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目的:分析新疆维吾尔族自治区石河子市胃癌的疾病负担,为新疆兵团地区胃癌的防治提供科学依据.方法:根据石河子市肿瘤登记处2010-01/2 0 1 1-1 2登记的恶性肿瘤发病及死亡资料,计算胃癌粗发病率、粗死亡率、标化发病率、标化死亡率、伤残调整寿命年(disability-adjusted life years,DALYs)、死亡损失寿命年(years of life lost with death,YLLs)、伤残损失寿命年(years lived with disability,YLDs)等指标,评价该地区胃癌的疾病负担.结果:2010-2011年石河子市胃癌粗发病率为19.84/10万,中标率为9.34/10万,世标率为12.83/10万;胃癌粗死亡率为9.66/10万,中标率为4.39/10万,世标率为6.22/10万.发病率和死亡率均为男性高于女性.同期该地区胃癌损失DALYs为988.11人年,YLLs为936.79人年,Y L D s为51.32人年.平均每千人DALYs为1.72人年,占全肿瘤DALYs的7.09%.YLLs和YLDs的每千人DALYs分别为1.63人年、0.09人年,分别占胃癌D A LY s的94.77%和5.23%.男性的DALYs、YLLs及每千人DALYs损失均明显高于女性,而女性的Y L D s高于男性.不同性别胃癌疾病负担从35岁开始随年龄增长而上升,在55-74岁年龄组间,胃癌疾病负担最重,超过75岁人群疾病负担呈下降趋势.结论:石河子市胃癌疾病负担主要由死亡损失引起,男性寿命影响大于女性,且对55岁以后人群危害严重,应对相应人群采取积极有效的干预措施.
Objective: To analyze the burden of gastric cancer in Shihezi City, Xinjiang Uygur Autonomous Region and to provide a scientific basis for the prevention and treatment of gastric cancer in Xinjiang Corps.Methods: According to the incidence of malignant tumors registered in Shihezi Cancer Registry 2010-01 / Fatalities, crude mortality, normalized morbidity, standardized mortality, disability-adjusted life years (DALYs), years of life lost with death YLLs and years of living with disability (YLDs) were measured to evaluate the burden of gastric cancer in this area.Results: The crude incidence of gastric cancer in Shihezi was 19.84 / 100000 between 2010 and 2011, and the successful rate was 9.34 / 100,000, the world standard rate of 12.83 / 10 million; crude cancer mortality was 9.66 / 100,000, the winning rate was 4.39 / 100 000, the world standard rate of 6.22 / 100 000. Incidence and mortality were higher in males than females Over the same period.DALYs for gastric cancer in the same period was 988.11 person-years, YLLs was 936.79 person-years and YLDs was 51.32 person-years, with an average DALYs per 1,000 population of 1.72 person-years, accounting for 7.09% of total tumor DALYs. DALYs were 1.63 person-years, 0.09 person-years, respectively, gastric cancer DA LY s, 94.77% and 5.23%, respectively.The loss of DALYs, YLLs and DALYs per 1000 people in men were significantly higher than those in women, while the YLDs in women were higher than those in men.The burden of disease in different genders of gastric cancer increased with age from 35 years old, In the 55-74 age group, the burden of disease was highest in gastric cancer, and the burden of disease was declining in people over 75. Conclusion: The burden of gastric cancer in Shihezi City is mainly caused by death loss, and the life span of men is more than that of women, Serious, positive and effective interventions should be taken for the corresponding population.