Analysis on lung cancer mortality and years of life lost in urban and rural residents of Xiamen city
- 公共卫生－已发表论文 
目的了解厦门市城乡居民肺癌死亡和减寿趋势变化,为厦门市肺癌预防控制工作提供依据。方法通过厦门市死因监测系统收集2003-2014年厦门市城乡居民肺癌死亡资料,采用SAS 9.1软件对死亡率、标化死亡率(SMR)、潜在寿命损失年(PYLL)、寿命损失率(PYLLR),标化寿命损失率(SPYLLR)、平均减寿年数(AYLL)、死亡率年均变化百分比等指标进行评价。结果 2003-2014年厦门市城市、农村居民肺癌死亡率分别为29.64/10万和25.40/10万,年均分别上升5.63%和4.98%;标化死亡率分别为32.78/10万和27.13/10万;无论城市、农村,肺癌标化死亡率男性均明显高于女性;死亡率均随着年龄的增长而升高,在70~79岁年龄组达到高峰。城市居民肺癌所致PYLL、PYLLR、SPYLLR、AYLL分别为27 944人年、2.11‰、2.41‰和7.12年,而农村分别为17 807人年、2.47‰、2.69‰和9.74年。结论厦门市城乡居民肺癌死亡呈上升趋势和老龄化趋势,应以男性、老年人群作为重点关注对象,重视肺癌防治工作。Objective To explore the trend of lung cancer mortality and years of life lost in urban and rural residents of Xiamen,and to provide the basis data for preventing lung cancer in Xiamen. Methods The lung cancer mortality data of urban and rural residents in Xiamen during 2003 to 2014 were collected. The SAS 9.1 software was used to assess the mortalities, the standard mortality rates(SMR), the potential years of life lost(PYLL), the rates of potential years of life lost(PYLLR), the standard rate of potential years of life lost(SPYLLR) the average potential life lost(AYLL) and the average percentage change(APC) of mortalities.Results During 2003 to 2014, the average lung cancer mortalities of urban and rural residents in Xiamen were 29.64/100 000 and25.40/100 000, respectively; the APCs were 5.63% and 4.98%, respectively; the SMRs were 32.78/100 000 and 27.13/100 000 persons, respectively; the lung cancer mortality in males was significantly higher than that in females, and the mortalities increased with age; the lung cancer mortality in 70-79 years old group was the highest. The PYLL, PYLLR, SPYLLR, and AYLL due to lung cancer in urban residents were 27 944 person years, 2.11‰, 2.41‰ and 7.12 years, respectively; and the PYLL, PYLLR, SPYLLR,and AYLL due to lung cancer in rural residents were 17 807 person years, 2.47‰, 2.69‰, and 9.74 years, respectively.Conclusion The lung cancer mortalities in urban and rural residents of Xiamen city had the increasing and aging trend. More attention should be paid to males and elders for preventing and treating of lung cancer.