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2020-2022年四川天府新区居民死因及减寿分析

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目的 了解2020-2022年四川天府新区户籍居民的死亡水平和死因分布特征,分析不同疾病对期望寿命的影响和潜在寿命损失,为该地区制定疾病防控相关政策提供科学依据.方法 收集2020-2022年四川天府新区户籍居民死因监测资料,采用Excel 2019和SPSS 26.0软件计算死亡率、标化死亡率、死因顺位、期望寿命、去死因期望寿命、潜在减寿年数(PYLL)、减寿率(PYLLR)、平均减寿年数(AYLL)等指标,率的比较采用x2检验,检验水准α=0.05.结果 2020-2022年四川天府新区户籍居民粗死亡率450.57/10万,标化死亡率379.95/10万,男性死亡率高于女性.死因顺位前5位分别为恶性肿瘤、呼吸系统疾病、脑血管病、心脏病和损伤中毒,占全部死因的85.58%.居民人均期望寿命为82.79岁,男性80.29岁,女性85.52岁;去除死因顺位前5位死因后,期望寿命分别增加3.45、3.32、2.20、1.46和1.08岁;对男女性期望寿命影响最大的疾病分别是恶性肿瘤和呼吸系统疾病.天府新区居民全死因导致的PYLL为46 496人年,AYLL为4.42年/人,PYLLR为19.92‰.减寿顺位前5位疾病分别为恶性肿瘤、损伤中毒、脑血管病、心脏病和消化系统疾病,合计占居民寿命损失的77.45%.结论 以恶性肿瘤为首的慢性非传染性疾病是影响四川天府新区居民健康的主要因素,应针对主要慢性病采取综合防控措施,提高居民健康水平和期望寿命.
Analysis of causes of death and life loss of residents in Tianfu New Area of Sichuan Province from 2020 to 2022
Objective To understand the death level and distribution characteristics of death causes of registered residents in Tianfu New Area of Sichuan Province from 2020 to 2022,to analyze the impact of different diseases on life expectancy and potential life loss,and to provide scientific evidence for formulating relevant disease prevention and control policies in this region.Methods The monitoring data of death causes of registered residents in Tianfu New Area of Sichuan Province from 2020 to 2022 were collected.The mortality rate,standardized mortality rate,cause of death sequence,life expectancy,cause-deleted life expectancy,potential years of life lost(PYLL),potential years of life lost rate(PYLLR)and average years of life lost(AYLL)were calculated by Excel 2019 and SPSS 26.0.Chi-square test was used to compare the rates,and the test level was α=0.05.Results The crude mortality rate and standardized mortality rate of registered residents in Tianfu New Area of Sichuan Province from 2020 to 2022 were 450.57/105 and 379.95/105,respectively.The mortality rate of males was higher than that of females.The top five causes of death were malignant tumors,respiratory diseases,cerebrovascular diseases,heart diseases and injuries and poisonings,accounting for 85.58%of the total death causes.The average life expectancy was 82.79 years,with 80.29 years for males and 85.52 years for females,respectively.After eliminating the top five causes of death,the life expectancy increased by 3.45 years,3.32 years,2.20 years,1.46 years and 1.08 years,respectively.The diseases with the greatest impact on the life expectancy of men and women were malignant tumors and respiratory diseases,respectively.The PYLL caused by all death causes was 46 496 person-years,the AYLL was 4.42 years/person and the PYLLR was 19.92%o of residents of Tianfu New Area.The top five causes of life loss was malignant tumors,injuries and poisonings,cerebrovascular diseases,heart diseases and digestive system diseases,accounting for 77.45%of the total life loss of the residents.Conclusions Chronic noncommunicable diseases led by malignant tumors were the main factors affecting the health of residents in Tianfu New Area of Sichuan Province.Comprehensive prevention and control measures should be taken for major chronic diseases to improve the health level and life expectancy of residents.

death causeslife expectancypotential years of life lost(PYLL)

张明秋、王芳、王愚凡

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四川天府新区公共卫生中心,成都 610213

死因 期望寿命 潜在减寿年数

2024

预防医学情报杂志
中华预防医学会,四川省疾病预防控制中心

预防医学情报杂志

CSTPCD
影响因子:0.681
ISSN:1006-4028
年,卷(期):2024.40(1)
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