关键词: 肿瘤, 死亡率, 社区卫生服务, 肺肿瘤, 胃肿瘤, 肝肿瘤, 结直肠肿瘤, 上海

Abstract: Objective　 To explore the mortality trend of malignant tumors among community residents through reviewing the information about death of malignant tumors in Weifang community of Shanghai in 2006—2015,in order to provide a theoretical basis for formulating better cancer prevention and rehabilitation strategies.Methods　Population data of Weifang community of Shanghai in 2006—2015 were obtained from the Public Security Bureau.Information about patients died from cancer were collected from cards ‘a new cancer case report in Shanghai’ registered by the responsible person of the Community Health Service Center and cancer information were collected in the life statistics.The mortality rate was standardized by national population in the same period.Results　From 2006 to 2015,a total of 916 163 person-years were observed.There were 2 202 cases died from malignant tumors.The crude mortality rate of all malignant tumors was 240.35/100 000,and the standardized mortality rate was 136.81/100 000.The male cancer standardized mortality rate was higher than the female,except in 2014,and the difference was statistically significant（P<0.05）.Both the male and female cancer standardized mortality rate showed the trend of first increase and subsequent decrease.The peak of death occurred in 2010.The male cancer standardized mortality rate was lower than the female in the 25-year-old population,while the male cancer standardized mortality rate was higher than the female in the 40-year-old and age 50 and older population（P<0.05）.From 50-year-old,the male and female cancer standardized mortality rate increased fast with the increasing of age.The male cancer standardized mortality rate increased fast until age 85 and older.The female cancer standardized mortality rate increased slowly after 85 year-old.During the observation period,the four most frequently diseased sites in community male residents were the lung,stomach,colorectum and liver,and the standardized mortality rates were 41.24/100 000,17.58/100 000,16.54/100 000 and 16.23/100 000,respectively.The four most frequently diseased sites in community female residents were the lung,stomach,colorectum and breast.The standardized mortality rates were 15.91/100 000,13.54/100 000,11.16/100 000 and 7.33/100 000,respectively.The mortality rates of lung neoplasms caused by the death was the first types of malignant tumors in the Weifang community，and standardized mortality rate of gastric cancer showed changing moderated and slightly decreased.The standardized mortality rate of colorectal cancer was peaked in 2013,and then gradually decreased.ConclusionThe mortality rate in Weifang community residents in 2006—2015 showed the trend of first increase and subsequent decrease.After 50 year-old,the residents cancer standardized mortality rate increased fast with age increasing.Cancer of the lung was the leading cause of deaths among residents.

Key words: Neoplasms, Mortality, Community health services, Lung neoplasms, Stomach neoplasms, Liver neoplasms, Colorectal neoplasms, Shanghai