2019—2022年四川省居民死因监测数据分析  

Surveillance for death causes in residents,Sichuan,2019-2022

作　　者：祁冰洁 曾晶[1] 胥馨尹[1] 邓颖[1] QI Bing-jie;ZENG Jing;XU Xin-yin;DENG Ying(Department of Chronic Non-communicable Diseases Control and Prevention,Sichuan Provincial Center for Disease Control and Prevention,Chengdu,Sichuan 610000,China)

机构地区：[1]四川省疾病预防控制中心慢病所,四川成都610000

出　　处：《现代预防医学》2023年第24期4429-4433,4445,共6页Modern Preventive Medicine

摘　　要：目的了解四川省户籍人口居民的死亡水平及死因分布特征,为下一步制定疾病防控干预策略提供依据。方法数据收集自“中国疾病预防控制信息系统—人口死亡信息登记管理系统”2019—2022年四川省31个国家级死因监测点户籍人口死因监测资料,采用«疾病和有关健康问题的国际统计分类第十次修订本»(ICD-10)进行分类,根据«人口死因监测工作指导手册»的质量要求对上报数据进行综合评价,按照使用SAS 9.4软件计算死亡率及标化死亡率。结果2019—2022年四川省死因数据质量较好,漏报率在6.20%~8.39%之间,重卡率<1%,报告及时性≥95%,审核率≥99%,迟审率≤5%,编码错误率≤5%;2019—2022年四川省户籍人口死亡率(/10万)分别为647.12、659.94、699.93、862.01,APC=9.63(t=2.98,P=0.097);标化死亡率(/10万)分别为411.14、401.50、407.50、469.22,APC=4.20(t=1.54,P=0.264);居民死因以慢性病为主,占全死因构成的88%左右;死因顺位前4位相同,分别是循环系统疾病、肿瘤、呼吸系统疾病和伤害;循环系统疾病、肿瘤、消化系统疾病、内分泌营养代谢疾病及神经系统疾病的死亡率呈上升趋势;脑血管病、慢性阻塞性肺疾病、缺血性心脏病、肺癌一直占据单病种死因前4位;不同年龄组主要死因不同,其对数值随年龄增加呈现“√”形。结论四川省死因监测数据虽整体质量较好,但仍存在一定程度的漏报,应持续巩固监测工作;全省死亡谱无明显变化,不同年龄段死因顺位不同,应有针对性地开展三级预防措施;慢性病已成为影响全省居民健康水平的主要死因,应开展慢性病综合防控策略,提高人群健康水平。Objective To understand the death level and the distribution characteristics of the causes of death among the registered population in Sichuan Province from 2019 to 2022,and to provide the basis for formulating the intervention strategies of disease prevention and control in the next step.Methods The death data in 31 national cause-of-death surveillance areas in Sichuan from 2019-2022 were obtained from“China Disease Prevention and Control Information System-Death Reporting Information System”.International Classification of Diseases 10th Edition(ICD-10)was used for death data coding.The reported data were comprehensively evaluated according to the quality requirements of the Guidance Manual for population death surveillance.SAS 9.4 software was used to calculate mortality and standardized mortality.Results From 2019-2022,the data quality of death cause in Sichuan Province was well qualified.The underreporting rate was 6.20%-8.39%,the duplicated reporting rate was less than 1%,the timeliness of reporting was more than 95%,the review rate was more than 99%,the late review rate was less than 5%,and the coding error rate was less than 5%.The mortality rates of registered population in Sichuan Province from 2019-2022 were 647.12/100000,659.94/100000,699.93/100000 and 862.01/100000,APC=9.63(t=2.98,P=0.0965).The standardized mortality rates were 411.14/100000,401.50/100000,407.50/100000,469.22/100000,APC=4.20(t=1.54,P=0.264).Chronic diseases were the main causes of death,accounting for about 88%of the total causes of death.The top 4 causes of death were the same,they were circulatory diseases,tumors,respiratory diseases and injuries.The mortality of circulatory system diseases,cancer,digestive system diseases,endocrine nutrition and metabolic diseases and nervous system diseases showed an increasing trend.Cerebrovascular disease,chronic obstructive pulmonary disease,ischemic heart disease and lung cancer were the top 4 causes of death by single disease.The main causes of death were different in different age groups

关 键 词：死因监测 死亡率 死因分析 

分 类 号：R195.4[医药卫生—卫生统计学]