An Analysis Of Cancer Mortality And DALYs In Taian,2015

BackgroundWith the development of social economy,the change of living environment and the improvement of living standards,factors such as lifestyle changes and population aging changes,since the 20th century,most countries in the world of the disease was transformed,from infectious diseases as the main burden of disease to noncommunicable diseases as the main burden of disease,cardiovascular disease,malignant tumor such as chronic diseases become a serious threat to residents'lives and health of major diseases^[1-3].After the 1970s,the incidence and death of malignant tumors in the world increased by 3%to 5%a year,according to the world health organization's international center for cancer research?IARC?.Malignant tumor incidence and mortality rates are rising trend year by year,become a serious threat to human health and the social and economic development of major diseases,malignant tumor has become the second largest developed countries,the third cause of death in developing countries,is currently the world one of the most serious public health problem in^[4].1993-1993,the United States at Harvard University in the world bank,was carried out with the support of the world health organization on the Global Burden of Disease?Global Burden of diseases,GBD?evaluation research^[5-[6],for the first time to use the concept of Burden of Disease.International scholars after years of research,definition of disease burden finally reached an agreement,burden of disease refers to the sum of disease,thereby causing loss to the human society,including disability disease,disability,death,lower quality of life and other economic losses for the prevention and treatment of disease and the consumption of social resources^[7].There are two main categories of disease burden in China,including the epidemiology burden of disease and the economic burden of disease^[8].To date,the epidemiologic burden of disease is divided into two broad categories:health expectations and health disparities.The former representative indexes include life expectancy,healthy life expectancy,disability adjustment expectation life and quality adjustment life expectancy.The representative index of the health gap is disability adjusted life years^[9].ObjectiveTo analyze the death data of malignant tumor in Tai'an City from 2012 to 2015,and to understand the mortality of malignant tumor and the mortality of cancer.Using the data of the malignant tumor morbidity and mortality in 2015,computing and describe different groups,regions and malignant tumor patient disability adjusted life years?DALYs?distribution,and measuring the indirect economic burden of disease,malignant tumors to a more comprehensive,integrated evaluation of health burden and economic burden of malignant tumors,which will provide a scientific basis for health policy makers to develop health strategy.MethodsAccording to the 2012-2015 residents Tai'an City malignant tumor death monitoring data,with mortality,cause-specific mortality,age don't mortality,and age-adjusted mortality indicators describe the malignant tumor death level,and calculate life expectancy and life expectancy table was used to malignant tumor in life expectancy to the cause of death.Icd-10 was used to encode the underlying cause of death.The DALYs calculation is calculated according to the formula provided by GBD,which adopts standard expectation life,3%discount rate and 4%standard age weight.The scale of population standardization was standardized by the Chinese standard population in 2000.SPSS20.0 was used for data analysis,and the mortality was compared with?² test.Results1.In 2015,the average population of Tai'an City was 5648,091,and the proportion of the population aged over 65 was 13.38%,and the burden coefficient of the elderly was18.73%.In 2015,Tai'an City's overall population life expectancy was 79.86 years.Among them,male life expectancy was 76.58 years,female life expectancy was 83.37 years,and females were significantly higher than men.Daiyue has the highest life expectancy of81.11 years,with the lowest life expectancy in Ningyang county at 78.06 years.In 2015,the standard mortality rate of Tai'an City registered residents was 5.20‰,among which the mortality rate was the highest in the fat city,5.94‰,and the lowest in dongping county,5.04‰.2.2015 residents Tai'an City deaths reported 12510 cases of malignant tumors,mortality rate of 221.48/10,the standardized rate was 122.20/10,the cause of death in rank top 5 in turn for lung cancer,esophageal cancer,gastric cancer,liver cancer and colorectal cancer.The mortality of malignant tumors was significantly different,with a male mortality rate of 287.80/100,000,and a female mortality rate of 153.42/100,000,significantly higher than that of women??