2006—2015年杭州市居民白血病死亡趋势分析
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摘要
目的分析2006—2015年浙江省杭州市居民白血病死亡情况及变化趋势,为预防和控制白血病提供依据。方法从浙江省慢性病监测信息管理系统收集2006—2015年杭州市死因监测资料,计算白血病粗死亡率、标化死亡率和0～74岁累积死亡率,采用年度变化百分比(APC)分析2006—2015年杭州市居民白血病死亡率变化趋势。结果 2006—2015年杭州市居民白血病粗死亡率为4.38/10万,标化死亡率为3.79/10万,标化死亡率的APC为-2.27%,呈逐年下降趋势(P<0.05)。男性白血病粗死亡率为5.15/10万,高于女性的3.62/10万(P<0.05)。0岁～组、15岁～组和65岁～组白血病粗死亡率分别为2.00/10万、3.03/10万和15.63/10万,标化死亡率分别为0.45/10万、1.85/10万和1.05/10万。0岁～组和15岁～组白血病标化死亡率的APC分别为-9.24%和-3.82%,均呈逐年下降趋势(P<0.05);65岁～组白血病标化死亡率的APC为3.77%,呈逐年上升趋势(P<0.05)。结论 2006—2015年杭州市居民白血病标化死亡率呈下降趋势,男性白血病死亡率高于女性,≥65岁老年人白血病标化死亡率呈上升趋势。
Objective To analyze the status and trend of death from leukemia from 2006 to 2015 in Hangzhou,and to provide scientific basis for leukemia prevention and control. Methods The data of deaths in Hangzhou from 2006 to 2015 were collected from Zhejiang chronic diseases surveillance system. The crude mortality rates,standardized mortality rates and cumulative rates of the age group 0-74 of leukemia were calculated. The annual percentage change(APC) was used to examine the changing trend of leukemia mortality. Results The crude mortality rate of leukemia in Hangzhou was 4.38/100 000 and the standardized mortality rate was 3.79/100 000 from 2006 to 2015. The standardized mortality rates from 2006 to 2015 showed a decreasing trend and the APC was-2.27%(P <0.05). The crude mortality rate of leukemia was 5.15/100 000 in males, which was higher than3.62/100 000 in females(P <0.05). The crude and standardized mortality rates were 2.00/100 000 and 0.45/100 000 in residents aged below 15 years,3.03/100 000 and 1.85/100 000 in residents aged 15-64 years,15.63/100 000 and 1.05/100 000 in residents aged 65 years or above. The standardized mortality rates of residents aged below 15 years and 15-64 years showed decreasing trends,the APCs were-9.24% and-3.82%,respectively(P<0.05). The standardized mortality rates of residents aged 65 years or above showed an increasing trend,the APC was 3.77%(P<0.05). Conclusion The standardized mortality rates of leukemia has presented a declining trend in Hangzhou from 2006 to 2015,with higher mortality in men and people aged65 years or above.
Objective To analyze the status and trend of death from leukemia from 2006 to 2015 in Hangzhou,and to provide scientific basis for leukemia prevention and control. Methods The data of deaths in Hangzhou from 2006 to 2015 were collected from Zhejiang chronic diseases surveillance system. The crude mortality rates,standardized mortality rates and cumulative rates of the age group 0-74 of leukemia were calculated. The annual percentage change(APC) was used to examine the changing trend of leukemia mortality. Results The crude mortality rate of leukemia in Hangzhou was 4.38/100 000 and the standardized mortality rate was 3.79/100 000 from 2006 to 2015. The standardized mortality rates from 2006 to 2015 showed a decreasing trend and the APC was-2.27%(P <0.05). The crude mortality rate of leukemia was 5.15/100 000 in males, which was higher than3.62/100 000 in females(P <0.05). The crude and standardized mortality rates were 2.00/100 000 and 0.45/100 000 in residents aged below 15 years,3.03/100 000 and 1.85/100 000 in residents aged 15-64 years,15.63/100 000 and 1.05/100 000 in residents aged 65 years or above. The standardized mortality rates of residents aged below 15 years and 15-64 years showed decreasing trends,the APCs were-9.24% and-3.82%,respectively(P<0.05). The standardized mortality rates of residents aged 65 years or above showed an increasing trend,the APC was 3.77%(P<0.05). Conclusion The standardized mortality rates of leukemia has presented a declining trend in Hangzhou from 2006 to 2015,with higher mortality in men and people aged65 years or above.
