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目的探究南浔区居民恶性肿瘤死亡情况及影响因素,为制定南浔区恶性肿瘤防控措施提供依据。方法2013—2015年南浔区恶性肿瘤死亡资料来自浙江省慢性病监测信息管理系统,采用国际ICD—10疾病分类标准进行疾病编码和根本死因分类,对不同性别和年龄人群的恶性肿瘤死亡信息及各类肿瘤的死亡率顺位情况进行描述性分析。结果 2013—2015年南浔区恶性肿瘤年均粗死亡率为195.85/10万,标化死亡率为117.90/万。其中男性恶性肿瘤平均粗死亡率为269.26/10万,高于女性的124.82/10万(P<0.01)。恶性肿瘤死亡率随年龄增加呈升高趋势(P均<0.01)。恶性肿瘤死因前五位依次为肺癌、胃癌、肝癌、结直肠肛门癌和胰腺癌,占全恶性肿瘤死因的75.06%。其中男性恶性肿瘤死因前五位为肺癌、胃癌、肝癌、食管癌和结直肠肛门癌,女性恶性肿瘤死因前五位为肺癌、胃癌、肝癌、结直肠肛门癌和乳腺癌。白血病是0岁~组唯一的恶性肿瘤死因;15岁~组恶性肿瘤死因首位为肝癌,且均为男性;40岁~组和65岁~组恶性肿瘤死因首位均为肺癌。结论南浔区居民恶性肿瘤死亡率处于较高水平,应开展有针对性地健康教育和行为干预,提高居民预防恶性肿瘤的意识。
Objective To investigate the death of malignant tumor and its influencing factors among residents in Nanxun district and provide evidence for the development of prevention and control measures for malignant tumor in Nanxun District. Methods The data of death from malignant tumors in Nanxun district from 2013 to 2015 were collected from the chronic disease monitoring information management system in Zhejiang Province. The international ICD-10 classification criteria were used to classify the disease codes and the cause of death. Malignant tumor deaths and genotypes of different sexes and ages Descriptive analysis of the overall tumor mortality. Results The annual average mortality rate of malignant tumors in Nanxun district from 2013 to 2015 was 195.85 / 100,000 and the standardized mortality rate was 117.90 / million. Among them, the average crude fatality rate of male malignant tumors was 269.26 / 100 000, higher than that of female 124.82 / 100 000 (P <0.01). Malignant tumor mortality increased with increasing age (P all <0.01). The top five causes of cancer death were lung cancer, gastric cancer, liver cancer, colorectal anorectal cancer and pancreatic cancer, accounting for 75.06% of the total cancer deaths. The top five death causes of male malignant tumors were lung cancer, gastric cancer, liver cancer, esophageal cancer and colorectal anorectal cancer. The top five death causes of female malignant tumors were lung cancer, gastric cancer, liver cancer, colorectal anorectal cancer and breast cancer. Leukemia is the only cause of malignant tumor in 0-year-old group; the cause of death of the 15-year-old group of malignant tumors is first liver cancer and both are male; the first cause of death of the malignant tumor of 40-year-old group and 65-year-old group is lung cancer. Conclusion The mortality of malignant tumor in Nanxun district is at a high level. Health education and behavioral intervention should be carried out to improve residents’ consciousness of preventing malignant tumor.