2012-2016年郴州市居民死因监测分析  

Surveillance of death causes in Chenzhou City,Hunan Province,2012-2016

作　　者：唐曼贞[1] 朱韩武[1] 付敏[1] 谭徽[1] 曹慧芳[1] TANG Man-zhen;ZHU Han-wu;FU Min;TAN Hui;CAO Hui-fang(Chenzhou Center for Disease Control and Prevention,Chenzhou,Hunan 423000,Chin)

机构地区：[1]郴州市疾病预防控制中心,湖南郴州423000

出　　处：《实用预防医学》2018年第8期915-917,共3页Practical Preventive Medicine

基　　金：郴州市科技计划项目(CZ2015058)

摘　　要：目的分析郴州市居民死因构成及变化趋势,为制定郴州市疾病预防控制政策和策略提供科学依据。方法采用描述性统计学方法,统计分析2012-2016年郴州市居民死亡率、死因构成和死因顺位。结果 2012-2016年郴州市共报告居民死亡103 533例,年均粗死亡率为444.23/10万,标化死亡率为451.33/10万;男性死亡率高于女性(χ~2=8 390.51,P<0.01);粗死亡率最高的是苏仙区,最低的是桂东县,两者差异有统计学意义(χ~2=3 567.47,P<0.01);城市与农村居民粗死亡率差异无统计学意义(χ~2=0.05,P>0.05);死因疾病前5位依次为:心脏病、恶性肿瘤、脑血管病、呼吸系统疾病、损伤及中毒;死亡疾病中主要为慢性病,其合计死亡率为388.98/10万,占全部死亡疾病的87.56%。结论心脏病、恶性肿瘤、脑血管病、呼吸系统疾病等慢性病是郴州市居民的主要死因,也是影响郴州市居民健康的主要公共卫生问题。Objective To stduy the constitution of death causes and its changing trend among residents in Chenzhou City,Hunan Province,and provide scientific basis for formulating policies and strategies for disease control and prevention. Methods Descriptive statistics was used to analyze the mortality,constitution and sequence of death causes among residents in Chenzhou City from 2012 to 2016. Results Totally,103 533 deaths were repoerted in Chenzhou City from 2012 to 2016,with an average annual crude mortality rate of 444.23/100,000 and standardized mortality rate of 451.33/100,000. The mortality rate was higher in males than females（ χ^2= 8,390.51,P〈0.01）. Suxian District had the highest crude death rate and Guidong County had the lowest,showing statistically significant difference（ χ^2= 3,567.47,P〈0.01）. There was no statistically significant difference in the crude death rate between urban and rural areas（ χ^2= 0.05,P〉0.05）. The five leading causes of death were heart disease,malignant tumor,cerebrovascular disease,respiratory disease,injuries and poisoning. The majority of the deaths were chronic diseases,with the total mortality of 388.98/100,000 and accounting for 87.56% of all deaths. Conclusion Heart disease,malignant tumor,cerebrovascular disease and respiratory system disease are the main causes of death and the major public health problems affecting the health of the residents in Chenzhou City.

关 键 词：死因 死亡率 死因构成 

分 类 号：R195.3[医药卫生—卫生统计学]