Surveillance for death causes of registered residents in Daishan, Zhejiang, 2014−2021
-
摘要:
目的 掌握2014—2021年浙江省岱山县居民死亡水平,分析死因顺位,为制定疾病综合防治对策、干预措施以及今后的疾病防治效果评价提供科学依据。 方法 收集岱山县居民2014—2021年死因监测数据,统一采用《疾病和有关健康问题的国际统计分类》进行编码,统计居民死亡率、标化死亡率、死因顺位和潜在减寿年数率(PYLLR)。 率的比较采用χ2检验,趋势分析采用趋势χ2检验,检验水准α=0.05。 结果 2014—2021年岱山县居民合计死亡12 968例,其中男性7 084例、女性5 884例,粗死亡率为894.27/10万,标化死亡率为416.15/10万,男性死亡率均高于女性(χ2=142.156,P<0.001)。 >45岁居民死亡率明显升高,至65岁达到高峰。 死因构成居前5位的分别为恶性肿瘤、心脏病、脑血管疾病、呼吸系统疾病、损伤和中毒,占所有死因的88.06%。 居民死因减寿居前5位的恶性肿瘤、损伤和中毒、脑血管病、心脏病和呼吸系统疾病的PYLLR分别为23.93‰、8.39‰、3.63‰、3.12‰和1.11‰。 不同年龄段死因顺位有差别。 结论 恶性肿瘤、心脑血管疾病和伤害已成为岱山县居民死亡的主要原因,应加强健康生活方式宣传教育,针对不同性别、不同年龄层群体尽早进行针对性的健康干预,进一步完善疾病防控体系。 Abstract:Objective To understand the death level in residents in Daishan county, Zhejiang province from 2014 to 2021, analyze the rank of causes of death and provide scientific evidence for the development of comprehensive disease prevention and treatment strategies or intervention measures and the evaluation of the effectiveness of prevention and treatment of disease in the future. Methods Death cause surveillance data in residents in Daishan from 2014 to 2021 were collected and coded by the “International Statistical Classification of Diseases and Related Health Problems”. The crude mortality rate, standardized mortality rate, death cause rank, and potential years of life lost rate (PYLLR) were calculated. The comparison of rates were conducted by χ2 test and trend χ2 test, and the test level was 0.05. Results From 2014 to 2021, a total of 12 968 deaths occurred in residents in Daishan, including 7 084 deaths in men and 5 884 deaths in women, and the crude mortality rate was 894.27/100 000 and the standardized mortality rate was 416.15/100 000. The mortality rate was higher in men than in women (χ2=142.156, P<0.001). The mortality rate in residents aged >45 years increased significantly, reaching a peak at age of 65 years. The top five causes of death were malignant tumor, heart disease, cerebrovascular disease, respiratory system disease, injury, and poisoning, with the deaths accounting for 88.06% of the total. The top five causes of life lost were malignant tumor, injury and poisoning, cerebrovascular disease, heart disease and respiratory system disease with the PYLLR of 23.93‰, 8.39‰, 3.63‰, 3.12‰ and 1.11‰, respectively. The rank of death causes varied in different age groups. Conclusion Chronic and non-communicable diseases, such as malignant tumor, cardio/cerebrovascular diseases and injury, have become the main causes of death in Daishan. It is necessary to strengthen the health education about healthy lifestyles, conduct targeted health interventions in different populations and further improve disease prevention and control system. -
