,宫颈癌和鼻咽癌分别下降了85.12%和44.97%。恶性肿瘤总体造成的寿命损失和工作寿命损失显著上升,其中男性前两位为肺癌和肝癌,女性为乳腺癌和肺癌。结论]应加强肿瘤的预防控制工作特别是农村地区的工作,肺癌、肝癌、胃癌、肠癌和乳腺癌是肿瘤预防控制工作的重点。

An Analysis of the Malignancies Induced Life Lost in Residents of Zhejiang Province

Purpose] To analysis the changes of cancer mortality and the harm of cancer to people＇s health and to society in Zhejiang Province from 1970＇s till now,and to provide scientific bases for making strategies on cancer prevention.Methods] The data of Retrospect Spot-check of Death-causation in Zhejiang,1973～1975,1990～1992,2004～2006 were analyzed by standardized mortality rate,standardized years of potential life lost rate,average years of live lost,working years of potential life lost rate and average working years of potential life lost.Results] Cancer mortality in male or in urban area was higher than that in female or in rural area in Zhejiang.Total standardized mortality rate increased 20.5% in 30 years,and that in male or in rural area had a significant increase compared with that in female or in urban area.The standardized mortality rate with lung cancer,bladder carcinoma and breast cancer increased 341.55%,50.81% and 47.66%,respectively,cervical cancer and nasopharyngeal carcinoma decreased 85.12% and 44.97% respectively.Cancer induced life lost and working life lost increased significantly,especially with lung cancer and liver cancer in man and breast cancer and lung cancer in women.Conclusions] Cancer prevention and control should be emphasized especially in rural area.Cancer control should be emphasized on lung cancer,liver cancer,gastric cancer,colorectal cancer and breast cancer.