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

摘要： 目的　调查2006—2015年上海市潍坊社区居民恶性肿瘤死亡情况，掌握社区居民恶性肿瘤死亡趋势，为开展恶性肿瘤预防、康复工作提供依据。方法　2006—2015年上海市潍坊社区人口数据来源于公安部门，恶性肿瘤患者死亡数据来源于社区卫生服务中心肿瘤防治专管人员登记的“上海市恶性肿瘤新发病例报告卡”以及生命统计条线中肿瘤相关信息，以同时期我国人口数为基准进行死亡率的标准化。结果　2006—2015年观察社区居民916 163人年，2 202例死于恶性肿瘤，恶性肿瘤粗死亡率为240.35/10万，标化死亡率为136.81/10万。除2014年外，各年份男性恶性肿瘤标化死亡率均高于女性（P<0.05）。潍坊社区男、女性恶性肿瘤标化死亡率呈先上升、后下降的趋势，2010年出现死亡高峰。25岁～男性恶性肿瘤标化死亡率低于女性，40岁～和50岁及以上男性恶性肿瘤标化死亡率高于女性（P<0.05）。自50岁开始，随着年龄的增加，男性和女性居民恶性肿瘤标化死亡率快速增长，男性居民恶性肿瘤死亡率快速增长持续至85岁及以上，女性居民至85岁及以上增长趋缓。2006—2015年，上海市潍坊社区男性居民恶性肿瘤死亡顺位居前4位的是肺癌、胃癌、结直肠癌、肝癌，标化死亡率分别为41.24/10万、17.58/10万、16.54/10万、16.23/10万；女性居民恶性肿瘤死亡顺位居前4位的是肺癌、胃癌、结直肠癌、乳腺癌，标化死亡率分别为15.91/10万、13.54/10万、11.16/10万、7.33/10万。肺癌居潍坊社区居民恶性肿瘤死亡的首位，胃癌标化死亡率近年来波动趋缓且稍有下降，结直肠癌标化死亡率在2013年出现峰值后逐年下降。结论　2006—2015年上海市潍坊社区居民恶性肿瘤死亡率呈先上升后波动下降趋势；50岁后，随着年龄的增加，居民恶性肿瘤死亡率快速增长；肺癌是导致居民死亡的首要恶性肿瘤。

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