²=1153.41,P<0.001?.Taian malignant tumor death line between urban and rural areas,urban death pick the top ten respectively for lung cancer,gastric cancer,liver cancer,esophageal cancer,colorectal cancer,breast cancer,pancreatic cancer,bladder cancer,leukemia,cervical cancer;The top 10 causes of death in rural areas were lung cancer,esophageal cancer,stomach cancer,liver cancer,colorectal cancer,breast cancer,lymphoma and multiple myeloma,leukemia,pancreatic cancer,and cervical cancer.Its bid mortality differences are the biggest esophageal cancer and bladder cancer,esophageal cancer rate of standardized rural?25.23/10?to 2.38 times that of the city?10.61/10?,bladder city?1.74/10?to 2.07 times of rural?0.84/10?.The life expectancy of the whole population after the death of malignant tumor was 84.14 years,increased by 4.28years;Males increased by 5.01 years to 81.59;The women were 86.63 years old and 3.27years old.3.Taian 2015 residents 3717 died,lung cancer mortality rate was 65.81/10,male mortality rate per 88.36/10,mortality rate per 42.66/10 women,female mortality is significantly higher than the male and the difference is statistically significant??²=448.27,P<0.001?.The distribution of Tai'an City esophageal cancer was obvious,and the mortality of esophageal cancer in the six counties was statistically significant??²=107.57,P<0.001?,and the highest death rate was in xintai city,which was 43.58/100,000.The life expectancy of the whole population after the death of lung cancer was 81 years,increasing by 1.14 years;Males increased by 1.34 years to 77.92.Women were 84.21 years old and0.84 years older.After the death of lung cancer in xintai,the life expectancy was 81.19years,an increase of 1.44 years.4.Tai'an City 2015 residents of a total of 2221 cases died,the mortality rate of39.32/10,male mortality rate per 55.64/10,mortality rate per 22.57/10 women,female mortality is significantly higher than the male and the difference is statistically significant??²=392.91,P<0.01?.The distribution of Tai'an City esophageal cancer was obvious,and the mortality of esophageal cancer in the six counties was statistically significant??²=740.95,P<0.01?,and the highest death rate was in ningyang county,which was 72.18/100,000.The life expectancy of the whole population after the death of esophageal cancer was 80.51 years,increasing by 0.65 years.For men,77.38,an increase of 0.80 years;Women were 83.80 years old and 0.43 years older.The life expectancy of the patients after the death of esophageal cancer in ningyang county was 79.21 years,an increase of 1.15years.5.In 2015,Tai'an City residents lost 170,304 DALYs due to malignant tumor,and111,262 DALYs were lost to men,and 59,042 DALYs were lost to women.Among them,DALYs for lung cancer loss was 47265,accounting for 27.75%of all malignant tumors.The DALYs for esophageal cancer loss was 28637,accounting for 16.82%.ConclusionTai'an City population growth rate and population density were higher than that of shandong province in 2015,and the population was aging.Tai'an City population structure gold tower is two small middle,population structure is not healthy.The health burden of malignant tumor on Tai'an City population is higher than the average level of the whole province.Among them,lung cancer and esophageal cancer should be the focus of the prevention and control of Tai'an City malignant tumor.In 2015,the mortality of Tai'an City residents with lung cancer was 65.81/100,000,far higher than the national lung cancer mortality rate?46.34/100,000?in the same period,and 47,265 DALYs were lost,with an average loss of DALYs of 8.4 years for every 1,000 people.Tai'an City was one of several high incidence areas of esophageal cancer in China.In 2015,it lost 28,637 DALYs due to esophageal cancer,and the average loss of DALYs per thousand people was 5.1years.SuggestionSuggest that governments and health administrative departments at all levels should be formulated according to the research results of malignant tumor prevention and control in the whole city strategy,efforts to reduce caused by malignant tumor for population health and social economic burden.