目的掌握厦门市居民2004-2013年肺癌死亡趋势及寿命损失情况,为政府部门制定干预政策提供参考依据。方法从厦门市死因监测系统收集整理2004年1月1日-2013年12月31日厦门市居民肺癌死亡资料进行统计分析。结果2004-2013年间厦门市居民肺癌死亡率逐年增加(P<0.05),总死亡率27.32/10万;男性死亡率是女性的2.90倍;65岁开始死亡率急剧增高,在75~79岁年龄组达到高峰;2013年死亡率比2004年增长35.32%。10年肺癌造成的寿命损失年(PYLL)共52 970人年,寿命损失率(PYLLR)为3.06‰,平均减寿年数(APLL)为11.20年;男性PYLL值为38 605人年,比女性多24 240人年,但APLL男性比女性约少1年,分别为10.95年和11.91年。结论厦门市居民肺癌死亡率呈不断上升趋势,主要危及中老年人群,男性死亡率始终高于女性,应采取必要的干预措施。Objective To learn the trend of mortality and years of life lost related to lung cancer in Xiamen from 2004 to 2013 and to provide the basis for the government setting up intervention policies. Methods The death data related to lung cancer of residents in Xiamen from Jan 1,2004 to Dec 31,2013 were collected from "Xiamen Municipal Death Surveillance System" to be and they were counted and analyzed. Results The total mortality of lung cancer in Xiamen from 2004 to 2013 was 27.32 per 100,000,of which male was 2.90 times as female. The mortality rose sharply after 65 years old and peaked in the group of 75~79 years old.Over the last ten years,the total mortality rate of lung cancer in Xiamen rose year by year(P<0.05),increasing about 35.32% in 2013 than that in 2004. The potential years of life lost(PYLL),the rate of PYLL,and the average years of life lost(AYLL)due to lung cancer in Xiamen during the last ten years were 52 970 per person per year,3.06‰,and 11.20 years,respectively. The value of PYLL in male was 38 605 per person per year,24 240 per person per year more than that in female. However,the APLL in male was one year less than that in female,which were 10.95 years and 11.91 years,respectively. Conclusion The mortality of lung cancer in residents of Xiamen has increasing trend in the last ten years. It is more harm for group with middle and elderly age. The mortality in male is always higher than that in female. So it's necessary to adopt some effective intervening measures.福建省卫生厅青年课题项目(项目编号:2014-2-78
