江苏省滨湖区2007-2016年育龄妇女死亡监测分析  

Death monitoring of reproductive women in Binhu District of Jiangsu Province from 2007 to 2016

作　　者：夏冰洋 陈智群 薛春梅 张枫枫 XIA Bing-yang;CHEN Zhi-qun;XUE Chun-mei;ZHANG Feng-feng(Binhu Maternal and Child Health Care Family Planning Service Center,Jiangsu Wuxi 214061,China)

机构地区：[1]滨湖区妇幼保健计划生育服务中心,江苏无锡214061

出　　处：《中国妇幼健康研究》2018年第9期1112-1115,共4页Chinese Journal of Woman and Child Health Research

摘　　要：目的了解滨湖区育龄妇女死亡现状并探讨干预措施。方法收集2007-2016年滨湖区育龄妇女死亡监测资料,对育龄妇女的死亡特征、变化趋势、死前医疗服务情况等进行回顾性分析。结果2007-2016年滨湖区育龄妇女粗死亡率为48.60/10万(标化死亡率为44.53/10万),死亡率随着年龄的增加而升高(χ2趋势=229.24,P<0.001)。死因顺位的前三位依次为恶性肿瘤、损伤中毒和循环系统疾病,合计占全死因的86.73%。10年间滨湖区育龄妇女死亡率无明显时间变化趋势(APC=0.38%,95%CI:0.03~0.04,P>0.05),乳腺癌死亡率近年来呈现上升趋势(APC=31.38%,95%CI:0.05~0.65,P<0.05)。各类疾病的死亡地点分布构成存在差异(χ2=8.45,P<0.05),以医院占比高,为57.66%。结论滨湖区育龄妇女乳腺癌、自杀及心血管病的死亡率较高,需重点加强对这些疾病的防控。Objective To investigate the current status of death among reproductive women in Binhu District and to develop intervention measures.Methods The death data of reproductive women in Binhu District from 2007 to 2016 were collected for retrospective analysis on characteristics of death,mortality trend and related medical treatment with SPSS 19.0 and Joinpoint Regression Program 4.5.Results The crude mortality rate among women of childbearing age was 48.60 per 100 000（standardized mortality rate of 4.53 per 100 000）.The mortality rate increased along with the increase of age（χ2=229.24,P〈0.001）.The top three causes of death were malignant tumor,injury and poisoning,and disease of circulatory system,accounting for 86.73% of all death.Over the past ten years,there was no significant trend of mortality rate among women of childbearing age（APC=0.38%,95%CI：0.03-0.04,P〉0.05）,while breast cancer showed an increasing trend in the past years（APC=31.38%,95%CI：0.05-0.65,P〈0.05）.The distribution of death places was different when various diseases were compared（χ2=8.45,P〈0.05）,and hospital was the most common place（57.66%）.Conclusion The mortality rates of breast cancer,suicide and cardiovascular disease in reproductive women are relatively high,so it is essential to take effective measures to prevent and control these diseases.

关 键 词：死亡率 育龄 妇女 干预 

分 类 号：R173[医药卫生—妇幼卫生保健]