引文
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[17]何新荣,叶铁真,马金香.儿童白血病流行病学的研究近况[J].国外医学(输血及血液学分册),2005,28(3):249-252.
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[19]严亚琼,杨念念,李卫平,等.全国三次居民死因回顾白血病调查资料分析[J].中国肿瘤,2010,19(12):803-806.
[2]陈万青,孙可欣,郑荣寿,等.2014年中国分地区恶性肿瘤发病和死亡分析[J].中国肿瘤,2018,27(1):1-14.
[3]International Agency for Research on Cancer.GLOBOCAN 2012:estimated cancer incidence,mortality and prevalence worldwide in2012[R].Geneva:World Health Organization,2016.
[4]张艳,刘庆敏,李莉,等.杭州市居民恶性肿瘤死亡趋势分析[J].预防医学,2017,29(7):705-707.
[5]项永兵,张薇,高立峰,等.恶性肿瘤发病率的时间趋势分析方法[J].中华流行病学杂志,2004,25(2):173-177.
[6]陈万青,郑荣寿,张思维,等.2012年中国恶性肿瘤发病和死亡分析[J].中国肿瘤,2016,25(1):1-8.
[7]应江伟,杜灵彬,郑艳泽,等.浙江省肿瘤登记地区2000-2009年白血病发病与死亡分析[J].中国肿瘤,2014,23(7):538-542.
[8]王德征,张爽,张辉,等.1999-2015年天津市白血病死亡率变化趋势分析[J].中华预防医学杂志,2019,53(3):319-322.
[9]NAGHAVI M,WANG H,LOZANO R,et al.Global,regional,and national age-sex specific all-cause and cause-specific mortality for 240 causes of death,1990-2013:a systematic analysis for the Global Burden of Disease Study 2013[J].Lancet,2015,385(9963):117-171.
[10]ZHOU M,WANG H,ZHU J,et al.Cause-specific mortality for240 causes in China during 1990-2013:a systematic subnational analysis for the Global Burden of Disease Study 2013[J].Lancet,2016,387(10015):251-272.
[11]杨念念,严亚琼,李卫平,等.中国2004-2005年白血病死亡分布特征分析[J].中国肿瘤,2010,19(12):807-810.
[12]徐红,糜跃萍,黄玮奕.2005-2014年江苏省南通市白血病死亡趋势分析[J].职业与健康,2017,33(17):2369-2371,2376.
[13]林艺兰,池家煌,龚永燕.2005-2014年厦门市居民白血病死亡特征与趋势分析[J].热带病与寄生虫学,2016,14(1):20-22.
[14]CHEN W,ZHENG R,BAADE P D,et al.Cancer statistics in China,2015[J].CA Cancer J Clin,2016,66(2):115-132.
[15]LIU P,HOLMAN C D,JIN J,et al.Diet and risk of adult leukemia:a multicenter case-control study in China[J].Cancer Causes Control,2015,26(8):1141-1151.
[16]潘秀丹,潘绍凡,李洵.儿童白血病死亡分布特征及变化趋势[J].中国肿瘤,2004,13(11):709-711.
[17]何新荣,叶铁真,马金香.儿童白血病流行病学的研究近况[J].国外医学(输血及血液学分册),2005,28(3):249-252.
[18]何艳辉,陈维清.儿童白血病发病危险因素的流行病学研究回顾[J].中国小儿血液与肿瘤杂志,2010,15(1):44-46.
[19]严亚琼,杨念念,李卫平,等.全国三次居民死因回顾白血病调查资料分析[J].中国肿瘤,2010,19(12):803-806.