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目的探讨厦门市居民肺癌死亡变化趋势,为厦门市肺癌综合防治工作提供依据。方法收集整理2005-2014年厦门市居民肺癌死亡资料,计算死亡率等评价指标,用多因素Logistic回归分析肺癌死亡的影响因素。结果 2005-2014年,厦门市居民肺癌死亡率为28.58/10万,年均上升4.86%,男性是女性的2.90倍;死亡率随着年龄的增长逐渐升高,死亡年龄中位数为68岁。男性(OR=3.50,95%CI:3.29~3.73)、生活在城市(95%CI:1.12~1.26)和2010-2014年时间段(OR=1.23,95%CI:1.17~1.30)、年龄越大(OR=1.53,95%CI:1.52~1.55)可能是肺癌死亡的危险因素。结论厦门市居民肺癌死亡率呈上升趋势,应以城市、男性、老年人群作为重点关注对象,重视肺癌防治工作。
Objective To explore the trend of death of lung cancer among residents in Xiamen and to provide evidence for the comprehensive prevention and treatment of lung cancer in Xiamen City. Methods The data of death from lung cancer in Xiamen city from 2005 to 2014 were collected and the mortality and other indicators were calculated. The influencing factors of lung cancer death were analyzed by multivariate Logistic regression. Results In 2005-2014, the death rate of lung cancer was 28.58 / 100 000 in Xiamen city, with an average annual increase of 4.86% and 2.90 times of that in men; the mortality rate increased gradually with age, and the median age of death was 68 years . (OR = 3.50, 95% CI: 3.29-3.73), living in urban areas (95% CI: 1.12-1.26) and 2010-2014 (OR = 1.23, 95% CI: 1.17-1.30) Large (OR = 1.53, 95% CI: 1.52 ~ 1.55) may be risk factors for lung cancer death. Conclusions The death rate of lung cancer in Xiamen residents is on the rise. Urban, male and elderly population should be the focus of attention, with emphasis on prevention and treatment of lung cancer.