沈方力, 李叶, 汪金辰, 茅俭英, 吴萃, 刘世友. 2009—2021年上海市宝山区居民胰腺癌的死亡趋势和减寿分析[J]. 上海预防医学, 2023, 35(9): 889-892. DOI: 10.19428/j.cnki.sjpm.2023.22952
引用本文: 沈方力, 李叶, 汪金辰, 茅俭英, 吴萃, 刘世友. 2009—2021年上海市宝山区居民胰腺癌的死亡趋势和减寿分析[J]. 上海预防医学, 2023, 35(9): 889-892. DOI: 10.19428/j.cnki.sjpm.2023.22952
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SHEN Fangli, LI Ye, WANG Jinchen, MAO Jianying, WU Cui, LIU Shiyou. Mortality and years of life lost of pancreatic cancer in Baoshan District of Shanghai from 2009 to 2021[J]. Shanghai Journal of Preventive Medicine, 2023, 35(9): 889-892. DOI: 10.19428/j.cnki.sjpm.2023.22952
Citation: SHEN Fangli, LI Ye, WANG Jinchen, MAO Jianying, WU Cui, LIU Shiyou. Mortality and years of life lost of pancreatic cancer in Baoshan District of Shanghai from 2009 to 2021[J]. Shanghai Journal of Preventive Medicine, 2023, 35(9): 889-892. DOI: 10.19428/j.cnki.sjpm.2023.22952
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2009—2021年上海市宝山区居民胰腺癌的死亡趋势和减寿分析

Mortality and years of life lost of pancreatic cancer in Baoshan District of Shanghai from 2009 to 2021

    摘要
  • 摘要:
    目的 了解2009—2021年上海市宝山区居民胰腺癌死亡水平、变化趋势和寿命损失情况，为胰腺癌防控提供依据。
    方法 通过上海市人口死亡原因登记系统收集2009—2021年宝山区胰腺癌死亡的病例资料，计算粗死亡率、标化死亡率、潜在减寿年数（PYLL）、减寿率（PYLLR）、平均减寿年数（AYLL）和年度变化百分比（APC），分析胰腺癌死亡率的变化趋势及寿命损失情况。
    结果 2009—2021年宝山区胰腺癌累计死亡2 117例，占所有癌症死亡的7.05%，死因顺位居第5位，平均死亡年龄（71.18±10.97）岁，其中年龄最小者3岁，最长者96岁。胰腺癌死亡构成比随时间呈上升趋势（P<0.05），女性平均死亡年龄大于男性（P<0.05）。胰腺癌粗死亡率为17.38/10万，呈上升趋势（P<0.05），APC值为3.74%；标化死亡率为7.84/10万。男性粗死亡率为19.71/10万，女性粗死亡率为14.89/10万，均呈上升趋势（P<0.05），APC值分别为4.44%和2.89%。45~60岁人群胰腺癌粗死亡率呈上升趋势（P<0.05），APC值为4.74%。2009—2021年居民胰腺癌PYLL为8 115人年，PYLLR为0.67‰；AYLL为3.83年·人-1，男性PYLL高于女性。
    结论 宝山区居民胰腺癌粗死亡率呈上升趋势，胰腺癌对男性和老年人群的健康生活影响更大，应加大男性和老年人群胰腺癌防治健康教育工作，提倡健康生活方式，提高胰腺癌的三级预防效果。

     

    Abstract:
    Objective To investigate the mortality and years of life lost of pancreatic cancer in Baoshan District of Shanghai，from 2009 to 2021， and to provide scientific evidence for the prevention and control of pancreatic cancer in the future.
    Methods The death surveillance data of Baoshan District from 2009 to 2021 were collected from the Shanghai chronic disease surveillance information management system. Crude mortality， standardized mortality，potential years of life lost （PYLL）， potential years of life lost rate （PYLLR） ， average years of potential life lost （AYLL） ， annual percentage change （APC） were calculated to analyze the trend of mortality and life loss of pancreatic cancer.
    Results From 2009 to 2021， a total of 2117 deaths of pancreatic cancer were reported in Baoshan District， accounting for 7.05% of all cancer deaths. The average age of the death cases was （71.18±10.97）years. The youngest was 3 years old and the oldest was 96 years old. The death component ratio of pancreatic cancer increased with time （P<0.05）， and the average death age of women was higher than that of men （P<0.05）. The crude mortality of pancreatic cancer was 17.38/105 in Baoshan District from 2009 to 2021， showing a rising tendency （P<0.05） with APC of 3.74%. The standardized mortality of pancreatic cancer was 7.84/105. The crude mortality of pancreatic cancer was 19.71/105 in men and 14.89/105 in women， both showed a tendency towards a rise （P<0.05 ） with APC of 4.44% and 2. 89%， respectively. The crude mortality of pancreatic cancer showed a tendency towards a decline in residents at ages of 45 to 60 years （ P<0.05 ）， with APC of 4.74%. The PYLL and PYLLR of pancreatic cancer were 8 115 person-years and 0.67‰ in Baoshan District from 2009 to 2021， while the AYLL of pancreatic cancer was 3.83 years per person. The PYLL was higher in men than in women.
    Conclusion The mortality rate of pancreatic cancer in Baoshan District shows an increasing trend. The healthy life of elderly and men is affected largely by pancreatic cancer. It is necessary to strengthen the health education on the prevention/control of pancreatic cancer and healthy life style， thereby improving the tertiary prevention system of pancreatic cancer.

     

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