惠州市2013-2015年国家级死因监测点居民死因分析  

Death causes among residents in national death surveillance points in Huizhou City,2013-2015

作　　者：李雪燕[1] 李霞[1] 刘淑珍[1] 柯晓明[1] 严宇斌[1] 

机构地区：[1]广东省惠州市疾病预防控制中心,广东惠州516001

出　　处：《实用预防医学》2016年第12期1448-1451,共4页Practical Preventive Medicine

基　　金：惠州市科技计划项目(2016Y094)

摘　　要：目的了解广东省惠州市居民死亡水平及死因谱特点,为相关部门制定疾病防治策略提供依据。方法收集2013-2015年惠州市2个国家级死因监测点惠阳区、博罗县的死因监测资料,死因分类按照国际疾病分类标准(ICD-10)进行编码,应用DeathReg和SPSS16.0软件分析死亡率和死因构成。结果 2013-2015年两监测点报告死亡率为341.16/10万,其中男性为364.82/10万,女性为313.30/10万。60岁以上老年人群占全部死亡构成的73.7%。男性、女性60岁以上老年人群死亡病例分别占67.3%和82.4%。前5位的死因依次为:心脑血管疾病、恶性肿瘤、呼吸系统疾病、内分泌营养代谢性疾病、伤害,死亡率分别为:152.76/10万、75.96/10万、37.86/10万、15.25/10万、13.70/10万,分别占总死亡的44.8%、22.3%、11.1%、4.5%、4.0%,前5位死因合计占总死亡的86.7%。女性心脑血管疾病、内分泌营养代谢疾病死亡率高于男性,男性恶性肿瘤、呼吸系统疾病、伤害死亡率明显高于女性(均P<0.05)。结论以心脑血管疾病、恶性肿瘤、呼吸系统疾病等疾病为主的慢性非传染性疾病是危害惠州市惠阳区、博罗县居民健康的主要疾病,男性的死亡率高于女性,60岁以上老人是重点关注人群。Objective To investigate the mortality and the characteristics of death spectrum in Huizhou City, Guangdong Province so as to provide evidence for the related departments to develop disease prevention strategies. Methods We collected the death-cause monitoring data of two national death surveillance points, Huiyang District and Boluo County in Huizhou City during 2013-2015. Classification of death causes was coded according to the International Classification of Diseases （ICD-10）. The mortality and the constitution of causes of death were analyzed by DeathReg and SPSS16.0 softwares. Results The reported mortality in the two death surveillance points in 2013-2015 was 341.16/100, 000, with 364.82/100,000 for males and 313.30/100,000 for females. The elderly aged 60 years and above accounted for 73.7% of the total deaths, with 67.3% for males and 82.4% for females. The top 5 causes of death were as follows cardiovascular and cerebrovascular diseases, malignant tumor, respiratory system disease, endocrine, nutritional and metabolic diseases and injuries. Their mortalities were 152.76/100,000, 75.96/100,000, 37.86/100,000, 15.25/100,000 and 13.70/100,000 respectively, and their sufferers accounted for 44.8%, 22.3%, 11.1%, 4.5% and 4.0% of the total deaths. The deaths from the top 5 causes of death in all accounted for 86.7%. The mortalities of cardiovascular and cerebrovascular diseases as well as endocrine, nutritional and metabolic diseases were higher in females than in males, while those of malignant tumor, respiratory system diseases and injuries were higher in males than in females （both P〈0.05）. Conclusions Chronic non-communicable diseases, such as cardiovascular and cerebrovascular diseases, malignant tumor and respiratory system diseases are the major causes of death that endanger the health of residents in Huiyang District and Boluo County, Huizhou City. The mortality is higher in males than in females. More attention should be paid to the population aged 60 years and older.

关 键 词：死因监测 死亡率 死因 流行病学 

分 类 号：R195.3[医药卫生—卫生统计学]