2005-2014年西安市居民慢性非传染性疾病死亡趋势分析  

Analysis of the death trend of chronic non-communicable diseases among residents in Xi'an City between 2005 and 2014

作　　者：张晓宇[1] 侯斌[1] 赵国栋[1] 黄春红[1] 

机构地区：[1]西安市疾病预防控制中心,陕西西安710054

出　　处：《现代预防医学》2016年第10期1890-1893,共4页Modern Preventive Medicine

摘　　要：目的分析西安市2005-2014年居民主要慢性病死亡特征和流行趋势,为制定适合本地区的慢性病防治策略提供依据。方法收集西安市2005-2014年居民慢性病死因监测数据,采用死亡数、粗死亡率、标化死亡率、死因构成比、年度变化百分比(APC)等指标对慢性病死亡趋势进行统计学描述。结果西安市2005-2014年慢性病平均死亡率为451.58/10万(384.82/10万-502.60/10万)。恶性肿瘤(APC=2.312%)、心脏病(APC=2.786%)、脑血管病(APC=5.579%)和慢性呼吸系统疾病(APC=6.306%)死亡呈上升趋势(P<0.05),高血压(APC=-23.489%)的死亡呈下降趋势(P<0.05),而糖尿病的死亡基本维持在稳定水平。死亡率标化后高血压的死亡仍呈下降趋势外(P<0.05),其他各慢性病的死亡基本维持在稳定水平。各慢性病的死亡率均随年龄增大呈升高趋势;男性死亡率显著高于女性(χ2=3 176.44,P<0.01)。结论慢性病已成为西安市居民生命健康的主要威胁,防治亟待加强;重点防治的目标人群为中老年人群。Objective The study analyzed the death characteristics and epidemic trend of major chronic diseases among residents in Xi＇au City between 2005 and 2014, so as to provide a reference for developing local - specific prevention and control strategies. Methods Surveillance data on death causes of chronic disease among residents in Xi＇an between 2005 and 2014 were collected. The total number of death, crude mortality, standardized mortality, constituent ratio of death causes, and annual percent change （APC） were statistically analyzed to assess the death trend of chronic diseases. Results The average annual mortality of chronic diseases was 451.58/100 000 in Xi＇an City between 2005 and 2014 （384. 82/100 000 to 502.60/ 100 000）. The death trends of malignant tumor （APC = 2. 312% ） , heart disease （APC = 2. 786% ） , cerebrovascular disease （APC = 5. 579% ）, and chronic respiratory disease （APC = 6. 306% ） had decreased （P 〈 0.05） , and the death trend of diabetes had remained unchanged. Except for the mortality of high blood pressure （APC = - 23. 489% ） still decreased after standardization, the mortality of other chronic diseases remained substantially unchanged. The mortalities of all chronic diseases were shown to increase with age, and the mortality of male was significantly higher than that of female （x^2 = 3176.44, P 〈 0.01）. Conclusion Chronic diseases have become the major threat to life and health of Xi＇an residents, suggesting that the prevention and control of chronic diseases should be strengthened and especially target the middle aged and elderly populations.

关 键 词：慢性非传染性疾病 粗死亡率 标化死亡率 趋势 

分 类 号：R195.4[医药卫生—卫生统计学]