摘要
目的了解重庆市渝北区居民主要死因及潜在寿命损失情况,为疾病预防控制提供科学依据。方法按照ICD-10方法对该区居民死亡资料统一编码分类,用DeathReg2005死因分析软件进行统计分析,利用粗死亡率、死因构成比、死因顺位及潜在寿命损失等指标分析了解该区居民的死亡特点。结果该区居民2012年的死亡率为605.02/10万,标化死亡率为440.72/10万,男性死亡率高于女性(χ2=227.87,P<0.001)。主要死因顺位为循环系统疾病、恶性肿瘤、呼吸系统疾病、损伤和中毒、消化系统疾病,这5类死因死亡人数之和占总死亡人数的95.15%。导致潜在寿命损失前6位的疾病依次为恶性肿瘤、损伤与中毒、循环系统疾病、呼吸系统疾病、围生期疾病、消化系统疾病。不同年龄段的主要死因各有特点。结论 2012年该区居民的主要死因以循环系统疾病及恶性肿瘤等慢性非传染性疾病为主;损伤和中毒,尤其是交通事故引起的死亡更集中在青壮年。应根据该区居民的死因特点制定预防策略和干预措施。
Objective To understand the main causes of death and the potential years of life lost （PYLL） of residents living in Yubei District of Chongqing, so as to provide evidence for disease control and health promotion. Methods The data of the death cases were classified according to ICD-10 method and were subjected to analysis by DeathReg2005 software. The characteristics of death of our population were analyzed using the following parameters： the crude mortality, proportions of death due to different reasons, order of death causes and the PYLL, etc. Results The crude death rate of residents in our study was 605.02 per 100 000 in 2012, with the standardized death rate being 440.72 per 100 000, and the mortality was higher in males than in females（χ2 =227.87,P〈0. 001）. The top five causes of deaths in order were： circular system diseases, malignant tumors, respiratory system diseases, injury and poisoning, and digestive system diseases; these 5 causes contributed to 95.15 of all death causes. The top six causes of PYLL in order were; malignant tumors, injury and poisoning, circular system diseases, respiratory system diseases, perinatal system diseases, and digestive system diseases. The main causes of death among different ages have their own characteristics. Conclusion The predominant causes of death among residents in our study include chronic non-infectious diseases （circular system diseases and malignant tumors） ; injuries and poisoning, especially death due to traffic accident, are the major causes among young adults. Appropriate preventive and interventional measures should be taken based on the death causes of residents.
出处
《第二军医大学学报》
CAS
CSCD
北大核心
2015年第1期95-99,共5页
Academic Journal of Second Military Medical University
关键词
死亡率
死因分析
死因顺位
潜在寿命损失
mortality
death cause analysis
sequence of death cause
potential years of life lost
作者简介
黄文捷，硕士生．E-mail：aibivicky@163．com
Tel：023-68019718，E-mail：chenyu@cqmu．edu．cn
