厦门市居民2005年－2014年结直肠癌死亡的流行病学分析

摘要

Objective:To explore the trend of mortality of colorectal cancer in residents in Xiamen,provide the ba-sis data on preventing colorectal cancer in Xiamen.Methods:The data of residents in Xiamen dying of colorectal cancer from 2005 to 2014 was collected and cleared up to calculate the indexes such as mortality rate.The multiple lo-gistic regression was used to analyze the impact factors associating with the death of colorectal cancer.Results:From2005 to 2014,the average mortality rate of colorectal cancer in residents in Xiamen was 10.69 per 100 000 persons, of which in male was 1.40 times as that in female.The APC was 9.35%.The mortality rate rose as the age grew and the median age was 70 years old.Male (OR =1.67,95%CI:1.52 ~1.82),living in the city (OR =1.67,95%CI:1.50 ~1.85)and 2010 -2014 (OR =1.48,95%CI:1.35 ~1.63),age (OR =1.52,95%CI:1.50 ~1.55)may be the risk factors of colorectal cancer.Conclusion:The mortality of colorectal cancer in Xiamen was increasing.We should pay more attentions on preventing and curing of colorectal cancer especially on the urban,male and elderly population.%目的：探讨厦门市居民结直肠癌死亡变化趋势，为厦门市结直肠癌综合防治工作提供依据。方法：收集整理2005年－2014年厦门市居民结直肠癌死亡资料，计算死亡率等评价指标。多因素 Logistic 回归分析结直肠癌死亡的影响因素。结果：2005年－2014年，厦门市居民结直肠癌死亡率10．69／10万，年均上升9．35％，男性死亡率是女性的1．40倍。死亡率随着年龄的升高逐渐升高，死亡年龄中位数为70岁。男性（OR ＝1．67，95％CI：1．52～1．82）、生活在城市（OR ＝1．67，95％CI：1．50～1．85）和2010年－2014年时间段（OR ＝1．48，95％CI：1．35～1．63）、年龄越大（OR ＝1．52，95％CI：1．50～1．55）可能是结直肠癌死亡的危险因素。结论：厦门市居民结直肠癌死亡率呈上升趋势，应以城市、男性、老年人群作为重点关注对象，重视结直肠癌防治工作。