摘要
目的分析重庆市南岸区居民死因及减寿情况,为卫生政策的制定和卫生资源配置提供依据。方法死因资料来源于2012-2015年重庆市南岸区常住居民病伤死因监测资料。采用2010年全国人口普查的人口数据进行标化,使用死因专用统计软件DeathReg 2005和SPSS 13.0软件对2012-2015南岸区居民死因监测数据整理和统计分析,分析指标包括死亡率、标化死亡率、潜在寿命损失年(potential year of life lost,PYLL)、寿命损失率和平均减寿年数(average years of life lost,AYLL)等。结果南岸区2012-2015年累计报告死亡病例16 296例,居民年平均死亡率为534.30/10万,标化死亡率为446.30/10万。男性死亡9 362例,年平均死亡率为603.60/10万,标化死亡率为333.51/10万,女性死亡6 934例,年平均死亡率462.59/10万,标化死亡率为258.12/10万,男女死亡病例比为1.35∶1。男性死亡率高于女性,差异有统计学意义(χ~2=285.21,P<0.01),死因前五位为循环系统疾病(死亡率206.92/10万,构成比38.73%);肿瘤(死亡率176.16/10万,构成比32.97%);呼吸系统疾病(死亡率74.82/10万,构成比14.00%);损伤和中毒(死亡率22.49/10万,构成比4.21%);消化系统疾病(死亡率14.46/10万,构成比2.71%),占全死因的92.62%。0~岁组首位死因为围生期疾病,5~岁组首位死因为损伤和中毒,15~岁组、45~岁组首位死因为肿瘤,≥65岁组首位死因为循环系统疾病。对南岸区居民寿命损失影响最大的前五位死因依次为肿瘤(减寿率23.86%)、循环系统疾病(减寿率12.70%)、损伤和中毒(减寿率5.20%)、呼吸系统疾病(减寿率3.44%)、消化系统疾病(减寿率1.75%)。结论慢性非传染性疾病与损伤和中毒是造成南岸区居民死亡和减寿的主要原因,应加强慢性病综合防控。
Objective To understand the major cause of death and potential years of life lost of residents in Nan′an District of Chongqing,and to provide the evidence for health policy formulation and health resources distribution. Methods Data was retrieved from the official database of death cause of residents registered in Nan′an district of Chongqing from 2012 to 2015 and standardized by the national population census data in 2010.The mortality rate,standardized mortality rate,potential year of life lost（PYLL）,PYLL rate and average years of life lost（AYLL）were analyzed and calculated using software of DeathReg 2005 and SPSS 13.0. Results The total number of death in the district was 16 296 from 2012 to 2015,with an average annual mortality rate of 534.30/100 000 and standardized mortality rate of 446.30/100 000.The death toll of male and female residents were 9 632 and 6 934,with the average mortality rate of 603.60/100 000 and 462.59/100 000 and standardized mortality rate of 333.51/100 000 and 258.12/100 000,respectively.The mortality rate was higher among male than female residents（χ^2=285.21,P〈0.01）.The top five common causes of death were diseases of circulatory system,tumor,diseases of respiratory system,injury and poisoning,diseases of digestive system,accounting for 92.62% of the total death tol 1.Diseases in the perinatal period,injury and poisoning,tumor,diseases of circulatory system were top causes of death among children of 4years and under,children of 5-14 years,young adults of 15-44 years,middle-aged adults of 45-64 years and the elderly of 65 and older,respectively.The top five influencing factors for PYLL rate were tumor,diseases of circulatory system,injury and poisoning,diseases of respiratory system and digestive system. Conclusions The chronic non-infectious diseases and injury and poisoning are the major causes of death among residents in Nan′an District of Chongqing.
作者
陶杨
方勇
廖晓澄
TAO Yang FANG Yong LIAO Xiao-cheng(Center for Disease Control and Prevention of Nan＇an , Chongqing 400067, Chin)
出处
《中国预防医学杂志》
CAS
CSCD
2017年第9期698-702,共5页
Chinese Preventive Medicine
关键词
死亡率
标化死亡率
潜在减寿年数
平均减寿年数
减寿率
Mortality rate
Standardized mortality rate
Potentia l year of life lost（PYLL）
Average years of life lost（AYLL）
The PYLL rate
