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