广州医药 ›› 2021, Vol. 52 ›› Issue (6): 43-48.DOI: 10.3969/j.issn.1000-8535.2021.06.009

• 论著 • 上一篇    下一篇

2019年中山市石岐区户籍居民死因监测及期望寿命研究

刘倩云1, 马敏杰1, 钟定威1, 范木耿2, 李侠1, 林翠婷1   

  1. 1 中山市石岐区疾病预防控制中心(中山 528400);
    2 中山市疾病预防控制中心(中山 528400)
  • 收稿日期:2021-03-22 出版日期:2021-11-20 发布日期:2021-11-26

Analysis of the main death cause and life expectancy in Shiqi district of Zhongshan city in 2019

LIU Qianyun1, MA Minjie1, ZHONG Dingwei1, FAN Mugeng2, LI Xia1, LIN Cuiting1   

  1. 1 Center for Disease Control and Prevention of Shiqi District, Zhongshan 528400, China;
    2 Center for Disease Control and Prevention of Zhongshan City, Zhongshan 528400, China
  • Received:2021-03-22 Online:2021-11-20 Published:2021-11-26

摘要: 目的 了解石岐区户籍居民2019年死因分布和主要死因对预期寿命的影响,为调整疾病控制战略方向提供支撑。方法 对2019年石岐区户籍居民死因数据进行基于国际通用编码ICD-10的分类,通过计算预期寿命、死亡率、去死因预期寿命变化、标准化死亡率、寿命损失率和潜在寿命损失年数对死因数据进行研究与分析。结果 石岐区户籍居民2019年粗死亡率为636.88/10万,每10万男性和女性分别平均死亡706.39人和569.86人,恶性肿瘤、心脏病、脑血管病、呼吸系统疾病和内分泌营养代谢疾病为前五位死亡原因。恶性肿瘤中肺癌、肝癌和结肠直肠肛门癌的死亡率位列前三,心脏病中缺血性心脏病死亡率最高。撇除死因的影响后,增加预期寿命的前三名分别是恶性肿瘤(4.40岁)、心脏病(2.76岁)和脑血管病(1.79岁)。2019年石岐区潜在寿命损失年数为10 001.32人年,减寿率为58.64‰,恶性肿瘤、损伤和脑血管病是潜在寿命损失年数前三位死因,减寿率分别为27.80‰、7.72‰和5.18‰。结论 恶性肿瘤、心脏病和脑血管病是石岐区户籍居民的主要死因,也是造成2019年石岐区户籍居民寿命损失的最主要疾病,并造成沉重的疾病负担,应作为今后的防控重点,政府需采用综合性的防控措施,降低慢性病的危害,保护居民健康。

关键词: 死因监测, 期望寿命, 减寿分析

Abstract: Objective To analyze the distribution characteristics of death causes and influence of major death causes on life expectancy of Shiqi district in 2019, and provide support to develop strategies for disease prevention and control. Methods The 2019 death causes of residents in Shiqi district were classified by International Classification of Diseases-10 (ICD-10). The life expectancy, mortality rate, cause eliminated life expectancy, standardized mortality rate, potential years of life lost rate (PYLLR), and potential years of life lost (PYLL) were calculated. Results The mortality of residents of Shiqi district in 2019 was 636.88/105. The male mortality and female mortality were 706.39/105and 569.86/105, respectively. The top five causes of death in Shiqi district were malignant tumors, heart diseases, cerebrovascular diseases, respiratory diseases, and endocrine nutrition and metabolic diseases. The malignant tumors with top three death rates were lung cancer, liver cancer, and colorectal and anal cancer. The highest death rate of heart disease was ischemic heart disease. The top three causes shortening life expectancy were malignant tumors(4.40 years), heart diseases(2.76 years), and cerebrovascular diseases (1.79 years). The PYLL was 10 001.32 person-year, the PYLLR was 58.64‰ in Shiqi distric,2019. The top three causes of life loss were malignant tumors, injury and cerebrovascular diseases. The PYLLR of those three death causes were 27.80‰, 7.72‰, and 5.18‰, respectively. Conclusion Malignant tumors, heart disease and cerebrovascular diseases were the main death causes and the major diseases for life lost of residents in Shiqi district, which caused heavy disease burden and should be focused in the future. For protecting the residents from the harm due to chronic non-communicable diseases, comprehensive preventive and controling measures should be taken by government.

Key words: mortality surveillance, life expectancy, analysis of life lost