2019年广西常住居民死因监测结果分析  

Analysis of causes of death among permanent residents in Guangxi in 2019

作　　者：杨进[1] 毛玮[1] 黄金梅[1] 滕有明[1] 许晶晶[1] YANG Jin;MAO Wei;HUANG Jin-mei;TENG You-ming;XU Jing-Jing(Guangxi Zhuang Autonomous Region Center for Disease Control and Prevention,Nanning,Guangxi 530021,China)

机构地区：[1]广西壮族自治区疾病预防控制中心,广西南宁530029

出　　处：《应用预防医学》2020年第6期453-457,462,共6页Applied Preventive Medicine

摘　　要：目的分析广西2019年常住居民死亡流行病学特征,为卫生行政部门制定预防控制策略提供科学依据。方法收集2019年广西常住居民的死因监测资料,按国际疾病分类(ICD-10)进行死因编码分类,统计分析不同年龄和性别以及农村和城市居民的死亡率、三大类疾病死因构成、潜在减寿年和主要慢性病早死概率等。结果2019年广西常住居民死亡率为617.98/10万,标化死亡率为563.55/10万。死因前5位及其死亡率依次为脑血管病(140.76/10万)、心脏病(137.23/10万)、恶性肿瘤(114.66/10万)、呼吸系统疾病(74.51/10万)和损伤及中毒(38.56/10万),合计死亡人数占总死亡人数的81.84%。第二类疾病(慢性非传染性疾病)死亡人数占三大类疾病死因构成比的85.00%。广西全死因潜在减寿年数(years of lost life,PYLL)为1779948.5人年,其中主要慢性病PYLL占总PYLL的60.88%。广西主要慢性病早死概率为15.15%;2019年广西居民预期寿命是77.54岁,其中男性预期寿命是74.33岁,女性预期寿命是81.27岁。结论广西主要慢性病死亡率及早死概率高、潜在减寿年数损失大,政府应加大主要慢性病防治的投入。Objective To analyze the epidemiological characteristics of the causes of death among permanent residents in Guangxi in 2019,and provide a scientific evidence for the health administration department to formulate prevention and control strategies.Methods The surveillance data of causes of death among permanent residents in Guangxi in 2019 were collected and coded according to the International Classification of Diseases(ICD-10).The mortality rate,mortality pattern described by three disease groups,potential years of life lost(PYLL),and the probability of premature death from major chronic diseases by different ages and genders,rural and urban were statistically analyzed.Results In 2019,the overall mortality rate of permanent residents in Guangxi was 617.98 per 100000,and the standardized mortality rate was 563.55 per 100000.The top five causes of death were cerebrovascular diseases(140.76 per 100000),heart disease(137.23 per 100000),malignant tumors(114.66 per 100000),respiratory diseases(74.51 per 100000),and injury and poisoning(38.56 per 100000),accounting for 81.83%of the total number of deaths.The number of deaths from the second disease(chronic non-communicable diseases)were accounted for 85.0%of the total death group.The total PYLL of all causes were 1779948.5 person years,of which PYLL of major chronic diseases account-ing for60.88%.The probability of premature death from major chronic diseases in Guangxi was 15.15%.In 2019,the life expectancy of residents in Guangxi was 77.54 years,of which 74.33 years for males and 81.27 years for females,respectively.Conclusions The mortality rate and the probability of premature death from major chronic diseases in Guangxi were high,and the PYLL was large.Therefore,the government should increase investment in the prevention and treatment of major chronic diseases.

关 键 词：死因 死亡率 潜在减寿年 早死概率 广西 

分 类 号：R195.3[医药卫生—卫生统计学]