Changing trend of mortality rate and death cause spectrum among household-registered residents aged 60 and above in Beijing,2007-2020
Objective To investigate the changing trend of mortality rate and death cause spectrum among household-registered residents aged 60 and above in Beijing from 2007 to 2020.Methods The mortality data was collected from the Beijing Death Information Registration and Management System.We calculated the mortality rates and constituent ratios by gender,age groups,and death causes and estimated the changing trend of mortality rate and average annual percent change(AAPC)by Joinpoint 4.3.1.Results The crude mortality rate decreased from 27.62‰ in 2007 to 23.55％o in 2020(AAPC=-1.18％,P＜0.001),and the standard rate also decreased from 25.39‰ in 2007 to 19.85‰ in 2020(AAPC=-1.68％,P＜0.001)among registered residents aged 60 and above in Beijing.The top 5 causes of death were heart diseases,malignant tumors,cerebrovascular diseases,respiratory diseases,and endocrine and nutritional metabolic diseases,accounting for 87.1％of the total deaths.The mortality rates of heart diseases(AAPC=-1.08％,P=0.024),cerebrovascular diseases(AAPC=-3.79％,P＜0.001),malignant tumors(AAPC=-0.31％,P=0.006)and respiratory diseases(AAPC=-5.56％,P=0.007)showed a decreasing trend.The rate of injury and poisoning showed an increasing trend(AAPC=1.54％,P=0.001),while no statistically significant change was found in endocrine and nutritional metabolic diseases mortality rates(AAPC=-1.46％,P=0.054).Conclusions The mortality rate of registered residents aged 60 years and over in Beijing showed a downward trend from 2007 to 2020.Heart diseases,cerebrovascular diseases,malignant tumors,and respiratory diseases should be treated as the key diseases for prevention and control,and targeted measures should be taken to improve the health level of the elderly population.
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万方数据
