|本期目录/Table of Contents|

[1]郑婉辉,林辉.福州市2011—2019年居民食管癌死亡流行趋势分析[J].慢性病学杂志,2021,(01):23-26.
　ZHENGWan-hui,LINHui.Epidemiological analysis of esophageal cancer deaths among residents in Fuzhou from2011to2019[J].,2021,(01):23-26.
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福州市2011—2019年居民食管癌死亡流行趋势分析

《慢性病学杂志》[ISSN:1674-8166/CN:11-5900/R]

卷:
期数:
2021年01期
页码:
23-26
栏目:
论　著
出版日期:
2021-01-10

文章信息/Info

Title:
Epidemiological analysis of esophageal cancer deaths among residents in Fuzhou from2011to2019
作者:
郑婉辉; 林辉
福建省福州市疾病预防控制中心地方病与慢性病科，福州 350004
Author(s):
ZHENGWan-hui; LINHui
Fuzhou CenterforDisease ControlandPrevention,Fuzhou350004,China Correspondingauthor: ZHENGWan-hui,E-mail:fzmbfz@126.com
关键词:
居民; 食管癌; 死亡率; 死因
Keywords:
Residents;  Gastric cancer;  Mortality;  Cause of death
分类号:
R735.1
DOI:
-
摘要:
目的 探讨2011—2019年福州市居民食管癌死亡流行趋势，为制定食管癌的预防控制策略提供流行病学 依据。方法 采用入户调查的方法，按ICD-10的标准和方法进行死因分类，对福州市2011—2019年居民食管 癌死亡状况进行全面分析。结果 2011—2019年福州市居民食管癌共死亡3 896例，男性食管癌粗死亡率为 11.77/10万（标化死亡率为9.19/10万），高于女性5.23/10万（标化死亡率为4.06/10万），差异有统计学意义 （P<0.001）。食管癌死亡占全死因的1.70%。食管癌死亡率（χ 2 趋势=7.885，P=0.005）及男性食管癌死亡率（χ 2 趋势= 6.704，P=0.01）呈上升趋势，食管癌标化死亡率（χ 2 趋势=548.928，P<0.001）、男性食管癌标化死亡率（χ 2 趋势= 551.261，P<0.001）、女性食管癌死亡率（χ 2 趋势=1.791，P=0.181）及标化死亡率（χ 2 趋势=194.329，P<0.001）均 呈下降趋势，但女性粗死亡率变化趋势差异无统计学意义（P>0.05），标化死亡率变化趋势差异有统计学意义 （P<0.001）。除15~19岁组，其余各年龄段均为男性食管癌死亡率高于女性，差异有统计学意义（P<0.001）。城 市居民食管癌年平均死亡率5.51/10万（标化死亡率为3.80/10万），低于农村居民10.54/10万（标化死亡率为 9.18/10万），差异有统计学意义（P<0.001）。城市、农村男性食管癌年平均死亡率均高于女性，差异有统计学意 义（P<0.001）。潜在工作损失（WYPLL）率为0.48‰（男性为0.75‰，女性为0.20‰）；男性高于女性，差 异有统计学意义（P<0.001）。结论 食管癌是威胁福州市居民的主要恶性肿瘤死亡原因之一，且对男性危害更 大，应采取综合防治措施，预防或减少食管癌的发生。
Abstract:
Objective To analyze the prevalence trend of esophageal cancer death in Fuzhou from2011 to 2019, and to provide epidemiological basis for formulating prevention and control strategies of esoph-ageal cancer. Methods Through the household survey, the death cause of esophageal cancer in Fu-zhou city from 2011-2019 were overall analyzed according to the standard and method of ICD-10. Results Totally3 896 death cause of esophageal cancer were reported in Fuzhou city from 2011-2019. The crude mortality rate of male esophageal cancer was 11.77 per 100 000（standardized mortali-ty rate was 9.19 per 100 000）, which was higher than that of females was 5.23 per 100 000（stan-dardized mortality rate was 4.06 per 100 000）, and the difference was statistically significant（P< 0.001）. Esophageal cancer deaths accounted for 1.70% of all deaths. The mortality of esophageal can-cer （χ 2 trend=7.885, P=0.005）and male esophageal cancer mortality （χ 2 trend=6.704, P=0.01） showed an increasing trend; the standardized mortality rate of esophageal cancer（χ 2 trend=548.928, P< 0.001）, standardized mortality of male esophageal cancer （χ 2 trend=551.261, P<0.001）, female esophageal cancer mortality（χ 2 trend=1.791, P=0.181）and standardized mortality（χ 2 trend=194.329,P<0.001）were all downward trend. There was no statistically significant difference in the change trend of female crude mortality rate（P>0.05）, and the difference in the standardized mortality rate change trend was statistically significant （P<0.001）. Except for the 15-19-year-old group, the mortality rates of esophageal cancer in male were higher than those in female in all age groups, and the differ-ence was statistically significant（P<0.001）. The average annual mortality rate of esophageal cancer in urban residents was 5.51 per 100 000（standardized mortality rate was 3.80 per 100 000）, which was lower than rural residents 10.54 per 100 000（standardized mortality rate was 9.18 per 100 000）, and the difference was statistically significant（P<0.001）. The average annual mortalities of esophageal can-cer of male in urban and rural were higher than those of female, and the differences were statistically significant（P<0.001）. The work years of potential life lost （WYPLL）rate was 0.48‰（0.75‰for male and0.20‰for female, P<0.001）. Conclusion Esophageal cancer is one of the main death causes of malignant tumors that threaten the residents of Fuzhou city, and it is more harmful to men. Comprehensive prevention and control measures should be taken to prevent or reduce the occurrence of esophageal cancer.

参考文献/References:

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备注/Memo

备注/Memo:
作者简介：郑婉辉，大学本科，主任医师，研究方向：营养与慢性病防治 通信作者：郑婉辉，E-mail: fzmbfz@126.com
更新日期/Last Update: 2021-01-28