2015-2020年广东省中山市主城区居民主要死因及减寿分析  

Analysis on main death causes and life loss about residents in downtown of Zhongshan city,Guangdong province from2015 to 2020

作　　者：马敏杰 刘倩云 范木耿[2] 陈语嫣 林翠婷 MA Min-Jie;LIU Qian-Yun;FAN Mu-Geng;CHEN Yu-Yan;LIN Cui-Ting(Department of Disease Control,Shiqi District Center for Disease Control and Prevention,Zhongshan City,Guangdong 528400,China;The Office of Zhongshan City Center for Disease Control and Prevention;Department of Quality and Science and Education Management,Zhongshan City Center for Disease Control and Prevention)

机构地区：[1]中山市石岐区疾病预防控制中心疾病预防控制科,广东528400 [2]中山市疾病预防控制中心办公室 [3]中山市疾病预防控制中心质量与科教管理部

出　　处：《预防医学论坛》2024年第12期930-934,共5页Preventive Medicine Tribune

基　　金：广东省中山市科技计划项目(2021B1126)。

摘　　要：目的掌握广东省中山市主城区居民2015-2020年死因分布,分析预期寿命受主要死因的影响,寻找提高居民健康水平的关键环节,为政策的制定提供科学依据。方法从全国死因监测系统收集2015-2020年广东省中山市主城区户籍居民死亡日期、直接死因、根本死因等报告信息数据。根据国际通用编码ICD-10规则,对死因数据进行分类,从预期寿命、死亡率、预期寿命变化、标准化死亡率、潜在寿命损失率(PYLLR)和潜在寿命损失年数(PYLL)等多方面进行死因数据的分析。结果2015-2020年广东省中山市城区户籍居民平均死亡率为622.40/10万,每10万男性和女性分别平均死亡719.28人和528.16人,心脑血管病、恶性肿瘤、呼吸系统疾病、内分泌营养代谢疾病和伤害为前五位死亡原因。去除死因后,去除心血管疾病(6.69岁)、恶性肿瘤(3.55岁)和呼吸系统疾病(0.98岁)是增加预期寿命的前三位因素。2015-2020年中山市主城区平均PYLL为58638人年,PYLLR为58.76‰,恶性肿瘤、心脑血管疾病和伤害是PYLL前三位死因,PYLLR分别为24.10‰、12.76‰和5.84‰。结论恶性肿瘤和心脑血管病是2015-2020年广东省中山市城区户籍居民的主要死因,也是造成寿命损失的最主要疾病。Objective To understand the distribution of causes of death among residents in the main urban area of Zhongshan city,Guangdong province from 2015to 2020,analyze the impact of major causes of death on life expectancy,identify key areas for improving residents'health,so as to provide a scientific basis for policy formulation.Methods Data on the date of death,immediate cause of death,underlying cause of death,and other reported information of registered residents in the main urban area of Zhongshan city,Guangdong province from 2015to 2020were collected from the China Mortality Surveillance System.According to the International Classification of Diseases,Tenth Revision(ICD-10)rules,the causes of death were classified,and the data were analyzed in terms of life expectancy,mortality rate,changes in life expectancy,standardized mortality rate,potential years of life lost rate(PYLLR),and potential years of life lost(PYLL).Results The average mortality rate among registered residents in the urban area of Zhongshan city,Guangdong province from 2015 to 2020was 622.40/105,with an average of 719.28/105 in males and 528.16/105 in females.The top 5causes of death were cardiovascular and cerebrovascular diseases,malignant neoplasms,respiratory diseases,endocrine,nutritional,and metabolic diseases,and injuries.After eliminating causes of death,cardiovascular diseases(6.69years),malignant neoplasms(3.55years),and respiratory diseases(0.98years)were the top 3factors contributing to increased life expectancy.The average PYLL in the main urban area of Zhongshan city from 2015to 2020was 58638person-years,with a PYLLR of 58.76‰.Malignant neoplasms,cardiovascular and cerebrovascular diseases,and injuries were the top 3causes of PYLL,with PYLLRs of 24.10‰,12.76‰,and 5.84‰,respectively.Conclusion Malignant neoplasms and cardiovascular and cerebrovascular diseases were the main causes of death among registered residents in the urban area of Zhongshan city,Guangdong province from 2015to 2020,and they were also the most significant d

关 键 词：死因分析 死亡率 年度变化百分比 主要死因 减寿分析 

分 类 号：R181.37[医药卫生—流行病学] R195.3[医药卫生—公共卫生与预防医学]