2010-2015年淮安市30~69岁居民主要慢性病死亡状况及变化趋势分析  

Analysis on the status and trend of mortality caused by main noncommunicable diseases among 30-69 year-old residents of Huai'an City during 2010-2015

作　　者：徐康[1] 王涤[2] 石小玲 张晖 谈进[3] 

机构地区：[1]南京医科大学附属淮安第一医院慢性病管理中心,江苏淮安223300 [2]南京医科大学附属淮安第一医院门诊部,江苏淮安223300 [3]南京医科大学附属淮安第一医院医务处,江苏淮安223300

出　　处：《现代预防医学》2018年第2期196-200,共5页Modern Preventive Medicine

基　　金：江苏现代医院管理研究中心课题(JSY-3-2016-082)

摘　　要：目的了解淮安市30~69岁居民主要慢性病死亡情况,为制定防治对策和有效干预措施提供依据。方法采用粗死亡率、标化死亡率、不同性别及年龄别死亡率、早死概率对淮安市2010-2015年30~69岁居民主要慢性病死亡资料进行分析。结果 2010-2015年淮安市30~69岁居民主要慢性病年均死亡率301.24/10万,标化死亡率为243.35/10万,全人群和女性粗死亡率呈上升趋势,死亡率年度变化百分比(APC)分别为1.81%、1.51%;男性粗死亡率高于女性(χ~2=3 912.291,P<0.001);主要慢性病死亡顺位为肿瘤、脑血管疾病、心血管疾病、慢性呼吸系统疾病、糖尿病,其中肿瘤(APC=3.95%)、慢性呼吸系统疾病(APC=6.01%)、糖尿病(APC=13.39%)呈上升趋势,脑血管疾病(APC=-3.47%)呈下降趋势;不同年龄别肿瘤死亡率占比均在50%以上;早死概率在14%左右,年度变化呈下降趋势,但差异无统计学意义。结论 30~69岁淮安市居民主要慢性病死亡率仍呈上升趋势,男性死亡率高于女性,肿瘤已成首位死因,早死概率控制速度较为缓慢,与实现"健康江苏2030"的目标还有一定差距。Objective To understand death status of main non-communicable diseases among 30-69 year-old residents of Huai＇an City, and provide references for control measures and effective intervention measures. Methods Analysis on mortality data of main non-communicable diseases among 30-69 year-old residents of Huai＇an City during 2010-2015 using crude mortality rate, standardized mortality rate, cause-specific mortality rate in different age or gender groups and premature death probability. Results The crude mortality rate was 301.24/100000, and the standardized mortality rate was 243.35/100000. The crude death rate presented an uptrend in all residents and women group and APC of crude death rate were 1.81% and 1.51% respectively. The crude death rate of male was higher than female （χ^2 =3912.291 ,P〈0.001）. The leading causes of chronic diseases are tumor, cerebrovaseular diseases, cardiovascular diseases, chronic respiratory diseases and diabetes mellitus, and among them, tumor （APC=3.95%）, chronic respiratory diseases （APC=6.01%） and diabetes mellitus （APC=13.39%） presented uptrend, while cerebrovascular diseases （APC=-3.47%） presented downtrend. The proportion of age-specific death rates of tumor were greater than 50% in different age groups. Premature death probability was about 14%, and annual change presented downtrend, but the difference was not significant. Conclusion The mortality rate of main non-communicable diseases presented uptrend, and the death rate of male was higher than female. Tumor has become the leading cause of death. The control of premature death probability made slow progress, and there was still a gap between the current status and the goal of ＂Healthy Jiangsu 2030＂ strategy.

关 键 词：主要慢性病 死亡率 早死概率 健康江苏2030 

分 类 号：R181.2[医药卫生—流行病学] R195.4[医药卫生—公共卫生与预防医学]