表 1 2014-2021年岱山县居民死亡情况
Table 1. Death cause rate of residents in Daishan, 2014−2021
年份 男性 女性 总计 χ2值 P值 死亡数
(例)粗死亡率
(/10万)标化死亡率
(/10万)死亡数
(例)粗死亡率
(/10万)标化死亡率
(/10万)死亡数
(例)粗死亡率
(/10万)标化死亡率
(/10万)2014 841 903.24 538.52 671 705.25 371.24 1512 803.17 451.24 22.785 <0.001 2015 924 998.57 563.51 772 815.62 401.94 1696 906.06 479.31 17.130 <0.001 2016 855 931.60 497.17 720 765.65 368.33 1575 847.61 430.28 14.963 <0.001 2017 949 1047.61 546.58 741 797.19 361.80 1690 920.79 451.03 30.960 <0.001 2018 849 953.87 454.81 730 798.84 345.20 1579 875.34 397.29 12.273 <0.001 2019 902 1029.02 459.59 758 842.42 331.46 1660 934.50 393.43 16.391 <0.001 2020 883 1021.87 432.07 717 808.63 299.70 1600 913.87 364.43 21.578 <0.001 2021 881 1036.26 426.02 775 888.65 323.22 1656 961.52 371.86 9.663 0.002 合计 7 084 989.26 488.17 5 884 801.61 349.45 12 968 894.27 416.15 142.156 <0.001 表 2 2014-2021年岱山县不同年龄组居民死亡率情况
Table 2. The mortality of the residents of different age groups in Daishan, 2014−2021
年龄组(岁) 男性 女性 总计 χ2值 P值 死亡数(例) 粗死亡率(/10万) 死亡数(例) 粗死亡率(/10万) 死亡数(例) 粗死亡率(/10万) 0~ 9 267.50 12 365.19 21 315.77 0.501 0.479 1~ 11 23.20 7 14.56 18 18.85 0.945 0.331 15~ 199 83.90 86 38.21 285 61.65 39.087 <0.001 45~ 1 746 588.09 607 204.99 2 353 396.79 546.190 <0.001 65~ 5 119 3 901.20 5 172 3 203.50 10 291 3 516.31 96.741 <0.001 合计 7 084 989.26 5 884 801.61 12 968 894.27 141.457 <0.001 表 3 2014-2021年岱山县居民主要死因顺位及减寿情况
Table 3. Rank of main death causes and life lost in residents in Daishan, 2014−2021
疾病 死亡数(例) 粗死亡率(/10万) 标化死亡率(/10万) PYLL(人年) AYLL(年) PYLLR(‰) 恶性肿瘤 4 696 323.84 160.25 32 214.00 6.86 23.93 肝癌 855 58.96 31.26 7 176.00 12.63 5.33 肺癌 1173 80.89 39.00 8 766.50 16.63 6.51 胃癌 795 54.82 25.65 3 895.00 11.80 2.89 其他 1873 129.16 64.33 12 376.50 14.02 9.19 心脏病 2253 155.37 63.27 4 194.00 1.86 3.12 脑血管疾病 2065 142.40 62.22 4 884.50 2.37 3.63 呼吸系统疾病 1377 94.96 37.88 1 500.00 1.09 1.11 损伤和中毒 1 039 71.65 41.90 11 290.00 10.87 8.39 船舶意外伤害死亡 115 7.93 6.52 2 889.00 28.32 2.15 机动车交通事故 143 9.86 6.79 2 429.00 22.08 1.80 意外跌伤 440 30.34 13.25 1 448.00 15.74 1.08 起源于围生期的情况 13 0.90 2.19 968.50 74.50 0.72 传染病 113 7.79 3.95 940.00 8.32 0.70 神经系统疾病 123 8.48 4.94 1 169.50 9.51 0.87 精神障碍疾病 96 6.62 3.24 566.50 5.90 0.42 消化系统疾病 263 18.14 8.60 1 282.50 4.88 1.11 内分泌/营养/代谢疾病 295 20.34 9.27 990.50 3.36 0.74 泌尿生殖系统疾病 59 4.07 1.99 346.50 5.87 0.26 肌肉骨骼和结缔组织疾病 65 4.48 2.22 265.00 4.08 0.20 合计 12 968 894.27 416.15 61 882.50 4.77 45.97 注:PYLL. 潜在减寿年数;AYLL. 平均减寿年数;PYLLR. 潜在减寿年数率 表 4 2014-2021年岱山县不同年龄组居民死因构成情况
Table 4. Constituent of death causes in residents of different age groups in Daishan, 2014−2021
死因 0~岁 1~岁 15~岁 45~岁 65~岁 χ2值 P值 粗死亡率
(/10万)顺
