目的 了解我国主要恶性肿瘤死亡的地理分布特点及变化情况.方法 1973-1975年全国全死因回顾调查人年数为2 513 949 310,2004-2005年共调查人年数为142 660 482.将两次调查数据用2000年全国人口普查数据标化后,观察我国主要恶性肿瘤死亡水平的变化,并分析2004-2005年各类恶性肿瘤死亡的地理分布情况.结果 1973-1975年恶性肿瘤总体死亡1 865 445例,标化死亡率为99.61/10万;2004-2005年死亡193 839例,标化死亡率为123.72/10万,上升了24.20%.2004-2005年调查结果显示,各省恶性肿瘤标化死亡率差别较大,黑龙江省最高,为183.34/10万(7443例),云南省最低,为61.03/10万(2454例).食管癌、胃癌、肝癌、肠癌、肺癌、鼻咽癌、白血病、女性乳腺癌、子宫颈癌标化死亡率最高的地区分别为河南(3535例,32.95/10万)、甘肃(1333例,59.35/10万)、黑龙江(1640例,38.63/10万)、上海(390例,11.58/10万)、黑龙江(2382例,60.15/10万)、海南(36例,7.04/10万)、天津(161例,5.45/10万)、黑龙江(179例,8.09/10万)、新疆(131例,10.69/10万);上述恶性肿瘤标化死亡率最低的地区分别为云南(63例,1.59/10万)、北京(235例,5.95/10万)、天津(454例,10.86/10万)、西藏(3例,0.82/10万)、西藏(12例,3.29/10万)、青海(0例,0.00/10万)、西藏(1例,0.28/10万)、西藏(6例,2.88/10万)、重庆(27例,1.02/10万).结论 两次调查相比,恶性肿瘤死亡水平有所上升.大部分恶性肿瘤死亡病例具有较明显的地区聚集性.
目的 瞭解我國主要噁性腫瘤死亡的地理分佈特點及變化情況.方法 1973-1975年全國全死因迴顧調查人年數為2 513 949 310,2004-2005年共調查人年數為142 660 482.將兩次調查數據用2000年全國人口普查數據標化後,觀察我國主要噁性腫瘤死亡水平的變化,併分析2004-2005年各類噁性腫瘤死亡的地理分佈情況.結果 1973-1975年噁性腫瘤總體死亡1 865 445例,標化死亡率為99.61/10萬;2004-2005年死亡193 839例,標化死亡率為123.72/10萬,上升瞭24.20%.2004-2005年調查結果顯示,各省噁性腫瘤標化死亡率差彆較大,黑龍江省最高,為183.34/10萬(7443例),雲南省最低,為61.03/10萬(2454例).食管癌、胃癌、肝癌、腸癌、肺癌、鼻嚥癌、白血病、女性乳腺癌、子宮頸癌標化死亡率最高的地區分彆為河南(3535例,32.95/10萬)、甘肅(1333例,59.35/10萬)、黑龍江(1640例,38.63/10萬)、上海(390例,11.58/10萬)、黑龍江(2382例,60.15/10萬)、海南(36例,7.04/10萬)、天津(161例,5.45/10萬)、黑龍江(179例,8.09/10萬)、新疆(131例,10.69/10萬);上述噁性腫瘤標化死亡率最低的地區分彆為雲南(63例,1.59/10萬)、北京(235例,5.95/10萬)、天津(454例,10.86/10萬)、西藏(3例,0.82/10萬)、西藏(12例,3.29/10萬)、青海(0例,0.00/10萬)、西藏(1例,0.28/10萬)、西藏(6例,2.88/10萬)、重慶(27例,1.02/10萬).結論 兩次調查相比,噁性腫瘤死亡水平有所上升.大部分噁性腫瘤死亡病例具有較明顯的地區聚集性.
목적 료해아국주요악성종류사망적지리분포특점급변화정황.방법 1973-1975년전국전사인회고조사인년수위2 513 949 310,2004-2005년공조사인년수위142 660 482.장량차조사수거용2000년전국인구보사수거표화후,관찰아국주요악성종류사망수평적변화,병분석2004-2005년각류악성종류사망적지리분포정황.결과 1973-1975년악성종류총체사망1 865 445례,표화사망솔위99.61/10만;2004-2005년사망193 839례,표화사망솔위123.72/10만,상승료24.20%.2004-2005년조사결과현시,각성악성종류표화사망솔차별교대,흑룡강성최고,위183.34/10만(7443례),운남성최저,위61.03/10만(2454례).식관암、위암、간암、장암、폐암、비인암、백혈병、녀성유선암、자궁경암표화사망솔최고적지구분별위하남(3535례,32.95/10만)、감숙(1333례,59.35/10만)、흑룡강(1640례,38.63/10만)、상해(390례,11.58/10만)、흑룡강(2382례,60.15/10만)、해남(36례,7.04/10만)、천진(161례,5.45/10만)、흑룡강(179례,8.09/10만)、신강(131례,10.69/10만);상술악성종류표화사망솔최저적지구분별위운남(63례,1.59/10만)、북경(235례,5.95/10만)、천진(454례,10.86/10만)、서장(3례,0.82/10만)、서장(12례,3.29/10만)、청해(0례,0.00/10만)、서장(1례,0.28/10만)、서장(6례,2.88/10만)、중경(27례,1.02/10만).결론 량차조사상비,악성종류사망수평유소상승.대부분악성종류사망병례구유교명현적지구취집성.
Objective To describe geographical distribution and its transition of mortality of cancers in China. Methods The information of 2 513 949 310 person years were collected in 1973 - 1975 and 142 660 482 person years in 2004 - 2005 respectively. Being standardizing the death rates of these two survey with 2000 national census population, the changes of mortality of main cancers was observed and the geographic distribution of cancers in 2004 - 2005 was analyzed. Results A total of 1 865 445 cancer deaths were collected in 1973 - 1975, the standardized death rate was 99.61/100 000, and 193 839 cancer deaths were collected in 2004 -2005, the standardized death rate was 123. 72/100 000, with growth of 24. 20%. District mortality analysis showed that the provincial standardized cancer death rates varied greatly, with the highest in Heilongjiang (7443 cases, 183. 34/100 000), and the lowest in Yunnan (2454 cases, 61.03/ 100 000). The highest standardized death rate of esophageal cancer, gastric cancer, liver cancer, colon cancer, lung cancer, nasopharyngeal cancer, leukemia, female breast cancer, cervical cancer was in Henan (3535 cases, 32. 95/100 000), Gansu (1333 cases, 59. 35/100 000) , Heilongjiang (1640 cases, 38. 63/ 100 000), Shanghai (390 cases, 11.58/100 000), Heilongjiang (2382 cases, 60. 15/100 000), Hainan (36 cases, 7.04/100 000), Tianjin (161 cases, 5.45/100 000), Heilongjiang (179 cases, 8.09/ 100 000), Xinjiang (131 cases, 10. 69/100 000) respectively; the lowest standardized cancer death rate of above-mentioned cancers was in Yunnan (63 cases, 1.59/100 000), Beijing (235 cases, 5.95/100 000), Tianjin (454 cases, 10. 86/100 000), Tibet (3 cases, 0. 82/100 000), Tibet (12 cases, 3. 29/100 000), Qinghai (0 case, 0. 00/100 000 ), Tibet (1 cases, 0.28/1 00 000 ), Tibet (6 cases, 2. 88/100 000), Chongqing ( 27 cases, 1.02/100 000 ) respectively. Conclusion Comparing the two surveys, the standardized mortality of cancers was increased. Most of cancers occurred obviously in cluster by geographical distribution.
