山东省1970-2021年居民死亡水平及死亡谱变动趋势  

Variation tendency of mortality and death spectrum in Shandong Province,1970-2021

作　　者：楚洁[1] 鹿子龙[1] 刘丹茹[1] 徐晓慧 任杰[1] 董静[1] 付振涛[1] 陈先献[1] 郭晓雷[1] 徐爱强[2,3] Chu Jie;Lu Zilong;Liu Danru;Xu Xiaohui;Ren Jie;Dong Jing;Fu Zhentao;Chen Xianxian;Guo Xiaolei;Xu Aiqiang(Department of Chronic and Non-communicable Disease Control and Prevention,Shandong Provincial Center for Disease Control and Prevention,Jinan 250014,China;Shandong Provincial Center for Disease Control and Prevention,Jinan 250014,China;Institute of Preventive Medicine of Shandong University,Jinan 250014,China)

机构地区：[1]山东省疾病预防控制中心慢性非传染性疾病防制所,济南250014 [2]山东省疾病预防控制中心,济南250014 [3]山东大学预防医学研究院,济南250014

出　　处：《中华流行病学杂志》2024年第5期679-686,共8页Chinese Journal of Epidemiology

基　　金：泰山学者工程专项(TS201511105);山东省重点研发计划(2016GSF201231)。

摘　　要：目的描述1970-2021年山东省居民死亡水平及死亡谱变动趋势,为采取有针对性的疾病防控措施提供依据。方法分析资料来自山东省死因登记报告系统数据和3次山东省死因回顾性调查。采用死亡率、年龄标化死亡率、死亡构成比等观察指标描述山东省不同年份总死亡和主要死因死亡水平的变化,使用差别分解法定量测量死亡率变化中人口因素和非人口因素贡献值的大小。结果1970-2021年山东省居民粗死亡率基本平稳,2020-2021年(732.73/10万)较1970-1974年(671.98/10万)略有上升。标化死亡率持续且明显下降,2020-2021年(183.39/10万)较1970-1974年(568.00/10万)下降了67.71%。人口因素对死亡率的负性增长和非人口因素的正性降低作用相互抵消使死亡率处于相对平稳阶段。心脑血管疾病始终为首位死因,但死亡构成比从1970-1974年的19.70%上升至2020-2021年的54.72%。恶性肿瘤从第4位(11.46%)上升至第2位(25.70%),伤害从第7位(5.85%)上升至第3位(5.59%);慢性呼吸系统疾病从第2位(12.87%)下降至第4位(4.99%),传染病从第3位(12.27%)下降至第10位(0.42%)。主要死因标化死亡率不同程度下降,其中产科疾病、传染病、消化系统疾病、慢性呼吸系统疾病等降幅均超过50.00%。死亡人群的年龄分布、不同年龄人群以及城乡死亡谱均发生显著变化。2020-2021年0~14岁人群死亡占0.54%,较1970-1974年下降了97.05%,≥75岁人群死亡占55.14%,上升了55.75%;所有年龄段人群感染性疾病的位次显著下降,儿童青少年人群伤害、神经精神系统疾病、恶性肿瘤位次显著上升,中老年人群中内分泌/营养/代谢性疾病位次上升。城乡死亡谱差别明显缩小,2020-2021年城乡主要死因位次基本一致。结论山东省居民死亡谱发生了显著变化,以心脑血管疾病和恶性肿瘤为主的慢性非传染性疾病应成为当前疾病防控工作的重点。1970-2021年山东省的疾病防治�Objective To describe the trend of mortality and death spectrum in Shandong Province from 1970 to 2021 and provide basis for the targeted disease prevention and control.Methods The data were collected from the death registration reports of Shandong and 3 national retrospective surveys of death causes in Shandong.The change in levels of overall and specific deaths in Shandong in different years were analyzed based on mortality rate,age-standardized mortality rate and constituent ratio of cause of death,differential decomposition was used to quantify the contribution of demographic and non-demographic factors to changes of mortality.Results The crude mortality rate in residents in Shandong was basically stable from 1970 to 2021,and the mortality rate during 2020-2021(732.73/100000)was slightly higher than that during 1970-1974(671.98/100000).While the standardized mortality rate decreased significantly,and the mortality during 2020-2021(183.39/100000)decreased by 67.71% compared with that during 1970-1974(568.00/100000).The negative increase of population factors and the positive decrease of non-population factors reacted each other,so the mortality was relatively stable.Cardiac-cerebrovascular disease was always the leading cause of death,but the constituent ratio of death increased rapidly from 19.70% during 1970-1974 to 54.72% during 2020-2021.The rank in the causes of death changed from the fourth(11.46%)to the second(25.70%)for malignant tumor,from the seventh(5.85%)to the third(5.59%)for injury,from the second(12.87%)to the fourth(4.99%)for chronic respiratory diseases,from the third(12.27%)to the tenth(0.42%)for infectious diseases.The standardized mortality rates of the main causes of death decreased at different degrees,the standardized mortality rates of obstetrical disease,infectious disease,gastrointestinal disease and chronic respiratory disease decreased by more than 50.00%.The age distribution of deaths and the death spectrum in different age groups and in urban-rural populations changed significantl

关 键 词：死亡率 死因 差别分解 趋势分析 

分 类 号：R195[医药卫生—卫生统计学]