摘要
目的分析2016—2020年滨州市居民死因监测数据,了解该市居民死亡特征,为制定疾病预防控制策略提供依据。方法分析2016—2020年滨州市居民死因网络直报中所有死亡病例,采用国际疾病分类标准(International Classification of Diseases,ICD-10)对数据进行分类,对死亡情况进行分析,主要包括2016—2020年人口年龄构成、居民粗死亡率、标准化死亡率,对年龄、性别进行死亡情况分析,前5位死因顺位占比及性别构成、期望寿命。结果2016—2020年,滨州市0~14岁、>14~64岁、>64岁人口分别占总人口的17.62%、67.82%、14.56%;0~14岁和>64岁人口占比呈上升趋势,>14~64岁人口呈逐年下降趋势,差异有统计学意义(χ^(2)=899.657,P<0.001);人口标准化死亡率为447.97/10万,粗死亡率为660.53/10万,各年度男性粗死亡率、标化死亡率高于女性,差异有统计学意义(χ^(2)=5.646,P<0.05);居民死亡率随年龄的增大呈“√”形变化,≥85岁组人群死亡率达到顶峰,为13573.86/10万;心脏病、恶性肿瘤、脑血管疾病、损伤和中毒、呼吸系统疾病死亡率分别为210.02/10万、182.56/10万、139.22/10万、45.12/10万、34.82/10万,合计占总死亡人数的92.67%;恶心肿瘤、脑血管疾病、损伤和中毒死亡率男性高于女性,差异有统计学意义(χ^(2)_(恶性肿瘤)=441.27、χ^(2)_(脑血管疾病)=19.74、χ^(2)_(损伤和中毒)=285.50,P<0.001);滨州市居民期望寿命为78.14岁。结论滨州市居民死亡率趋于稳定,且随着年龄增长先降后升,同期男性死亡率高于女性。慢性非传染性疾病是滨州市居民主要的死因,应根据死因监测数据制定合理的防控措施,提高居民期望寿命。
Objective To analyze the monitoring results of death causes in Binzhou City from 2016 to 2020,understand the death characteristics of residents in Binzhou City,and provide basis for formulating disease prevention and control strategies.Methods The present study analyzed all death cases directly reported by the Binzhou residents’Causes of Death network from 2016 to 2020,classified the data using the international classification of diseases(ICD-10),and analyzed the state of death,including population age composition,residents’crude mortality,standardized mortality,death data stratified by age and gender,ranking proportion of the top five causes of death,life expectancy,and gender composition between 2016 and 2020.Results The population aged 0-14,>14-64,and>64 years between 2016 and 2020 in Binzhou accounted for 17.62%,67.82%,and 14.56%of the total population,respectively.The proportion of people aged0-14 and>64 years showed an upward trend,and the population aged 15-64 years showed a downward trend over time(χ^(2)=899.657,P<0.001).The standardized mortality rate of the Binzhou population was447.97/100000 and the crude mortality rate was 660.53/100000.The crude and standardized mortality rates in men were higher than those in women over time(χ^(2)=5.646,P<0.05).The residents’death rate changed with the increase in age following the shape of"√".The death rate in the 85-year-old group reached a peak at 13573.86/100000.The mortality rates of heart disease,malignant tumor,cerebrovascular disease,injury and poisoning,and respiratory disease were 210.02/100000,182.56/100000,139.22/100000,45.12/100000,and 34.82/100000,respectively,accounting for 92.67%of the total deaths.Malignant tumor,cerebrovascular disease,and injury and poisoning rates in men were higher than those in women(χ^(2)_(Malignant tumor)=441.27,χ^(2)_(cerebrovascular disease)=19.74,χ^(2)_(injury and poisoning)=285.50,P<0.001).The life expectancy of Binzhou residents was 78.14 years.Conclusion Chronic non-communicable diseases are the main cause of death of residents in Binzhou City.Reasonable prevention and control measures should be formulated according to the death cause monitoring data to improve the life expectancy of residents.
作者
高艳玲
颜伟
林韬
GAO Yan-ling;YAN Wei;LIN Tao(Department of Chronic Disease Prevention and Control,Binzhou Center for Disease Control and Prevention,Shandong 256600,China;不详)
出处
《慢性病学杂志》
2022年第6期846-850,共5页
Chronic Pathematology Journal
关键词
慢性非传染性疾病
滨州市
死因监测
防控策略
Chronic non-communicable diseases
Binzhou City
Cause of death analysis
Prevention and control strategy