@文章{信息:doi/10.2196/33633，作者=“叶文静和卢文静，李维维和李晓帆和陈一晨和王琳和曾广旺，徐广旺，程吉，陈和蔡宇阳，杨宇阳，玲和罗，郑”，标题=“中国发达地区肺癌过早死亡率的长期变化:基于人群的研究”，期刊=“JMIR公共卫生监测”，年=“2022”，月=“4”，日=“20”，卷=“8”，数=“4”，页=“e33633”，关键词=“肺癌;死亡率;岁月蹉跎;趋势分析;背景:肺癌是世界范围内导致死亡的主要原因之一，其发病率呈上升趋势。研究中国发达地区肺癌过早死亡率的长期变化，对进一步阐明干预措施的有效性具有重要的探索性意义。目的:本研究调查了中国上海浦东新区过早肺癌死亡率的长期变化，以了解死亡率的变化并设计未来的预防计划。方法:从PNA死亡率登记系统中收集癌症死亡数据。我们分析了1973年至2019年肺癌患者的粗死亡率(CMR)、Segi世界标准人群的年龄标准化死亡率(ASMRW)和寿命损失年(YLL)。CMR、ASMRW和YLL率的时间趋势通过连接点回归计算，以平均年百分比变化(AAPC)表示，并具有相应的95{\%}CI。 Results: All registered permanent residents in PNA (80,543,137 person-years) from 1973 to 2019 were enrolled in this study. There were 42,229 deaths from lung cancer. The CMR and ASMRW were 52.43/105 and 27.79/105 person-years, respectively. The YLL due to premature death from lung cancer was 481779.14 years, and the YLL rate was 598.16/105 person-years. The CMR and YLL rate showed significantly increasing trends in men, women, and the total population (P<.001). The CMR of the total population increased by 2.86{\%} (95{\%} CI 2.66-3.07, P<.001) per year during the study period. The YLL rate increased with an AAPC of 2.21{\%} (95{\%} CI 1.92-2.51, P<.001) per year. The contribution rates of increased CMR values caused by demographic factors were more evident than those caused by nondemographic factors. Conclusions: Lung cancer deaths showed an increasing trend in PNA from 1973 to 2019. Demographic factors, such as the aging population, contributed more to an increased CMR. Our research can help us understand the changes in lung cancer mortality and can be used for similar cities in designing future prevention plans. ", issn="2369-2960", doi="10.2196/33633", url="https://publichealth.www.mybigtv.com/2022/4/e33633", url="https://doi.org/10.2196/33633", url="http://www.ncbi.nlm.nih.gov/pubmed/35442209" }