摘要
目的 :了解2007-2015年上海市某社区居民死亡原因及其趋势,为相关部门制定干预措施提供依据。方法 :根据2007-2015年上海市某社区户籍死亡监测数据库,采用死亡率、标化死亡率、年度变化百分比(APC)、潜在减寿年数(PYLL)、平均减寿年数(AYLL)等指标对全死因进行分析。结果 :2007-2015年上海市某社区居民粗死亡率为940.521/10万,标化死亡率为304.861/10万。合计、男性、女性粗死亡率年度变化百分比(APC)分别为0.6%、1.91%、0.31%;标化死亡率APC分别为-0.88%、-2.94%、-1.55%,其中女性的标化死亡率下降趋势有统计学意义(P <0.05)。上海市某社区2007-2015年前10位死因顺位分别是恶性肿瘤、心脏病、脑血管病、呼吸系统疾病、内分泌营养疾病、损伤中毒、传染病、消化系统疾病、神经系统疾病、泌尿系统疾病,占全死因的86.00%。居民PYLL顺位前10位死因分别为恶性肿瘤、脑血管病、损伤中毒、心脏病、内分泌营养疾病、神经系统疾病、传染病、呼吸系统疾病、消化系统疾病、泌尿系统疾病。男性居民心脏病和损伤中毒的PYLL分别排在第3位和第4位。女性居民损伤中毒的PYLL排在第2位。结论:恶性肿瘤、心脑血管、损伤和中毒是引起上海市某社区居民死亡的主要死因,提示应进一步加强针对慢性病的社区防治工作。
Objective:To understand the causes and trends of death among residents of a community in Shanghai from 2007 to 2015 in order to provide evidence for relevant departments to formulate intervention measures.Methods:According to the household registration mortality monitoring database of a community in Shanghai from 2007 to 2015,the full cause of death were analyzed by using mortality,standardized mortality,annual change percentage(APC),potential years of life loss(PYLL),average years of life loss(AYLL)and other indicators.Results:From 2007 to 2015,the crude death rate of residents in a community in Shanghai was 940.521/100 000,and the standardized mortality rate was 304.861/100 000.The total,male and female APC changes were 0.6%,1.91%,and 0.31%,respectively.The standardized mortality APC changes were-0.88%,-2.94%,and-1.55%,respectively.Among them,the downward trend of standardized mortality of women was statistically significant(P<0.05).The top 10 causes of death in a community in Shanghai from 2007 to 2015 were malignant tumors,heart diseases,cerebrovascular diseases,respiratory diseases,endocrine nutrition,injury poisoning,infectious diseases,digestive diseases,neuropathy,and urinary system diseases,accounting for 86.00%of the total causes of death.The top 10 causes of death in PYLL ranking of residents were malignant tumors,cerebrovascular diseases,injury poisoning,heart diseases,endocrine and nutritional diseases,neurological diseases,infectious diseases,respiratory,digestive and urinary diseases.PYLL of heart diseases and injury poisoning of male residents ranked third and fourth,respectively.PYLL of injury poisoning in female residents ranked second.Conclusion:Malignant tumors,cardiovascular and cerebrovascular diseases,injuries and poisoning are the main causes of death in a community in Shanghai,which is suggested that community prevention and treatment of chronic diseases should be further strengthened.
作者
刘峥
沈凌
王慧
朱志祥
李雪峰
李松
LIU Zheng;SHEN Ling;WANG Hui;ZHU Zhixiang;LI Xuefeng;LI Song(Prevention and Health Care Department of Dongming Community Health Service Center of Pudong New District,Shanghai 200123,China;Prevention and Health Care Department of Wanggang Community Health Service Center of Pudong New District,Shanghai 201201,China)
出处
《上海医药》
CAS
2019年第2期49-52,共4页
Shanghai Medical & Pharmaceutical Journal
基金
上海市浦东新区卫生系统优秀社区适宜人才培养项目(PWRs2015-44)
关键词
社区
死因
潜在减寿年数
平均减寿年数
community
cause of death
potential years of life lost
average years of life lost
