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[目的]了解盐城市居民1987~2007年食管癌死亡状况,分析居民食管癌死亡的趋势和特征,为制定癌症预防控制策略提供科学的依据。[方法]收集盐城市死因监测点1987~2007年死因登记资料,用Joinpoint回归模型拟合食管癌死亡趋势。[结果]1987~2007年盐城市死因监测点因食管癌死亡6502人,年均死亡率为41.76/10万,其中男性死亡率为50.33/10万,女性为32.85/10万,男性高于女性(P﹤0.05)。1987年食管癌死亡率为44.22/10万,标化率为47.84/10万,2007年食管癌死亡率下降为37.26/10万,标化率33.04/10万。男性死亡率1987~1998年有所上升,1998~2001年下降,2001~2007年又上升;女性食管癌死亡率1987~1995年上升,1995以后下降。[结论]盐城市死因监测点居民食管癌死亡率较高,21年来总体上有下降趋势,但2007年以来男性粗死亡率又有上升苗头,食管癌仍然是危害居民生命健康的主要原因之一。
[Objective] To understand the status of esophageal cancer deaths among residents in Yancheng from 1987 to 2007, and to analyze the trends and characteristics of residents’ esophageal cancer deaths and to provide a scientific basis for formulating cancer prevention and control strategies. [Methods] The data of cause of death from 1987 to 2007 in Yancheng City were collected. The death rate of esophageal cancer was fitted by Jointing regression model. [Results] The death rate of Yancheng City from 1987 to 2007 was 6502 deaths from esophageal cancer, the average annual death rate was 41.76 / 100 000, of which male mortality was 50.33 / 100000, female 32.85 / 100000, male than female (P <0.05). In 1987, the death rate of esophageal cancer was 44.22 / 100000, the standardization rate was 47.84 / 100000. The death rate of esophageal cancer in 2007 dropped to 37.26 / 100000, the standardization rate was 33.04 / 100000. Male mortality increased from 1987 to 1998, from 1998 to 2001 decreased from 2001 to 2007 and then increased; female esophageal cancer mortality increased from 1987 to 1995, after 1995 decreased. [Conclusion] The mortality rate of esophageal cancer in residents in Yancheng was higher than that in the monitoring sites of Yancheng City, and there was an overall downward trend in 21 years. However, since 2007, the crude mortality rate of males has risen again. Esophageal cancer is still one of the major causes that endanger the life and health of residents .