Ngoan Le Tran
Department of Occupational Health, Hanoi Medical University, Ton That Tung Street, Hanoi City, Viet Nam.
Asian Pac J Cancer Prev. 2006 Jan-Mar;7(1):127-30.
Hitherto, cancer mortality data have not been available in Viet Nam, so that the real public health problem with this disease has yet to be addressed and recognized in the country with a population of over 80 million in South East Asia. The aim of the present pilot study was to examine cancer mortality in a commune population of Hanoi city, 1996-2005.
Cancer data was accessed from the database of the population-routine-based death registration performed by medical workers at commune health stations based on the guidelines of the Ministry of Health at Hanoi city. All deaths occurring in the community were registered. This registration process was monthly reviewed for each fatal case regarding the name, age, sex, address, occupation, date-place-cause of death, and information concerning to pre-death medical care during the study period from Jan. 1996 to Dec. 2005. The list of death and residents of the study population was carefully cross-checked with other information sources to avoid under- or over-registration. The world population structure was used to estimate age-standardized cancer mortality rates per 100,000, (ASR).
During 60,770 person-years estimated from Jan. 1996 to Dec. 2005, 320 deaths and their causes were registered. Among them, 100 cancer cases of all sites (66 males and 34 females) were included. Cancer mortality rates were 222 and 109 (Crude), 353 and 115 (ASR), for males and females, respectively. For both genders combined, lung cancer was the most common, 27 cases, followed by liver, 26 cases and stomach, with 19. Proportion of death from cancer was about 31% of all causes.
The present findings suggest that in Viet Nam, a developing country, cancer is indeed an important public health problem.
迄今为止，越南尚未有癌症死亡率数据，因此在这个东南亚人口超过8000万的国家，该疾病真正的公共卫生问题尚未得到解决和认识。本试点研究的目的是调查1996 - 2005年河内市一个公社人口中的癌症死亡率。
癌症数据来自于社区卫生站医务人员根据河内市卫生部指南进行的基于人口常规死亡登记数据库。社区内发生的所有死亡均进行登记。在1996年1月至2005年12月的研究期间，每月对每个死亡病例的姓名、年龄、性别、地址、职业、死亡日期 - 地点 - 原因以及死前医疗护理信息进行审查。研究人群的死亡名单和居民名单与其他信息来源进行仔细核对，以避免漏报或错报。采用世界人口结构来估计每10万人的年龄标准化癌症死亡率（ASR）。
在1996年1月至2005年12月估计的60770人年期间，登记了320例死亡及其原因。其中，包括所有部位的100例癌症病例（男性66例，女性34例）。男性和女性的癌症死亡率分别为222和109（粗死亡率）以及353和115（年龄标准化死亡率）。男女合计，肺癌最为常见，有27例，其次是肝癌，26例和胃癌，19例。癌症死亡占所有死因的比例约为31%。
目前的研究结果表明，在越南这个发展中国家，癌症确实是一个重要的公共卫生问题。
