摘要
目的分析云南省普洱市思茅区居民死因分布特点和潜在寿命损失情况,为综合防治提供依据。方法采用国际疾病分类ICD-10和我国居民病伤死亡原因统计分类标准(卫统29-2报表)对云南省思茅区2014年死因监测资料进行根本死因编码和死因分类,通过死亡率、构成比、潜在减寿年数(PYLL)、减寿率(PYLLR)、期望寿命等指标分析居民死亡和减寿的主要原因。结果 2014年思茅区报告死亡总数1 911例,粗死亡率为640.89/10万,标化死亡率为633.76/10万,男性(689.94/10万)高于女性(491.83/10万);前5位死因顺位依次为心脏病、恶性肿瘤、脑血管病、呼吸系统疾病、损伤和中毒,占全死因的73.89%(1 412/1 911);居民人均期望寿命为72.99岁,去除前5位死因的影响,居民期望寿命可提高20.93岁。去心脏病、去恶性肿瘤、去脑血管病、去呼吸系统疾病、去损伤和中毒死因后居民期望寿命分别提高2.67、2.38、1.89、1.16和1.37岁。主要死因减寿顺位依次为损伤和中毒、恶性肿瘤、心脏病、脑血管病和呼吸系统疾病,减寿率分别为17.32‰、16.00‰、9.76‰、7.49‰和3.80‰,男性减寿顺位与全人群一致,女性首位减寿死因是恶性肿瘤。结论思茅区居民主要死亡原因以慢性非传染性疾病为主,应根据思茅区居民死因特点制定有效防控干预措施。
Objective To analyze the leading causes of death and potential years of life lost（ PYLL） of residents living in Simao,Yunnan Province. Methods Data from the death registry system in Simao in 2014 were analyzed to obtain the encoding and classification of causes of death based on the ICD-10 and the statistical classification criteria for the causes of death of residents of China. The mortality rate,composition ratio,life expectancy,PYLL,and PYLL rate（ PYLLR） were calculated to estimate the main causes of the death and life lost of the residents. Results In 2014,the total number of deaths were1 911 cases,the crude mortality rate was 640. 89 /100 000,and the standardized mortality rate was633. 76 /100 000. The standardized mortality rate of men（ 689. 94 /100 000） was higher than that of women（ 491. 83 /100 000）. The top five leading causes of death were heart disease,malignant neoplasms,cerebrovascular disease, respiratory diseases, and injuries and poisoning, accounting for 73. 89%（ 1 412 /1 911） of the total deaths. The average life expectancy of residents was 72. 99 years. Removing the influence of the top five leading causes of death,the life expectancy could improve 20. 93 years; separately removing the causes of death due to heart disease,malignant neoplasms,cerebrovascular disease,respiratory diseases,and injuries and poisoning,the life expectancy could improve 2. 67,2. 38,1. 89,1. 16,and 1. 37 years,respectively. The leading causes of PYLL were injuries and poisoning,malignant neoplasms,cardiovascular diseases,cerebrovascular diseases,and respiratory diseases,with the PYLLRs of 17. 32‰,16. 00‰,9. 76‰,7. 49‰,and 3. 80‰,respectively. The first leading cause of PYLL was injuries and poisoning in men,consistent with that in the whole population,whereas malignant neoplasms were top-ranking causes of PYLL in women. Conclusion The leading causes of death among residents in Simao were chronic non-infectious diseases. Appropriate interventions and effective strategy should be adopted bas
出处
《华南预防医学》
2015年第6期536-540,共5页
South China Journal of Preventive Medicine
关键词
死亡原因
期望寿命
潜在减寿年数
减寿率
Cause of death
Life expectancy
Potential years of life lost
Life lost rate
