2015年兰州市65岁及以上老年人死因监测分析  

Death Cause Analysis in Old People(≥65 years old) of Lanzhou in 2015

作　　者：李盛[1] 王金玉[2] 李守禹 李普[3] 冯亚莉[4] 王宇红[1] 张展翔[1] 魏晋林[1] 贾清[1] 王龄庆[1] 

机构地区：[1]兰州市疾病预防控制中心 [2]兰州大学基础医学院 [3]白银市第二人民医院 [4]福建医科大学临床系

出　　处：《环境卫生学杂志》2017年第1期10-14,共5页JOURNAL OF ENVIRONMENTAL HYGIENE

基　　金：兰州市人才创新创业项目(2015-RC-34);兰州市科技局科技支撑项目(2015-2-19);兰州市城关区科技局科技支撑项目(2015-3-1)

摘　　要：目的了解兰州市65岁及以上老年人的主要死因及顺位,为加强老年人卫生保健计划提供科学依据。方法通过中国疾病预防控制信息系统的人口死亡信息登记管理系统,选取兰州市2015年65岁及以上老年人死因监测数据。死亡率的标化采用2010年的全国标准人口。采用SPSS 18.0统计软件包进行χ~2检验和趋势χ~2检验。结果 2015年兰州市65岁及以上老年人死亡率为2 645.52/10万人(标化死亡率为3 075.43/10万人);男性死亡率明显高于女性,死亡率随年龄增大而升高(P<0.05);前5位死因疾病依次是循环系统,肿瘤,呼吸系统,内分泌,营养和代谢疾病,损伤、中毒和外因,其中前3位占总死亡的84.74%;前3位死因疾病中,循环系统疾病死亡比例女性高于男性,与年龄呈正相关,冬春季较高;肿瘤死亡比例男性高于女性,与年龄呈负相关,夏秋季较高;呼吸系统疾病死亡比例与年龄呈正相关(P<0.05)。结论循环、肿瘤、呼吸系统疾病是威胁兰州市65岁及以上老年人的主要死因疾病,死亡比例存在性别、年龄和季节差异,应针对性别、年龄和季节变化加强老年人卫生保健工作。Objective To analyze the major causes of death in old people（ ≥65 years old） of Lanzhou city,and to provide a scientific basis for the implement of health care projects of aged population. Methods The death cause data of population aged≥65 years was selected from disease surveillance system in Lanzhou Center for Disease Control. The national standard population of 2010 was used to analyze the standard mortality rate. SPSS 18. 0 software package was used to perform chi-square test and trend chi-square test. Results The mortality of population aged≥65years in the city was 2 646/105（ the standardized mortality was 3 075/105）. The mortality was higher in males than that in females,and the mortality was positively related to the age of people（ P〈0. 05）. The first five death causes were circulatory system disease,cancer,respiratory system disease,endocrine system disease,nutrition and metabolic diseases as well as injuries,poisonings,etc. The first three death causes accounted for 84. 74% of the total death.The mortality of circulation system disease was higher in females than that in males,and was higher in the winter and spring than that in summer and autumn. The mortality of circulation system disease was positively related to the age ofpeople（ P〈0. 05）. The mortality of cancer was higher in males than that in females,and was higher in the summer and autumn than that in winter and spring. The mortality of cancer was negatively related to the age of people（ P〈0. 05）.The mortality of respiratory system disease was positively related to the age of people（ P〈0. 05）. Conclusions Circulation system disease,cancer and respiratory disease were the major causes of death in old people of Lanzhou. However,the death rates were significantly different from the gender,age of people as well as the seasons. The authors suggested that the health care project for aged population must be varied with the gender and age of people as well as the seasons.

关 键 词：死亡率 老年人 死因 

分 类 号：R195[医药卫生—卫生统计学]