2005-2021年北京市通州区育龄女性死亡率变化趋势及死因构成分析  

Analysis on trend and cause of death among reproductive women,Tongzhou district,Beijing city,2005 to 2021

作　　者：苏彦萍[1] 吴芹[1] 孙晓伟[1] 陈志华 张国峰 SU Yan-ping;WU Qin;SUN Xiao-wei;CHEN Zhi-hua;ZHANG Guo-feng(Tongzhou District Center for Disease Control and Prevention,Beijing 101100,China)

机构地区：[1]北京市通州区疾病预防控制中心大数据办公室,北京101100 [2]北京市通州区疾病预防控制中心办公室

出　　处：《预防医学论坛》2022年第12期905-909,共5页Preventive Medicine Tribune

摘　　要：目的了解北京市通州区育龄女性人群死亡情况,为开展防控工作提供依据。方法分析2005-2021年“人口死亡信息登记管理系统”中北京市通州区育龄女性死亡监测数据,采用《国际疾病分类》(第十版)(ICD-10)对死因进行编码,计算育龄女性粗死亡率、标化死亡率、死因顺位等。应用JoinpPoint 4.9.0.1软件计算标化死亡率的年度变化百分比(APC),以描述死亡率的变化趋势。结果2005-2021年北京市通州区育龄女性死亡1622例,粗死亡率为53.52/10万,标化死亡率为49.42/10万。2005-2021年育龄女性粗死亡率(APC=3.66%,P<0.01)、标化死亡率(APC=-3.99%,P<0.01)均呈下降趋势,差异有统计学意义(P<0.01)。死因顺位排在前3位的是恶性肿瘤、伤害、心脏病;2005-2021年育龄女性恶性肿瘤标化死亡率下降趋势无统计学意义(APC=-1.72%,P>0.05);伤害和心脏病标化死亡率呈下降趋势,差异有统计学意义(伤害APC=-5.49%,P<0.01;心脏病APC=-6.54%,P<0.05)。结论2005-2021年北京市通州区育龄女性死亡率呈下降趋势,但恶性肿瘤作为首位死因,死亡变化趋势仍较稳定。应采取针对性的防控措施减少疾病负担。Objective To understand the trend and cause of death among reproductive women in Tongzhou district,so as to provide reference for prevention and control.Methods The death monitoring data of reproductive women from the National Diseases Surveillance System in Tongzhou district from 2005 to 2021 were analyzed,and the crude mortality,standardized mortality and the order of death causes were calculate,the annual percent change(APC)of the standardized mortality was calculated by using Joinpoint 4.9.0.1.Results From 2005 to 2021,1622 women of childbearing age died in Tongzhou district,with a crude mortality of 53.52/10~5 and a standardized mortality of 49.42/10~5.The crude mortality(APC=3.66%)and standardized mortality(APC=-3.99%)of women of reproductive age showed a decreasing trend from 2005 to 2021,with statistically significant differences(P<0.01).The top 3 causes of death were malignant tumor,injury and heart disease.From 2005 to 2021,there was no statistical significance in the decreasing trend of standardized mortality of malignant tumors among women of childbearing age(APC=-1.72%,P>0.05).The standardized mortality of injury and heart disease showed a downward trend,and the difference was statistically significant(injury:APC=-5.49%,P<0.01;heart disease:APC=-6.54%,P<0.05).Conclusion The mortality of women of childbearing age in Tongzhou district,Beijing city from 2005 to 2021 showed a decreasing trend,but the trend of mortality change of malignant tumor as the first cause of death remained relatively stable.Targeted prevention and control measures should be taken to reduce the disease burden.

关 键 词：育龄女性 死亡率 死因 趋势 恶性肿瘤 伤害 心脏病 

分 类 号：R195.4[医药卫生—卫生统计学]