摘要：

目的分析1999—2015年天津市胃癌死亡率及早死寿命损失年（YLL）变化趋势。方法通过天津市居民全死因监测系统，收集1999年1月1日至2015年12月31日天津市户籍胃癌死亡病例，纳入1999—2002年《国际疾病分类》第九版编码为151和2003—2015年《国际疾病分类》第十版编码为C16的病例资料。计算胃癌的死亡率和标化死亡率（采用Segi′s世界标准人口标化），参照WHO 2000—2015年疾病负担的标准方法计算YLL；采用Joinpoint回归分析胃癌死亡率和YLL的变化趋势，计算平均年度变化百分比（AAPC）。结果 1999—2015年天津市胃癌死亡共20 000例，0~44、45~64、≥65岁年龄组胃癌死亡病例分别占4.9%、30.4%和64.8%；男性占67.1%（13 421例）；城区占67.5%（13 504）。1999—2015年胃癌死亡率为12.10/10万~12.58/10万，标化死亡率为11.04/10万~7.24/10万；平均每年因胃癌死亡导致的YLL为29 625.83人年，平均每千人损失3.09人年。1999—2015年天津市胃癌死亡率和YLL率均呈稳定状态[AAPC分别为0.34%和-0.24%（P值均>0.05）]；标化死亡率呈下降趋势[AAPC=-2.58%，P<0.001]。结论 1999—2015年天津胃癌标化死亡率呈下降趋势，YLL较为稳定。

关键词：胃肿瘤;死亡率;人群监测;早死寿命损失年

Abstract:

Objective To analyze the long-term trend of mortality and years of life lost (YLL) of gastric cancer in Tianjin from 1999 to 2015.Methods From January 1, 1999 to December 31, 2015, the data of gastric cancer deaths was collected from the Tianjin death surveillance system. The inclusion criteria of death due to gastric cancer were coded by using 151 in the 9^th edition of the international classification of diseases (ICD) (1999-2002) and C16 in the 10^th edition of ICD (2003-2015). The crude and age-standardized mortality rate (ASR) of gastric cancer was calculated according to Segi′s world standard population. YLL was calculated according to the standard method of the disease burden of WHO. The Joinpoint regression was used to calculate the average annual percentage change (AAPC) to indicate the trend of mortality and YLL of gastric cancer.Results From 1999 to 2015, there were 20 000 deaths of gastric cancer in Tianjin. The proportion of gastric cancer death in the population aged 0-44 years old, 45-64 years old, and 65 years old and above was 4.9%, 30.4%, and 64.8%, respectively. The proportion of males and urban was 67.1% and 67.5%, respectively. From 1999 to 2015, the crude mortality rate was from 12.10/100 000 to 12.58/100 000. The ASR was from 11.04/100 000 to 7.24/100 000. The average annual YLL number was 29 625.83 person-years and the rate was 3.09 person-years per thousand people. From 1999 to 2015, the crude mortality rate and the PYLL of gastric cancer in Tianjin were stable (the AAPC was 0.34% and -0.24%, all P values >0.05). The ASR showed a downward trend (AAPC=-2.58%, P<0.001).Conclusion From 1999 to 2015, the ASR of gastric cancer in Tianjin showed a downward trend, and the YLL of gastric cancer was stable.

Key words: Stomach neoplasms;Mortality;Population surveillance;Years of life lost

发表日期：2020/2

引用本文：

http://dx.doi.org/10.3760/cma.j.issn.0253-9624.2020.02.009

链接本文：

http://www.pubhealth.org.cn/new/cn/book_show.asp?id=6412

图/表:

10.3760/cma.j.issn.0253-9624.2020.02.009.T001:表1 1999—2015年天津市居民胃癌死亡率和YLL
10.3760/cma.j.issn.0253-9624.2020.02.009.T002:表2 1999—2015年天津市居民分性别、地区胃癌死亡率变化趋势（/10万）
10.3760/cma.j.issn.0253-9624.2020.02.009.T003:表3 1999—2015年天津市居民分年龄组胃癌死亡率变化趋势（/10万）
10.3760/cma.j.issn.0253-9624.2020.02.009.T004:表4 1999—2015年不同年龄天津市居民分性别的胃癌死亡率（/10万）

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1999—2015年天津市胃癌死亡率及早死寿命损失年变化趋

摘要：