摘要
目的了解临沧市临翔区居民慢性病死亡流行特征及变化趋势,为当地慢性病防控提供参考。方法收集临翔区2013-2018年居民慢性病死亡监测数据,分析居民死因及减寿顺位,使用年度变化百分比(APC)估计期间死亡率变化趋势。结果 2013-2018年临翔区居民慢性病死亡人数占比80.65%,居死因顺位第1位。年均粗死亡率为479.32/10万,标化死亡率为541.18/10万;男性年均粗死亡率为568.16/10万,标化死亡率为642.35/10万;女性年均粗死亡率为386.27/10万,标化死亡率为441.18/10万,男性死亡率高于女性(P<0.001)。前3位慢性病死因为循环系统疾病(56.25%)、慢性呼吸系统疾病(15.70%)、恶性肿瘤(13.12%)。2013-2018年因慢性病死亡的潜在减寿年数占全死因的59.00%,前3位减寿顺位为循环系统疾病、恶性肿瘤、消化系统疾病,减寿率(PYLLR)分别为19.79‰、9.92‰、5.61‰。结论慢性病已成为临翔区居民的主要死因,应加强对循环系统疾病、慢性呼吸系统疾病、恶性肿瘤和消化系统疾病的监测与防控,同时积极开展健康教育工作,充分发挥一级预防的作用。
Objective To understand the epidemiological characteristics and trends of chronic diseases among residents in Linxiang District of Lincang, and to provide reference for prevention and control of local chronic diseases. Methods Data of deaths from chronic diseases of residents in Linxiang District from 2013 to 2018 were collected. The causes of death and life loss of residents were analyzed. The annual change percentage(APC) was used to estimate the trend of chronic disease mortality. Results In 2013-2018, the deaths of chronic diseases among residents in Linxiang District accounted for 80.65% of the total, ranking first in the cause of deaths. The annual average crude death rate was 479.32/100 000, and the standardized mortality rate was 541.18/100 000. For males, the average annual crude death rate was 568.16/100 000, and the standardized mortality rate was 642.35/100 000. For females, the average annual crude death rate was 386.27/100 000, and the standardized mortality rate was 441.18/100 000. The male mortality rate was higher than that of females(P<0.001). The top three causes of deaths from chronic diseases were circulatory diseases(56.25%), chronic respiratory diseases(15.70%) and malignant tumors(13.12%). The potential years of life lost due to chronic diseases in 2013-2018 accounted for 59.00% of the total cause of death. The top three causes leading to life loss were circulatory diseases, malignant tumors and digestive diseases, and the PYLLR was 19.79‰, 9.92‰, and 5.61‰, respectively. Conclusion Chronic diseases have become the main cause of death for residents in Linxiang. It is necessary to strengthen the monitoring and prevention of circulatory diseases, chronic respiratory diseases, malignant tumors and digestive diseases. At the same time, health education should be actively carried out to give full play to the role of primary prevention.
作者
杨洁
杨一青
王新梅
李檬妤
康家波
陈琰姝
罗忠芳
董秀玲
施正仙
卢鹤云
许奕华
LUO Zhongfang;DONG Xiuling;SHI Zhengxian;LU Heyun;XYU Yihua(School of Public Health,Huazhong University of Science&Technology,Wuhan430030,China;Lincang Second People′s Hospital,Yunnan Province,Lincang,Yunnan 677000,China;Center for Disease Control and Prevention in Linxiang District of Lincang,Lincang 677000,China;Health Bureau in Linxiang District of Lincang,Lincang 677000,China)
出处
《公共卫生与预防医学》
2019年第6期44-47,共4页
Journal of Public Health and Preventive Medicine
基金
2019年自主创新基金—扶贫专项(5003513021)
关键词
慢性病
死亡率
死因顺位
潜在减寿年数(PYLL)
减寿率(PYLLR)
Chronic disease
Mortality
Order of death causes
Potential years of life lost(PYLL)
Potential years of life lost rate(PYLLR)
作者简介
第一作者:杨洁,研究生在读,主要研究方向:公共卫生;通信作者:许奕华,博士,副教授,Email:xuyihua_6@hotmail.com。