位粗死亡率
(/10万)顺
位粗死亡率
(/10万)顺
位粗死亡率
(/10万)顺
位粗死亡率
(/10万)顺
位恶性肿瘤 0.00 − 3.14 2 20.55 2 257.50 1 1 049.32 1 6425.358 <0.001 心脏病 0.00 − 1.05 3 4.98 3 22.93 4 715.15 2 7359.819 <0.001 脑血管疾病 0.00 − 0.00 − 2.38 4 30.52 3 639.98 3 6359.072 <0.001 呼吸系统疾病 0.00 − 0.00 − 1.30 7 7.08 6 454.10 4 4963.709 <0.001 损伤和中毒 3.01 3 7.33 1 24.23 1 46.37 2 219.71 5 3459.612 <0.001 起源于围生期的情况 195.47 1 0.00 − 0.00 − 0.00 − 0.00 − 2816.130 <0.001 传染病 0.00 − 1.05 5 0.65 9 5.73 8 25.63 10 159.010 <0.001 神经系统疾病 0.00 − 2.09 4 2.16 5 5.06 9 27.68 8 162.200 <0.001 精神障碍疾病 0.00 − 1.05 5 0.43 10 2.19 10 27.34 9 238.860 <0.001 消化系统 15.04 2 0.00 − 1.51 6 7.42 5 72.10 7 594.840 <0.001 内分泌/营养/代谢 0.00 − 1.05 5 0.87 8 6.75 7 85.42 6 767.720 <0.001 泌尿生殖系统 0.00 − 0.00 − 0.43 10 1.52 11 16.40 12 138.040 <0.001 肌肉骨骼和结缔组织 0.00 − 0.00 − 0.43 10 0.84 12 19.82 11 192.540 <0.001 合计 31.58 18.85 61.65 396.79 3 516.31 27794.945 <0.001 注:−. 对应的分类疾病死亡率为0,不参与顺位排比 -
[1] 张梅, 王丽敏. 我国慢性非传染性疾病流行状况及防控策略[J]. 中国医学前沿杂志(电子版),2016,8(12):1–5. DOI:10.12037/YXQY.2016.12−01.Zhang M, Wang LM. Epidemic situation and prevention and control strategy of chronic non -communicable diseases in China[J]. Chin J Front Med Sci (Electron Version), 2016, 8(12): 1–5. DOI: 10.12037/YXQY.2016.12−01. [2] 安峻颉, 王晓燕, 胡晓波, 等. 2018-2021年广元市户籍居民死因监测分析[J]. 预防医学情报杂志,2023,39(2):172–177.An JJ, Wang XY, Hu XB, et al. Monitoring and analysis of death causes of registered residents in Guangyuan city from 2018 to 2021[J]. J Prev Med Inf, 2023, 39(2): 172–177. [3] 秦广兴, 黄文英, 莫丽华, 等. 2019-2020年桂林市临桂区居民死因监测分析[J]. 应用预防医学,2022,28(3):247–249,252. DOI:10.3969/j.issn.1673−758X.2022.03.014.Qin GX, Huang WY, Mo LH, et al. Analysis of death causes of residents in Lingui district of Guilin from 2019 to 2020[J]. Appl Prev Med, 2022, 28(3): 247–249,252. DOI: 10.3969/j.issn.1673−758X.2022.03.014. [4] 姚青奎, 王嘉祥, 李冬梅, 等. 2009-2017年宁波市城区居民死因监测分析[J]. 中国农村卫生事业管理,2019,39(9):664–667. DOI:10.3969/j.issn.1005−5916.2019.09.012.Yao QK, Wang JX, Li DM, et al. Death-surveillance in the urban areas of Ningbo city from 2009 to 2017[J]. Chin Rural Health Ser Adm, 2019, 39(9): 664–667. DOI: 10.3969/j.issn.1005−5916.2019.09.012. [5] 冼翠尧. 2010-2013年番禺区死因监测分析[J]. 医学理论与实践,2015,28(20):2855–2857. DOI:10.19381/j.issn.1001−7585.2015.20.084.Xian CY. Surveillance for death causes of residents in Fanyu district from 2010 to 2013[J]. J Med Theory Pract, 2015, 28(20): 2855–2857. DOI: 10.19381/j.issn.1001−7585.2015.20.084. [6] 曹家艳, 邓金勇, 杨云亮, 等. 2015-2019年赤水市居民死因监测分析[J]. 现代预防医学,2021,48(17):3232–3237.Cao JY, Deng JY, Yang YL, et al. Analysis of death cause monitoring in Chishui, 2015–2019[J]. Mod Prev Med, 2021, 48(17): 3232–3237. [7] 席金恩, 张静, 任晓岚, 等. 2018年甘肃省居民主要死因特征分析[J]. 