2011-2020年浙江省居民期望寿命及死亡谱变化分析  

Changes of life expectancy and death spectrum among residents in Zhejiang province,2011−2020

作　　者：周晓燕 龚巍巍[1] 潘劲[1] 关云琦 戴品远 王浩[1] 胡如英[1] 钟节鸣[1] 李娜[1] Zhou Xiaoyan;Gong Weiwei;Pan Jin;Guan Yunqi;Dai Pinyuan;Wang Hao;Hu Ruying;Zhong Jieming;Li Na(Zhejiang Provincial Center for Disease Control and Prevention,Hangzhou 310051,Zhejiang,China)

机构地区：[1]浙江省疾病预防控制中心,浙江杭州310051

出　　处：《疾病监测》2023年第5期609-615,共7页Disease Surveillance

基　　金：浙江省社科联资助项目(No.2022B64);2023年度浙江省软科学研究计划项目(No.2023C35007)。

摘　　要：目的了解2011—2020年浙江省居民期望寿命、死亡谱变化情况,分析影响期望寿命增长的主要疾病因素,为卫生决策提供参考依据。方法数据来源于浙江省慢性病监测信息管理系统中的死亡个案登记信息。采用粗死亡率、期望寿命、去死因期望寿命、期望寿命年龄分解法分析2011—2020年浙江省居民死亡谱变化情况及比较不同年龄组和不同死因对期望寿命的影响。采用SAS 9.4和Excel 2013软件进行统计分析。结果2011—2020年浙江省期望寿命年均增长0.36岁;婴儿组死亡率的降低对期望寿命增长的影响占整个年龄组的15.37%,老年组占53.08%,且婴儿组死亡率对期望寿命的贡献逐渐降低,老年组死亡率对期望寿命的贡献明显增加。循环系统疾病和恶性肿瘤始终位于浙江省第1、第2位死因,是造成浙江省居民期望寿命损失的主要原因;呼吸系统疾病则是过去10年浙江省居民期望寿命增长的最主要原因。2020年前5位死因减寿损失顺位依次是脑血管病、心脏病、肺癌、慢性下呼吸道疾病和意外跌落。结论慢性病已成为浙江省居民的主要死因,要进一步提高人群期望寿命,需要建立健全慢性病综合防治体系,对60岁以上人群进行重点干预,改善人口老龄化社会状态下居民的健康状态。Objective To understand the changes of life expectancy and death spectrum in Zhejiang province residents from 2011 to 2020,to analyze the main diseases factors affecting the growth of life expectancy,and to provide the reference for health decision-making.Methods The data were from the registration information of death cases in the chronic disease monitoring information management system in Zhejiang.The crude mortality,life expectancy,cause-of-death life expectancy and age decomposition of life expectancy were used to analyze the changes of death spectrum in Zhejiang Province residents and to compare the influencing of life expectancy in different age groups and different death cause group.The software SAS 9.4 and Excel 2013 were used for the statistics analysis.Results The life expectancy in Zhejiang province increased by 0.36 years annually from 2011 to 2020;The impact of the reduction of infant mortality on the growth of life expectancy is 15.37%of the whole age group,and the contribution rate of the elderly group accounted for 53.08%.The contribution of infant group to life expectancy gradually decreases,while of the elderly group significantly increases.The circulatory diseases and malignant tumors have always been the first and second causes of death in Zhejiang province,which were the main reason for the loss of life expectancy.The respiratory diseases were the main cause for growth of life expectancy over the past 10 years.The top five causes of life loss in 2020 were cerebrovascular disease,heart disease,lung cancer,chronic lower respiratory disease and accidental fall,respectively.Conclusion Chronic diseases have become the main cause of death in Zhejiang province residents.To further improve the life expectancy of the population,it is necessary to establish and improve the comprehensive prevention and control system of chronic diseases,focus on the intervention of people over 60 years old,improving the health of residents in an aging society.

关 键 词：期望寿命 死亡谱 去死因期望寿命 

分 类 号：R211[医药卫生—中医学] R195