慢性病综合防控示范区建设对主要慢性病早死概率的影响  

Impact of the construction of national demonstration area for comprehensive prevention and control of non-communicable disease (NCDs) on probability of premature death of major NCDs

作　　者：丁贤彬[1] 唐文革[1] 毛德强[1] 焦艳[1] 

机构地区：[1]重庆市疾病预防控制中心慢性病预防控制所,重庆400042

出　　处：《中国慢性病预防与控制》2018年第1期1-4,共4页Chinese Journal of Prevention and Control of Chronic Diseases

基　　金：重庆市社会事业与民生保障科技创新专项基金资助项目(cstc2015shms-ztzx10009)

摘　　要：目的了解慢性病综合防控示范区建设对4类主要慢性病早死概率的影响,为进一步推进慢性病综合防控工作提供建议。方法利用2016年重庆市全人群死因监测数据,比较慢性病综合防控示范区与非示范区的心脑血管疾病、恶性肿瘤、慢性呼吸系统疾病和糖尿病4种主要慢性病的死亡率、标化死亡率及早死概率的差异。采用SPSS 19.0统计软件进行χ~2检验。结果 2016年非示范区报告死亡率(783.79/10万)高于示范区(704.22/10万),差异有统计学意义(χ~2=25.09,P<0.01)。非示范区4类主要慢性病死亡率(636.85/10万)高于示范区(588.02/10万),差异有统计学意义(χ~2=16.95,P<0.01)。非示范区4类主要慢性病早死概率(17.18%)高于示范区(15.82%),差异有统计学意义(χ~2=73.98,P<0.01),非示范区的恶性肿瘤早死概率与示范区之间的差异无统计学意义(P>0.05),心脑血管疾病、慢性呼吸系统疾病和糖尿病早死概率(6.88%、2.25%和0.52%)均高于示范区(5.65%、2.04%和0.38%),差异均有统计学意义(χ~2值分别为102.71,29.28和42.43,P<0.01)。结论重庆市慢性病综合防控示范区主要慢性病早死概率低于非示范区,示范区建设对降低主要慢性病早死概率有积极的影响,应大力推进示范区建设工作。Objective To analyze the impact of national demonstration area for comprehensive prevention and control of non-communicable diseases（NCDs） on the probability of premature death of major NCDs, and to provide the suggestion for promoting national demonstration area for comprehensive prevention and control of NCDs. Methods The death causes data of Chongqing in 2016 were used to compare the mortalities, age-specific standardization mortalities and premature death probability of four main NCDs（cardiovascular disease, cancer, chronic respiratory disease and diabetes） between national demonstration area and non national demonstration area for comprehensive prevention and control of NCDs. The χ~2 test was utilized to analyze the data with SPSS 19.0. Results In 2016, the total mortality（783.79/100 000） in non-national demonstration area for comprehensive prevention and control of NCDs was significantly higher than that（704.22/100 000） in national demonstration area（χ~2=25.09,P〈0.01）. The mortality（636.85/100 000） of four major NCDs in non-national demonstration area was significantly higher than that（588.02/100 000） in national demonstration area（χ~2=16.95,P〈0.01）. The premature death probability（17.18%） of four major NCDs in non-national demonstration area was significantly higher than that（15.82%） in national demonstration area（χ~2=73.98,P 〈0.01）. There was no significant difference of premature death probability of cancer between national demonstration area and non-national demonstration area（P〉0.05）, but the premature death probabilities（6.88%, 2.25% and 0.52%） of cardiovascular disease, chronic respiratory disease and diabetes in non-national demonstration area were significantly higher than those（5.65%,2.04% and 0.38%） in national demonstration area（χ~2 values were 102.71, 29.28 and 42.43,P〈0.01）. Conclusion The premature death probability of four major NCDs in national demonstration area of Chongqing was significantly lower than that in non

关 键 词：慢性病综合防控示范区 主要慢性病 死亡率 早死概率 

分 类 号：R181.3[医药卫生—流行病学]