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目的了解2002-2015年浦东新区育龄妇女死亡情况及其趋势,为制定相应的干预措施提供参考。方法依据根本死因编码分析死因构成和顺位,对2002-2015年上海市浦东新区育龄妇女死亡资料进行流行病学分析,并应用Join-point线性回归法分析不同组别之间的死亡率时间变化趋势。结果 2002-2015年浦东新区育龄妇女恶性肿瘤死亡率为27.75/10万,总体死亡率呈现下降趋势(APC=-2.90%,P<0.001);其中,胃癌(APC=-3.01%,P=0.007)、乳腺癌(APC=-4.24%,P=0.008)、肺癌(APC=-5.92%,P=0.001)、肝癌(APC=-7.62%,P<0.001)死亡率逐年下降,宫颈癌死亡率呈现逐年上升趋势(APC=11.39%,P=0.007)。结论浦东新区育龄妇女恶性肿瘤死亡率呈现降低趋势,不同癌种变化情况存在差异,在日常肿瘤防控的基础上,应尤其注重针对宫颈癌的干预。
Objective To understand the death and the trend of women of childbearing age in Pudong New District from 2002 to 2015 and provide reference for making corresponding interventions. Methods Based on the analysis of the cause of death causes and the order of the causes of death, the death data of women of childbearing age in Shanghai Pudong New Area from 2002 to 2015 were analyzed by epidemiology, and the change trend of mortality among different groups was analyzed using Join-point linear regression . Results The mortality rate of malignant tumors among the women of childbearing age in Pudong New Area in 2002-2015 was 27.75 per 100 000. The overall mortality rate showed a decreasing trend (APC = -2.90%, P <0.001). Among them, gastric cancer (APC = -3.01%, P = 0.007 ), Breast cancer (APC = -4.24%, P = 0.008), lung cancer (APC = -5.92%, P = 0.001) and liver cancer (APC = -7.62%, P <0.001) Showing an upward trend year by year (APC = 11.39%, P = 0.007). Conclusions The mortality rate of malignant tumor in women of childbearing age in Pudong New District shows a decreasing trend. There are differences in the changes of different cancer types. On the basis of routine tumor prevention and control, special attention should be paid to the intervention of cervical cancer.