1872-2019 年德国汉堡的癌症死亡率。

Cancer Mortality in Hamburg (Germany) 1872-2019.

机构信息

Institute of MedicalInformatics, Biometryand Epidemiology,University HospitalEssen;State Cancer RegistryNorthRhine-Westphalia,Bochum;School of PublicHealth, Departmentof Epidemiology,Boston University,USA.

出版信息

Dtsch Arztebl Int. 2022 Jan 28;119(4):41-46. doi: 10.3238/arztebl.m2021.0375.

DOI:10.3238/arztebl.m2021.0375

PMID:34857084

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9017781/

Abstract

BACKGROUND

For a number of reasons, the cause-of-death statistics of the city of Hamburg are one of the most valid sources of data for the study of secular trends in cancer mortality in Germany. In this article, cancer mortality in Hamburg over the period 1872-2019 is presented.

METHODS

The sex-specific, raw, age-standardized (according to the world standard population), and age-specific cancer mortality rates for Hamburg, the German Empire, and the Federal Republic of Germany were determined from a variety of sources. The percentage of persons aged 60 and above in Hamburg was determined for the periods 1895-1950 and 1956-2019.

RESULTS

Raw cancer mortality rates rose in Hamburg from 1872 onward. After standardization for age, cancer mortality rates were nearly constant from 1905 to 1951. In contrast, age-standardized cancer mortality in Germany overall rose over the years 1905-1934, reaching the same level as Hamburg only in 1933. From 1951 onward, cancer mortality rose among men in Hamburg, reaching a maximum of 205 per 100 000 in 1967 and thereafter continually decreasing, down to a value of 120 per 100 000 in 2019. In women, cancer mortality was nearly constant from 1905 to 1958 and then fell continually until 2019 (85 per 100 000). The percentage of persons aged 60 or above was only 6% in 1895, 17% in 1950, and 23% in 2019.

CONCLUSION

The high validity of cause-of-death statistics in Hamburg enabled an estimation of secular trends in cancer mortality. A steady decline in cancer mortality in all age groups and in both sexes was found in Hamburg, beginning in approximately 1990 at the latest.

摘要

背景

由于多种原因，汉堡市的死因统计数据是研究德国癌症死亡率长期变化的最有效数据来源之一。本文呈现了 1872 年至 2019 年期间汉堡市的癌症死亡率。

方法

从各种来源确定了汉堡市、德意志帝国和德意志联邦共和国的性别特异性、原始、年龄标准化（按世界标准人口）和年龄特异性癌症死亡率。1895 年至 1950 年和 1956 年至 2019 年期间，确定了汉堡市 60 岁及以上人口的百分比。

结果

自 1872 年以来，汉堡市的原始癌症死亡率呈上升趋势。标准化年龄后，1905 年至 1951 年期间癌症死亡率几乎保持不变。相比之下，1905 年至 1934 年期间，德国整体的年龄标准化癌症死亡率上升，直到 1933 年才达到与汉堡相同的水平。1951 年以来，汉堡市男性的癌症死亡率上升，1967 年达到每 10 万人 205 例的峰值，此后持续下降，2019 年降至每 10 万人 120 例。女性的癌症死亡率从 1905 年到 1958 年几乎保持不变，然后持续下降到 2019 年（每 10 万人 85 例）。1895 年 60 岁及以上人口比例仅为 6%，1950 年为 17%，2019 年为 23%。