TY - JOUR
T1 - The mortality patterns of lung cancer between 1990 and 2013 in Xuanwei, China
AU - Chen, Gongbo
AU - Sun, Xin
AU - Ren, Hongyan
AU - Wan, Xia
AU - Huang, Hecang
AU - Ma, Xiangyun
AU - Ning, Bofu
AU - Zou, Xiaonong
AU - Hu, Weijiang
AU - Yang, Gonghuan
N1 - Funding Information:
This work was supported by China Medical Board Grant on CMB-CP in Burden of Diseases in China (12-107) .
Publisher Copyright:
© 2015.
PY - 2015/11
Y1 - 2015/11
N2 - Objectives: To explore the variations in the mortality trends, especially death due to lung cancer, from 1990 to 2013 in Xuanwei City. Materials and methods: Mortality data were collected in Xuanwei during the 2nd and 3rd National Retrospective Sampling Survey on Mortality and Routine Death Registration System (DRS) during 2011-2013. According to the result of the survey on under-reported deaths, mortality data from DRS during 2011-2013 were adjusted. Disease specific mortality rate, age-standardized mortality rate (ASMR) and 45Q15 were calculated in Xuanwei and compared with those in rural areas of China. Results: During three periods, 1990-1992, 2004-2005 and 2011-2013, lung cancer contributed to 56.86%, 58.45% and 63.03% of deaths from all cancers respectively with a much higher proportion than rural areas nationally. The ASMR of lung cancer for males surged from 41.43/105 to 88.17/105 during 1990-2005 and it surged from 37.70/105 to 74.45/105 for females. Although they declined slightly during 2011-2013 (82.53/105 and 62.62/105 for males and females respectively), the ASMR of lung cancer among males in Xuanwei was three times of that in rural areas in China, and it was six times higher among females. The 45Q15 of lung cancer for males in Xuanwei was 3-5 times of that in rural areas of China and for females it was 7-9 times. The high-mortality areas of lung cancer were still located in Laibin, Longchang, Wanshui and Shuanglong Communities. High-mortality areas of lung cancer expanded to their surrounding areas and those in southeast. Conclusions: Although indoor air pollution caused by smoky coal has been fairly well controlled, patterns of death due to lung cancer have not obviously changed. The mortality rate of lung cancer among females was similar to that among males. Therefore, further studies should be conducted to comprehensively explore the risk factors of lung cancer in Xuanwei.
AB - Objectives: To explore the variations in the mortality trends, especially death due to lung cancer, from 1990 to 2013 in Xuanwei City. Materials and methods: Mortality data were collected in Xuanwei during the 2nd and 3rd National Retrospective Sampling Survey on Mortality and Routine Death Registration System (DRS) during 2011-2013. According to the result of the survey on under-reported deaths, mortality data from DRS during 2011-2013 were adjusted. Disease specific mortality rate, age-standardized mortality rate (ASMR) and 45Q15 were calculated in Xuanwei and compared with those in rural areas of China. Results: During three periods, 1990-1992, 2004-2005 and 2011-2013, lung cancer contributed to 56.86%, 58.45% and 63.03% of deaths from all cancers respectively with a much higher proportion than rural areas nationally. The ASMR of lung cancer for males surged from 41.43/105 to 88.17/105 during 1990-2005 and it surged from 37.70/105 to 74.45/105 for females. Although they declined slightly during 2011-2013 (82.53/105 and 62.62/105 for males and females respectively), the ASMR of lung cancer among males in Xuanwei was three times of that in rural areas in China, and it was six times higher among females. The 45Q15 of lung cancer for males in Xuanwei was 3-5 times of that in rural areas of China and for females it was 7-9 times. The high-mortality areas of lung cancer were still located in Laibin, Longchang, Wanshui and Shuanglong Communities. High-mortality areas of lung cancer expanded to their surrounding areas and those in southeast. Conclusions: Although indoor air pollution caused by smoky coal has been fairly well controlled, patterns of death due to lung cancer have not obviously changed. The mortality rate of lung cancer among females was similar to that among males. Therefore, further studies should be conducted to comprehensively explore the risk factors of lung cancer in Xuanwei.
KW - Causes of death
KW - Lung cancer
KW - Mortality patterns
KW - Xuanwei
UR - http://www.scopus.com/inward/record.url?scp=84955246598&partnerID=8YFLogxK
U2 - 10.1016/j.lungcan.2015.08.006
DO - 10.1016/j.lungcan.2015.08.006
M3 - Article
C2 - 26314615
AN - SCOPUS:84955246598
SN - 0169-5002
VL - 90
SP - 155
EP - 160
JO - Lung Cancer
JF - Lung Cancer
IS - 2
ER -