疾病预防控制通报,2020,35(3):4–8. DOI: 10.13215/j.cnki.jbyfkztb.2003001.Xi JE, Zhang J, Ren XL, et al. Analysis of main death causes of residents in Gansu province in 2018[J]. Bull Dis Control Prev (China), 2020, 35(3): 4–8. DOI: 10.13215/j.cnki.jbyfkztb.2003001. [8] 高跟霞, 欧志秀, 住国蓉. 2017-2019年甘肃省靖远县居民死因监测分析[J]. 疾病预防控制通报,2021,36(3):47–49,74. DOI: 10.13215/j.cnki.jbyfkztb.2101037.Gao GX, Ou ZX, Zhu GR, et al. Surveillance for death causes of residents in Jingyuan county of Gansu province from 2017 to 2019[J]. Bull Dis Control Prev, 2021, 36(3): 47–49,74. DOI: 10.13215/j.cnki.jbyfkztb.2101037. [9] 邢秀雅, 贺琴, 陈叶纪, 等. 2014年安徽省居民死因及期望寿命分析[J]. 疾病监测,2017,32(1):71–76. DOI:10.3784/j.issn.1003−9961.2017.01.018.Xing XY, He Q, Chen YJ, et al. Analysis on death causes and life expectancy in residents in Anhui, 2014[J]. Dis Surveill, 2017, 32(1): 71–76. DOI: 10.3784/j.issn.1003−9961.2017.01.018. [10] 胡国忠, 何存弘, 邱凤梅. 浙江省岱山县居民死因分析[J]. 疾病监测,2011,26(12):993–996,1003. DOI:10.3784/j.issn.1003−9961.2011.12.022.Hu GZ, He CH, Qiu FM. Death causes in residents in two periods in Daishan county in Zhejiang province[J]. Dis Surveill, 2011, 26(12): 993–996,1003. DOI: 10.3784/j.issn.1003−9961.2011.12.022. [11] 李雪琴, 陈中文, 金鎏, 等. 2010年至2014年浙江省肿瘤登记地区肺癌发病和死亡情况分析[J]. 中国肿瘤临床,2018,45(22):1151–1154. DOI:10.3969/j.issn.1000−8179.2018.22.133.Li XQ, Chen ZW, Jin L, al. Analysis of incidence and mortality of lung cancer in cancer registration area in Zhejiang province in 2010-2014[J]. Chin J Clin Oncol, 2018, 45(22): 1151–1154. DOI: 10.3969/j.issn.1000−8179.2018.22.133. [12] Zeng HM, Zheng RS, Guo YM, et al. Cancer survival in China, 2003–2005: a population-based study[J]. Int J Cancer, 2015, 136(8): 1921–1930. DOI: 10.1002/ijc.29227. [13] 谢四化, 傅玲娟, 黄卓婷, 等. 柯桥区居民死因监测结果分析[J]. 疾病监测,2022,34(7):738–742. DOI:10.19485/j.cnki.issn2096−5087.2022.07.018.Xie SH, Fu LJ, Huang ZT, et al. Surveillance on causes of death in Keqiao district[J]. Dis Surveill, 2022, 34(7): 738–742. DOI: 10.19485/j.cnki.issn2096−5087.2022.07.018. [14] 王建伟, 陈文燕, 吴益康, 等. 嘉兴市2009-2014年居民死因监测分析[J]. 中华健康管理学杂志,2016,10(4):265–269. DOI:10.3760/cma.j.issn.1674−0815.2016.04.004.Wang JW, Chen WY, Wu YK, et al. Monitoring and analysis of causes of death among residents in Jiaxing city during 2009–2014[J]. Chin J Health Manage, 2016, 10(4): 265–269. DOI: 10.3760/cma.j.issn.1674−0815.2016.04.004. [15] 杨登强. 山东省沂水县2018-2020年居民死因监测分析[J]. 预防医学论坛,2022,28(7):534–537. DOI:10.16406/j.pmt.issn.1672−9153.2022.07.011.Yang DQ. Analysis on death surveillance among residents, Yishui county, Shandong province, 2018–2020[J]. Prev Med Trib, 2022, 28(7): 534–537. DOI: 10.16406/j.pmt.issn.1672−9153.2022.07.011. -

计量
- 文章访问数: 101
- HTML全文浏览量: 60
- PDF下载量: 20
- 被引次数: 0