珠海市户籍人群死亡水平及死因构成特征  

Mortality and Constitutions of Causes of Death in Registered Population in Zhuhai

作　　者：龚思红 李德云[1] 梁小冬[1] 龚志荣 

机构地区：[1]广东省珠海市疾病预防控制中心,广东珠海519002

出　　处：《实用预防医学》2013年第3期270-272,共3页Practical Preventive Medicine

基　　金：广东省医学科研基金立项课题(A2012607);珠海市卫生局医学科研基金立项课题(No 2012067)

摘　　要：目的掌握珠海市户籍人群死亡水平及流行特征。方法按照国际疾病分类ICD-10根本死因分类要求,对2009-2010年珠海市户籍人群死亡病例开展死因回顾性调查,分析珠海市户籍人群主要慢性病死亡率和死因构成特征。结果 2009-2010年珠海市户籍人群共计死亡7 541例,两年平均粗死亡率为368.2/10万,标准化死亡率325.3/10万,其中男性、女性标化死亡率分别为398.0/10万、252.9/10万,男性明显高于女性(P<0.05);香洲区、斗门区和金湾区标化死亡率分别为293.3/10万、382.2/10万、319.5/10万,农村显著高于城市(P<0.05)。前5位死因为恶性肿瘤、心血管疾病、脑血管疾病、呼吸系统疾病、损伤与中毒,其标化死亡率分别为92.6/10万、66.1/10万、64.4/10万、33.5/10万、25.0/10万,其死因构成比分别为26.3%、21.5%、21.0%、11.2%、6.8%,前5位死因构成占总死亡的86.7%。结论心脑血管疾病、恶性肿瘤和呼吸系统疾病等慢性病和伤害已成为严重危害珠海市户籍人群生命和健康的常见病和多发病,应针对这些疾病采取及时有效的预防控制措施。Objectives To investigate the mortality level and its epidemic characteristics in the registered population in Zhuhai.Methods According to the requirements of root cause of death in the International Classification of Diseases（10th revision,ICD-10）,a retrospective survey was performed on the causes of the death in the registered population in Zhuhai during 2009-2010.The death rate and the constitutions of causes of death by chronic diseases were analyzed.Results During 2009-2010,the death toll in the registered population in Zhuhai were 7,541.The crude death rate and standardized mortality rate（SMR） were 368.2/100,000 and 325.3/100,000,respectively.The SMR in males（398.0/100,000） was significantly higher than in females（252.9/100,000,P0.05）.The SMRs in Xiangzhou,Doumen and Jinwan District were 293.3/100,000,382.2/100,000 and 319.5/100,000,respectively.And the SMR in rural areas was higher than in urban areas（P0.05）.The top five causes of death were malignant tumors,cardiovascular diseases,cerebrovascular diseases,respiratory diseases and injury and poisoning.Their SMRs were 92.6/100,000,66.1/100,000,64.4/100,000,33.5/100,000 and 25.0/100,000,respectively,accounting for 26.3%,21.5%,21.0%,11.2% and 6.8% of the total death,respectively.The top five diseases interpreted 86.7% of the total death.Conclusions Chronic diseases like cardiovascular and cerebrovascular diseases,malignant tumors and respiratory diseases,and injury as well have become common and frequently-occurring diseases severely harming the life and health of the registered population in Zhuhai.Timely and effective prevention and control measures should be taken to target these diseases.

关 键 词：死亡率 死因构成 户籍人群 回顾性调查 

分 类 号：R195.3[医药卫生—卫生统计学]