摘要
目的了解潜江市居民死亡水平、死亡原因及变化规律,分析居民死因分布特点及对寿命的影响,为制定卫生工作决策和评价防治效果提供基础信息和科学依据。方法死因采用国际疾病分类标准(ICD-10)编码,疾病类别采用居民病伤死亡原因报表(卫统8)分类,分层整群抽取潜江市2017年监测到的全部居民死亡资料,对死因状况进行描述性分析。结果潜江市2017年监测常住人口899 412人,死亡5 956人,总死亡率为6.62‰,其中男性、女性死亡率分别为7.35‰、5.90‰,差异有统计学意义(P<0.001)。前5位死因分别为肿瘤、心脏病、脑血管病、损伤中毒、呼吸系统疾病。结论心脑血管疾病和肿瘤等慢性非传染性疾病是造成潜江市居民死亡的主要原因,心脑血管病、肿瘤、损伤和中毒、呼吸系统疾病等是今后慢性病防治工作的重点,应大力开展健康教育与健康促进,提高全民素养水平,降低慢性病患病风险。
Objective To obtain the distribution characteristics of residents＇ death causes and their influences on life span,then to provide basic information and scientific basis for the formulation of health work decision-making and evaluation of control effects through analyzing the death level,death causes,and law of change about residents in Qianjiang City. Methods Causes of death were coded using the International Classification of Diseases（ ICD-10）. Disease categories were classified using the Vital Causes of Injury Causes of Death（ Veytso 8）. Stratified clusters were used to collect data on deaths of all residents monitored in 2017 in Qianjiang City.Descriptive analysis was used to analyze the death causes. Results The permanent residents monitored were 899 412 and deaths were 5 956. The total death rate was 6. 62‰,and the male and female death rates were 7. 35‰ and 5. 90‰ respectively which have statistically significant difference（ P〈0. 001）. The top five death causes were cancer,heart diseases,cerebrovascular diseases,injuries and poisoning,and respiratory diseases. Conclusion Chronic non-communicable diseases such as cardiovascular disease and tumors and so on are the main death causes in Qianjiang City. Cardiovascular diseases,tumors,injuries and poisoning,and respiratory diseases are the focus of prevention and treatment of chronic diseases in the future,and health education and health promotion should be vigorously developed to raise the level of national literacy and reduce the risk of chronic diseases.
作者
李明春
杨吉平
刘金铭
LI Mingchun;YANG Jiping;LIU Jinming(Qianjiang Center for Disease Control and Prevention,Qianjiang,Hubei 433100,China)
出处
《公共卫生与预防医学》
2018年第3期131-133,共3页
Journal of Public Health and Preventive Medicine
关键词
死亡率
死因分析
死因顺位
Mortality
Analysis of death causes
Rank of death causes
