首页|2015-2021年句容市居民死因分析

2015-2021年句容市居民死因分析

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目的 了解句容市居民主要死因及寿命损失情况,为制定慢性病防控政策提供科学依据.方法 利用2015-2021年句容市居民人口数据和死因监测数据,分析粗死亡率、标化死亡率、死因顺位、构成比、期望寿命、去死因期望寿命、寿命损失值、年度变化百分比(APC)、潜在减寿年数(PYLL)、减寿率(PYLLR)和早死概率等指标以及变化趋势;预测句容市"健康中国2030"早死概率预测值与目标值实现情况.结果2015-2021年句容市平均粗死亡率为748.43/10万,平均标化死亡率为294.71/10万,标化死亡率呈逐年下降趋势(APC=-2.26%,t=85.33,P<0.05).男性粗死亡率高于女性,差异有统计学意义(x2=53.40,P<0.05).死因顺位前5位依次是恶性肿瘤、脑血管疾病、心脏病、伤害和呼吸系统疾病,占全死因87.15%.期望寿命由81.83岁增至82.76岁,男性由79.66岁增至80.68岁,女性由84.08岁增至84.92岁,总人群、男性、女性均呈上升趋势(APC分别为0.20%、0.21%、0.21%,t值为15.00~142.68,P值均<0.05).7年间,去脑血管疾病、呼吸系统疾病、伤害的期望寿命分别由83.48、82.50、82.61岁增至84.20、83.16、83.96岁,均呈上升趋势(APC为0.18%~0.39%,t值为3.00~40.33,P值均<0.05);恶性肿瘤、脑血管疾病、呼吸系统疾病引起的寿命损失值呈下降趋势(APC分别为-2.82%、-2.99%、-7.69%),伤害引起的寿命损失值呈上升趋势(APC=7.33%),差异均有统计学意义(t值分别为8.33~48.09,P值均<0.05);四类重大慢性病总粗死亡率无明显变化趋势(APC=-0.18%,P>0.05);其中,慢阻肺粗死亡率呈逐年下降趋势(APC=-5.22%,t=16.52,P<0.05).四类重大慢性病总标化死亡率(APC=-3.30%)和总早死概率(APC=-2.05%)呈均下降趋势(t=169.92、9.58,P值均<0.05).预测2030年四类重大慢性病总早死概率为9.84%.2015-2021年句容市全死因PYLL为96 864人年,全死因PYLLR为23.53‰,全死因和恶性肿瘤PYLL、PYLLR均呈逐年下降趋势(P值均<0.05).结论2015-2021年句容市居民标化死亡率呈下降趋势,恶性肿瘤仍是主要死因,慢性病对句容市居民的期望寿命、潜在寿命和早死概率影响较大,伤害引起的寿命损失值呈上升趋势,应调整本地疾病防控策略.
Causes of death among residents in Jurong City from 2015 to 2021
Objective To investigate the main causes of death and life lost among residents in Jurong City,so as to provide in-sights into formulation of the chronic disease control strategy.Methods The population data and data pertaining surveillance on causes of deaths among residents in Jurong City from 2015 to 2021 were collected,and the crude and standardized mortality,ranking causes of death,constituent ratio,life expectancy,cause eliminated life expectancy,life lost,annual percent change(APC),potential years of life lost(PYLL),PYLL rate(PYLLR),probability of premature mortality and their changing trends were analyzed.The expected probabil-ity of premature mortality was predicted in Jurong City in 2030.Results The mean crude and standardized mortality rates were 748.43/105 and 294.713/105 in Jurong City from 2015 to 2021,and the standardized mortality appeared a tendency towards a decline over years from 2015 to 2021(APC=-2.26%,t=85.33,P<0.05).The crude mortality was significantly higher among men than among women(X2=53.40,P<0.05).The top 5 causes of death included cancer,cerebrovascular diseases,heart disease,injury and respiratory diseases,which consisted of 87.15%of all-cause mortality.The life expectancy increased from 81.83 years in 2015 to 82.76 years in 2021 among all residents in Jurong City,with an increase from 79.66 years to 80.68 years among men,and from 84.08 years to 84.92 years among women,and the life expectancy all appeared a tendency towards a rise among all residents,men and women(APC=0.20%,0.21%and 0.21%,t=15.00 to 142.68,all P values<0.05).The life expectancy increased from 85.58,83.48,82.80,82.50 and 82.61 years to 86.08,84.20,83.65,83.16 and 83.96 years after elimination of cancer,cerebrovascular diseases,heart disease,respiratory diseases and injury from 2015 to 2021,which all appeared a tendency towards a rise(APC=0.11%to 0.39%,t=3.00 to 40.33,all P values<0.05),and the life lost due to cancer,cerebrovascular diseases and respiratory diseases all appeared a tendency to-wards a decline(APC=-2.82%,-2.99%and-7.69%),while the life lost due to injury appeared a tendency towards a rise(APC=7.33%)(t=8.33 to 48.09,all P values<0.05).There were no significant changing trends in the overall crude mortality of four major chronic diseases(APC=-0.18%,P>0.05),and crude mortality of chronic obstructive pulmonary disease appeared a tendency towards a decline over years from 2015 to 2021(APC=-5.22%,t=16.52,P<0.05).Both the overall standardized mortality(APC=-3.30%,t=169.92,P<0.05)and overall probability of premature mortality of four major chronic diseases(APC=-2.05%,t=9.58,P<0.05)appeared a tendency towards a decline from 2015 to 2021,and the overall probability of premature mortality of four major chronic disea-ses was projected to be 9.84%in Jurong City in 2030.In addition,the all-cause PYLL and PYLLR were 96 864 person-years and 23.53%o in Jurong City from 2015 to 2021,and the all-cause PYLL and PYLLR and PYLL and PYLLR due to cancer all appeared a tend-ency towards a decline over years from 2015 to 2021(all P values<0.05).Conclusions The standardized mortality appeared a tend-ency towards a decline among residents in Jurong City from 2015 to 2021,and cancer remained a leading cause of death.Chronic disea-ses posed a great impact on life expectancy,potential life and probability of premature in Jurong City,and the life lost due to injury ap-peared a tendency towards a rise from 2015 to 2021.The disease control strategy requires to be adjusted in Jurong City.

MortalityLife expectancyProbability of premature mortalityPotential years of life lostTrend

徐海丰、陶静、孔令婕、张杏娣、王晓雷、刘宇

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句容市疾病预防控制中心,江苏镇江 212400

死亡率 期望寿命 早死概率 潜在减寿年数 趋势

镇江市社会发展指导性科技计划(2021)

FZ2021019

2024

江苏预防医学
江苏省疾病预防控制中心 江苏省预防医学会

江苏预防医学

影响因子:1.319
ISSN:1006-9070
年,卷(期):2024.35(1)
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