摘要
目的分析重庆市武隆区4种重大慢性病(恶性肿瘤、糖尿病、心脑血管疾病、慢性呼吸道系统疾病)过早死亡趋势,为政府制定慢性病防控政策提供依据。方法收集2011-2016年重庆市武隆区全人群死因监测信息,用SPSS 19. 0软件分析武隆区死亡率、过早死亡率和年均变化速度(annual percentage change,APC)等相关指标。结果 2011-2016年重庆市武隆区标化死亡率为399. 70/10万～794. 04/10万,年均标化死亡率为445. 28/10万。4种重大慢性病过早死亡率为15. 08%,呈年均1. 41%上升。其中男女过早死亡率分别为17. 89%、11. 77%,男性呈年均2. 53%上升,女性呈年均0. 9%下降。男性恶性肿瘤和女性糖尿病分别以9. 09%和22. 02%的速度上升,值得高度关注。结论重庆市武隆区4种重大慢性病过早死亡率较高,与《"健康重庆2030"规划》目标有较大差距,严重影响居民预期寿命和生存质量,应建立政府主导、部门实施、群众主动参与的慢病防控机制,倡导健康生活方式,提高健康素养水平,努力发现患者,提高慢性患者治疗管理依从性是防控工作重点。
Objective To analyze the characteristics of premature death of four major chronic diseases( malignant tumor,diabetes,cardiovascular and cerebrovascular diseases,and chronic respiratory diseases) in Wulong district,and to provide a basis for the government to formulate chronic disease prevention and control policies.Methods The monitoring information of death causes in Wulong District from 2011 to 2016 was collected,and SPSS 19. 0 software was used to analyze the mortality,premature mortality and average annual percentage change rate( APC) of Wulong district. Results The standardized death rate in Wulong district from 2011 to2016 was 399. 70/105 to 794. 04/105,with an average annual standardized death rate of 445. 28/105. The premature death rate of four major chronic diseases was 15. 08 %,representing an annual increase of 1. 41%.Among them,the premature death rates in males and females were 17. 89% and 11. 77% respectively,with an annual increase of 2. 53 % in males and of 0. 9% in females. Male malignant tumors and female diabetes increased at a rate of 9. 09% and 22. 02%,respectively,deserving high attention. Conclusion The premature death rate of the four major chronic diseases in Wulong district is high with a significant gap from the goal of"Healthy Chongqing 2030"Plan and seriously affects the life expectancy and quality of life of residents. The prevention and control work should focus on establishing a government-led,department-implemented and mass-active prevention and control mechanism for chronic diseases,advocating a healthy lifestyle, improving the level of health literacy,trying to identify patients and improving the compliance of treatment and management of chronic disease patients.
作者
刘兴建
刘浩然
孙毅
LIU Xingjian;LIU Haoran;SUN Yi(Wulong District Center for Disease Prevention and Control,Chongqing 408500,China.)
出处
《预防医学情报杂志》
CAS
2019年第3期250-253,共4页
Journal of Preventive Medicine Information
关键词
慢性病
死亡率
过早死亡率
chronic diseases
mortality
premature mortality
