Trend analysis of disease burden of gastric cancer in Chinese residents from 1990 to 2019
10.3969/j.issn.1006-2483.2023.03.005
- VernacularTitle:1990—2019年中国居民胃癌疾病负担变化趋势分析
- Author:
Honglin ZHAO
1
;
Tingting LI
1
;
Guowu DING
1
Author Information
1. Institute of Social Medicine and Health Management , School of Public Health , Lanzhou University , Lanzhou , Gansu 730000 , China
- Publication Type:Journal Article
- Keywords:
Gastric cancer;
Burden of disease;
Disability adjusted life years
- From:
Journal of Public Health and Preventive Medicine
2023;34(3):22-26
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the trend of disease burden of gastric cancer in Chinese residents from 1990 to 2019 and to provide reference for the prevention and control of gastric cancer in China. Methods The crude incidence and crude mortality rates of gastric cancer in Chinese residents of different genders from 1990 to 2019 were calculated from the Global Burden of Disease Study (GBD) database, and the standardized incidence and mortality rates were calculated to describe the trend of incidence and mortality of gastric cancer in Chinese residents. Disability Adjusted Life year (DALY) and years lived with Disability (DALY) were used. YLD, years of life lost (YLL) and other indicators were used to analyze the age and gender distribution of the disease burden of gastric cancer in Chinese residents. Joinpoint regression model was used to analyze the trend of the disease burden of gastric cancer. Results From 1990 to 2019, the incidence and crude incidence of gastric cancer increased, while the standard incidence decreased. The number of deaths was on the rise, the crude mortality rate and the standard mortality rate were both decreased, the morbidity and mortality index values of male were higher than that of female. The average annual average of the standardized DALY rate and the standardized YLL rate in China decreased by 2.30% (AAPC= -2.30%, P < 0.001), while the trend of the standardized YLD rate was not statistically significant (P=1.000). The average annual decrease rate of standardized DALY rate, standardized YLD rate and standardized YLL rate for males was smaller than that for females. In 2019, the peak rates of normalization of disease burden indicators were mainly distributed in the 55-74 age group. Conclusion From 1990 to 2019, the disease burden of gastric cancer in China showed a downward trend, and males and middle-aged and elderly people were the key prevention and treatment groups.
