1999—2008年南通市60岁以上老年人死因趋势分析  

Analysis on the Tendency of Death Causes in the Elderly of Nantong during 1999 to 2008

作　　者：夏小娟[1] 黄建萍[2] 尹敏[1] 徐红[1] 杨自力[2] 庄勋[1] 

机构地区：[1]南通大学公共卫生学院,江苏南通226019 [2]南通市疾病预防控制中心,江苏南通226007

出　　处：《中国慢性病预防与控制》2010年第5期518-521,共4页Chinese Journal of Prevention and Control of Chronic Diseases

摘　　要：目的了解南通市60岁及以上老年人的全死因变化趋势,为政府制定公共卫生政策和预防控制措施提供科学依据。方法采用死亡率、标化死亡率、老年保健效益指数(GEI)等指标对1999—2008年南通市老年人的死亡资料进行分析。结果 1999—2008年南通市老年人平均死亡率是3 747.75/10万,标化死亡率3 234.82/10万。10年来标化死亡率呈下降趋势,平均下降速度2.00%。前5位死因不变,依次是循环系统疾病、恶性肿瘤、呼吸系统疾病、损伤和中毒及消化系统疾病,男性的标化死亡率高于女性,但女性GEI普遍高于男性。呼吸系统GEI最高(男性0.625,女性0.676),损伤和中毒GEI较低(男性0.485,女性0.533)。结论循环系统疾病和恶性肿瘤是南通市老年人预防保健工作的重点,同时还要加强呼吸系统疾病、消化系统疾病、损伤和中毒及内分泌代谢疾病的防治,以提高老年人群(尤其是老年男性)的生活质量。Objective In order to observe the tendency of death causes in senior residents over 60 years old in Nantong.Methods The data of death causes during 1999 to 2007 in Nantong were analyzed by mortality rate,standardized mortality rate and geracomia effect index（GEI）.Results The crude mortality rate of elderly was 3 747.75/100 000,the standardized mortality rate was 3 234.82/100 000,and the standardized mortality rate decreased with the speed of 2.00% per year.The first five death causes were circulatory diseases,malignant neoplasm,respiratory diseases,injury and poisoning,digestive diseases.The standardized mortality rate in male was higher than in female,but the GEI in male was lower than in female.Respiratory diseases ranked first in GEI（0.625 in male,0.676 in female）,injury and poisoning was lower（0.485 in men,0.533 in women）.Conclusion Circulatory diseases and malignant neoplasm were still the key point of the health care for the elderly.The prevention of respiratory diseases,injury and poisoning,digestive diseases and endocrine diseases should be strengthened in order to improve life quality of the elder.

关 键 词：老年人 死亡率 标化死亡率 GEI 

分 类 号：R195[医药卫生—卫生统计学]