2019-2023年上海嘉定区江桥镇户籍居民死因分析  

Analysis of death causes of the registered residents in Jiangqiao Community of Jiading District in Shanghai from 2019 to 2023

作　　者：王秀秀 张炳扬 王晓龙 WANG Xiuxiu;ZHANG Bingyang;WANG Xiaolong(Department of Prevention and Health Care of Jiangqiao Community Health Service Center of Jiading District,Shanghai 201803,China)

机构地区：[1]上海市嘉定区江桥镇社区卫生服务中心预防保健科,上海201803

出　　处：《上海医药》2024年第24期52-57,共6页Shanghai Medical & Pharmaceutical Journal

摘　　要：目的 :分析上海嘉定区江桥镇户籍居民主要死因,为疾病防控和卫生政策的制定提供依据。方法 :收集2019-2023年上海嘉定区江桥镇户籍居民的人口资料和死因监测数据,根据国际疾病分类ICD-10进行死因分类,分析上海嘉定区江桥镇户籍居民的死亡率、死因构成和顺位。结果 :2019-2023年上海嘉定区江桥镇户籍居民年均死亡率为945.54/10万,男性年均死亡率高于女性,差异有统计学意义(1 053.17/10万比836.41/10万,P <0.05)。死因前5位依次为循环系统疾病,肿瘤,呼吸系统疾病,内分泌、营养和代谢疾病,损伤和中毒,占所有死亡人数的90.35%;死亡率随年龄增加呈上升趋势,65岁及以上年龄组占所有死亡人数的86.29%。15~44岁、45~64岁、65岁及以上年龄组首位死因均为循环系统疾病。上海嘉定区江桥镇户籍居民平均期望寿命为82.97岁,男性期望寿命低于女性(80.33岁比85.84岁)。结论 :上海嘉定区江桥镇户籍老年人口占比由2019年的24.09%逐年增长至2023年的28.10%,居民以循环系统疾病、恶性肿瘤、呼吸系统疾病等慢性非传染性疾病为主要死因。应针对重点人群开展健康宣教与行为干预,加强慢性病患者的规范化管理,提高恶性肿瘤筛查普及率,从而降低居民死亡率,提高人群健康水平。Objective:To analyze the main death causes of the registered residents in Jiangqiao Community of Jiading District in Shanghai and to provide evidence for disease prevention and control and formulation of health policies.Methods:The population data and monitoring data of death causes of the registered residents in Jiangqiao Community from 2019 to 2023 were collected,and according to the International Classification of Diseases(ICD-10),the death causes were classified,and the mortality,proportion and rank of death causes of the registered residents in Jiangqiao Community of Jiading District,Shanghai were analyzed.Results:From 2019 to 2023,the annual average death rate of the registered residents in Jiangqiao Community of Jiading District,Shanghai was 945.54/100000,the average mortality of the males was higher than that of the females and the difference was statistically significant(1053.17/100000 vs 836.41/100000,P<0.05).The top 5 death causes were circulatory system diseases,tumors,respiratory diseases,endocrine and nutritional diseases,and injuries and poisoning,accounting for 90.35%of all deaths;the mortality rate increased with age,and the age group of 65 and over accounted for 86.29%of all deaths.The leading death causes in the 15-44,45-64,65 and over age groups were circulatory system diseases.The average life expectancy for the registered residents in Jiangqiao Community of Jiading District in Shanghai was 82.97 years old,and the life expectancy of the males was shorter than that of the females(80.33 vs 85.84 years old).Conclusion:Proportion of the elderly registered population accounted for 24.09%in 2019,and increased to 28.10%in 2023 in Jiangqiao Community of Jiading District in Shanghai,chronic non-communicable diseases,such as circulatory system diseases,malignant tumors and respiratory diseases are the major death causes.Health education and behavior intervention should be carried out for key population,standardized management of patients with chronic diseases should be strengthened,and the malignant tu

关 键 词：死亡率 死因顺位 期望寿命 

分 类 号：R195.3[医药卫生—卫生统计学]