2003—2022年北京市朝阳区居民结直肠癌疾病负担及其变化趋势分析

职业与健康 ›› 2024, Vol. 40 ›› Issue (24): 3352-3356.

2003—2022年北京市朝阳区居民结直肠癌疾病负担及其变化趋势分析

宋娟¹, 孟海英¹, 黄立勇¹, 苏健婷², 齐啸¹

1.北京市朝阳区疾病预防控制中心监测信息科,北京 100021;
2.北京市疾病预防控制中心信息统计中心,北京 100013

收稿日期:2024-03-19 修回日期:2024-04-01 出版日期:2024-12-15 发布日期:2026-04-09
通信作者: 孟海英,副主任医师,E-mail：cyqwjwcdcmhy@bjchy.gov.cn
作者简介:宋娟,女,副主任医师,主要从事死因监测工作。
基金资助:
首都卫生发展科研专项（No.2018-1-1011）

Analysis of disease burden and changing trend of colorectal cancer among residents in Chaoyang District of Beijing from 2003 to 2022

SONG Juan¹, MENG Haiying¹, HUANG Liyong¹, SU Jianting², QI Xiao¹

1. Department of Surveillance and Information,Beijing Chaoyang District Center for Disease Control and Prevention,Beijing 100021,China;
2. Information and Statistics Center,Beijing Center for Disease Control and Prevention,Beijing 100013,China

Received:2024-03-19 Revised:2024-04-01 Online:2024-12-15 Published:2026-04-09
Contact: MENG Haiying,Associate chief physician,E-mail：cyqwjwcdcmhy@bjchy.gov.cn

摘要/Abstract

摘要： 目的对2003—2022年北京市朝阳区户籍居民结直肠癌疾病负担及变化趋势进行分析,为制定适合朝阳区结直肠癌防控策略提供数据支持和科学依据。方法利用北京市卫生防病监测信息资源整合分析平台中的2003—2022年北京市朝阳区户籍居民死亡登记资料,分析结直肠癌的粗死亡率、标化死亡率、早死寿命损失年（years of life lost,YLL）、伤残寿命损失年（years of lived with disability,YLD）和伤残调整寿命年（disability-adjusted life years,DALY）及其平均年度变化百分比（average annual percent change,AAPC）,采用Excel 2016、SPSS 17.0和Joinpoint软件4.6.0.0进行统计分析。结果 2003—2022年,北京市朝阳区居民结直肠癌共死亡7 764例,粗死亡率由10.78/10万上升至26.75/10万（AAPC=5.29%,P<0.01）。男性粗死亡率和标化死亡率、女性粗死亡率均呈上升趋势（AAPC=5.69%、0.97%、3.71%,均P<0.01）;男性结直肠癌死亡人数、粗死亡率和标化死亡率均高于女性;男性和≥75岁女性死亡率均呈上升趋势（AAPC=3.07%、2.08%,均P<0.01）。45~<60岁男性死亡率呈上升趋势（AAPC=1.82%,P<0.05）;结直肠癌YLL率、YLD率和DALY率均呈上升趋势（AAPC=3.71%、6.67%、3.80%,均P<0.01）;男性YLL率、YLD率和DALY率及其上升速度均高于女性。45~<60和60~<75岁居民DALY在全年龄段中占比分别为21.96和40.76%。结论 2003—2022年北京市朝阳区居民结直肠癌死亡率、标化死亡率和DALY率呈上升趋势,尤其是男性和老年人疾病负担日益严重。政府应对全人群进行健康教育,提倡健康的饮食习惯和生活方式,加大结直肠癌的早期筛查力度,尤其高危人群,做到早发现、早诊断、早治疗,降低结直肠癌的疾病负担。

关键词: 结直肠癌, 死亡率, 疾病负担, 伤残调整寿命年, 平均年度变化百分比

Abstract: Objective To analyze the disease burden and change trend of colorectal cancer among registered residence residents in Chaoyang District of Beijing from 2003 to 2022,and to provide data support and scientific basis for formulating colorectal cancer prevention and control strategies suitable for Chaoyang District. Methods The death registration data of registered residence residents in Chaoyang District of Beijing from 2003 to 2022 were used to analyze the crude mortality,standardized mortality,years of life lost（YLL）,years of lived with disability（YLD）,disability-adjusted life years（DALY） and their average annual percent change（AAPC） of colorectal cancer in the integrated analysis platform of health and disease prevention monitoring information resources in Beijing. Excel 2016,SPSS 17.0 and Joinpoint Regression Program（version 4.6.0.0） were used for statistical analysis. Results From 2003 to 2022,there were a total of 7 764 deaths from colorectal cancer among residents in Chaoyang District of Beijing,and the crude mortality increased from 10.78/100 000 to 26.75/100 000（AAPC=5.29%,P<0.01）. The crude death rate,standardized death rate of male and crude death rate of female showed an increasing trend（AAPC=5.69%,0.97%,3.71%,all P<0.01）. The number of deaths,crude mortality rate,and standardized mortality rate of colorectal cancer in male were higher than those in female. The mortality rate of both males and females age ≥75 showed an upward trend（AAPC=3.07%,2.08%,all P<0.01）. The mortality rate of males aged 45-<60 was is on the rise（AAPC=1.82%,P<0.05）. The YLL rate,YLD rate and DALY rate of colorectal cancer showed an upward trend（AAPC=3.71%,6.67%,3.80%,all P<0.01）. The YLL rate,YLD rate and DALY rate,and their rate of increase in males were higher than those in females. The proportion of DALY among residents aged 45-<60 and 60-<75 in the entire age group was 21.96 and 40.76%,respectively. Conclusion The mortality rate,standardized mortality rate and DALY rate of colorectal cancer among residents in Chaoyang District of Beijing from 2003 to 2022 showed an upward trend,especially among males and the elderly,whose disease burden was becoming increasingly severe. The government should conduct health education for the whole population,promote healthy eating habits and lifestyles,and increase early screening of colorectal cancer,especially for high-risk groups,so as to achieve early detection,early diagnosis and early treatment,and reduce the disease burden of colorectal cancer.

Key words: Colorectal cancer, Mortality, Disease burden, Disability adjusted life years, Average annual percent change

中图分类号:

R181.3

宋娟, 孟海英, 黄立勇, 苏健婷, 齐啸. 2003—2022年北京市朝阳区居民结直肠癌疾病负担及其变化趋势分析. [J]职业与健康, 2024, 40(24): 3352-3356.

SONG Juan, MENG Haiying, HUANG Liyong, SU Jianting, QI Xiao. Analysis of disease burden and changing trend of colorectal cancer among residents in Chaoyang District of Beijing from 2003 to 2022. [J]OCCUPATION AND HEALTH, 2024, 40(24): 3352-3356.

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