Epidemiological characteristics of malignant tumor mortality among residents in Yuyao from 2014 to 2021
Journal Title: Shanghai Journal of Preventive Medicine - Year 2023, Vol 35, Issue 5
Abstract
ObjectiveTo determine the death level and change trend of malignant tumors among residents in Yuyaoï¼ and to provide support for accurate prevention and control of malignant tumors.MethodsWe collected the death monitoring data of Yuyao registered residents from 2014 to 2021ï¼ and calculated the indicatorsï¼ including crude mortality rate ï¼CMRï¼ï¼ standardized mortality rate ï¼SMRï¼ï¼ potential years of life lost ï¼PYLLï¼ï¼ average years of life lost ï¼AYLLï¼ï¼ and PYLL rate ï¼PYLLRï¼. We also calculated the average annual change percentage ï¼AAPCï¼ using Joinpoint regression model.ResultsThere were 13 754 deaths from malignant tumors in Yuyao from 2014 to 2021ï¼ accounting for 26.54% of the total deaths in the same period. The average annual mortality rate was 205.63/105ï¼ and the standardized mortality rate was 115.62/105. The SMR showed a downward trend in 8 years ï¼AAPC=-4.76%ï¼ t=-2.296ï¼ P=0.061ï¼. The average annual mortality of malignant tumors was 274.15/105ï¼ and the standardized mortality was 149.83/105. The average annual mortality of female malignant tumors was 139.03/105ï¼ the standardized mortality was 81.01/105. Male mortality was higher than the female mortality ï¼Ï2=1 487.389ï¼ P<0.001ï¼.The mortality rate of malignant tumors increased with age ï¼AAPC=54.94%ï¼t=27.678ï¼P<0.001ï¼. The mortality rate of malignant tumors in different age groups showed a downward trend in 8 years ï¼AAPC=-5.74% for 0- years old groupï¼ -8.49% for 15- years old groupï¼ -6.02% for 45- years old groupï¼ and -3.49% for â¥65 years old groupï¼. The top five causes of death from malignant tumors in residents were lung cancerï¼ gastric cancerï¼ liver cancerï¼ esophageal cancer and colorectal cancerï¼ accounting for 68.15% of all deaths from malignant tumors. Lung cancer ranked first among the causes of death from male and female malignant tumors. PYLL caused by malignant tumor death was 96 585.50 person yearsï¼ AYLL was 7.02 years per person ï¼ and PYLLR was 16.42â°.ConclusionThe mortality rate of malignant tumors among registered residents in Yuyao is on the declineï¼ but it is still the primary death cause threatening the residents. Lung cancer is the malignant tumor that causes the greatest loss of life. It is urgent to build a comprehensive intervention system for malignant tumors that focuses on menï¼ middle-aged and elderly peopleï¼ advocate a healthy lifestyleï¼ and combine early screening and reasonable treatment to block disease progress.
Authors and Affiliations
CHU Wenling,FU Zhanhao,YU Beibei,
Keywords
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