摘要
目的:分析上海方松街道社区 2002-2020 年居民死亡情况及其趋势.方法:整理 2002-2020 年上海方松街道社区户籍居民全死因监测资料,采用死亡率、中国标化死亡率等指标分析居民死亡情况,采用Joinpoint回归模型计算平均年度变化百分比(AAPC),并分析其趋势.结果:上海方松街道社区2002-2020 年合计死亡3 293 例,粗死亡率为 354.63/10 万,中国标化死亡率为 352.29/10 万.2002-2020 年合计粗死亡率AAPC为-2.46%(95%CI为-4.29%,-0.61%,P=0.01),合计中国标化死亡率AAPC为-2.72%(95%CI为-4.01%,-1.42%,P＜0.001).前5位死因分别为恶性肿瘤(占 32.71%),心血管疾病(占 26.66%),呼吸系统疾病(占 12.82%),消化系统疾病(占 2.98%),内分泌、营养和代谢疾病(占 2.7%).男、女性死亡率和标化率均逐年下降(均P＜0.05).男性粗死亡率和标化死亡率均高于女性(均P＜0.001).65～79 岁组死亡率年均下降 7.85%(P＜0.001).2002-2020 年 60～69 岁组死亡数占比AAPC(95%CI)为 2.82%(0.23%,5.48%,P=0.034),80 岁以上组死亡数占比AAPC(95%CI)为 1.67%(0.48%,2.87%,P=0.009),均呈逐年上升;70～79 岁死亡数占比AAPC(95%CI)为-3.53%(-5.04%,-2.00%,P＜0.001),呈逐年下降.结论:上海方松街道社区居民的死亡存在性别、年龄和疾病差异,社区需加强 65 岁以下及男性居民的健康管理.
Abstract
Objective:To analyze the mortality situation and trend of residents in Fangsong Community in Shanghai from 2002 to 2020.Methods:All death causes of the registered residents in Fangsong Community,Shanghai from 2002 to 2020 were sorted out,and indicators such as mortality rate and China standardized mortality rate were used to analyze the mortality situation of local residents.The Joinpoint regression model was used to calculate the average annual percentage change(AAPC)and analyze its trend.Results:A total of 3 293 deaths occurred in Fangsong Community in Shanghai from 2002 to 2020,with a crude mortality rate of 354.63/100 000 and China standardized mortality rate of 352.29/100 000.The crude mortality rate AAPC was-2.46% (95% CI-4.29%,-0.61%,P=0.01),and China standardized mortality rate AAPC 2.72% (95% CI-4.01%,-1.42%,P<0.001).The top five causes of death were malignant tumors,accounting for 32.71%,cardiovascular diseases,accounting for 26.66%,respiratory system diseases,accounting for(12.82% ),digestive system diseases,accounting for(2.98% ),and endocrine,nutritional,and metabolic diseases,accounting for(2.7% ).Both male and female mortality rates and standardized rates decreased year by year(both P<0.05).The crude mortality rate and the standardized mortality rate for males were higher than those for females(both P<0.001).The mortality rate decrease in the 65-79 year-old group was 7.85% (P<0.001),The proportion of death in AAPC for residents aged 60-69 was 2.82% (95% CI 0.23,5.48%,P=0.034)and the proportion of death in AAPC for residents over 80 was 1.67% (95% CI 0.48,2.87%,P=0.009),which showed a yearly increase;the proportion of death in AAPC for residents for those aged 70-79 was-3.53% (95% CI-5.04,-2.00%,P<0.001),which showed a yearly decrease.Conclusion:There are differences in deaths in gender,age and diseases among the residents in Fangsong Community in Shanghai,and the community needs to strengthen health management for residents under 65 years of age and men.
基金项目
上海市松江区科学技术攻关项目(22SJKJGG49)
NETL
NSTL
万方数据