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中国分地区人口死因状况及去死因期望寿命分析

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目的 了解各地区人口死因现状,研究各疾病死因的变化趋势,为卫生资源合理利用提供可靠依据.方法 对比2010、2015、2020年东、中、西部地区死因顺位,编制全死因寿命表以及去死因寿命表.计算死亡率、年龄标化死亡率和减寿率等指标,并采用第七次全国人口普查数据进行标化.结果 各地区死亡率呈上升趋势,西部地区年龄标化死亡率最高,各地区期望寿命年均增长0.32、0.34和0.31岁.恶性肿瘤、脑血管病、心脏病、呼吸系统疾病和伤害是各地区死因前5位.恶性肿瘤是东部地区死因首位,而脑血管病是中部地区的死因首位.心脏病寿命损失率在各地区都呈上升趋势,2020年中部地区≥85岁年龄组心脏病寿命损失率已达49.50%;呼吸系统导致的寿命损失率逐年降低,但随年龄的增长呈上升趋势,且对西部地区的寿命影响最大;伤害导致的寿命损失率在≥75岁年龄组呈上升趋势.结论 各地区人口期望寿命逐步增加,但心血管病导致的寿命损失率在持续升高,且伤害对老年人群的寿命影响也在不断增加.不同疾病对不同地区寿命影响程度存在差异,应根据不同年龄、地区的老年人制定有针对性地疾病防治策略.
Analysis of mortality status and cause-eliminated life expectancy by region in China
Objective To explore the current status of population mortality in different regions and study the changing trends of various causes of death,providing reliable evidence for the rational utilization of health resources.Methods Compared the rank order of death causes in the eastern,cen-tral,and western regions in 2010,2015,and 2020,compiled life expectancy tables and cause-eliminated life expectancy tables.Calculated mortality rate,standardized mortality rate,years of potential life lost rate and the seventh national population census data were used for standardization.Results The mortality rate in all regions showed a decreasing trend,and the standardized rate of mortality of western was the highest.The average annual increase in life expectancy was 0.32,0.34 and 0.31 years.Cancer,cerebrovascular disease,heart disease,respiratory disease and injury were the top five causes of death.in each region.Cancer was the leading cause of death in the eastern region,while the cerebrovascular disease is the leading cause in the central region.The rate of life lost due to heart disease showed an increasing trend in all regions,with the central region recording a heart disease of 49.50%in the age group above 85 in 2020.The rate of life lost due to respiratory system decreased annually,but showed an increasing trend with age and had the greatest impact on the lifespan in the western regions.The rate of life lost due to injuries showed an increasing trend in the age group above 75 years.Conclusions Life expectancy increased gradually in all regions,but the rate of life lost due to cardiovascular diseases continued to rise,and injuries also had an increasing impact on the lifespan of the elderly.Different diseases had varying impacts on the lifespan in different regions,and disease prevention and control strategies should be tailored to different ages and regions.

MortalityRank order of death causesLife expectancyTrend

陶梦梦、田纬、李坤坤、曹文君

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山西医科大学公共卫生学院统计学教研室,太原 030001

山西医科大学公共卫生学院社会医学教研室,太原 030001

长治医学院公共卫生与预防医学系,长治 046013

死亡率 死因顺位 期望寿命 趋势

山西省卫生健康委科研项目山西省教育科学规划课题(十四五)

2023002GH-220226

2024

中华疾病控制杂志
中华预防医学会 安徽医科大学

中华疾病控制杂志

CSTPCD北大核心
影响因子:1.862
ISSN:1674-3679
年,卷(期):2024.28(3)
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