摘要
目的 分析2016年重庆市居民心脑血管疾病、恶性肿瘤、慢性呼吸系统疾病、糖尿病等四类主要慢性病早死概率及去死因期望寿命情况，为开展慢性病防治工作提供建议。方法 重庆市2016年居民死亡个案数据（死亡日期为2016年1月1日至12月31日）全部来源于中国疾病预防控制系统死因登记报告信息系统，按照国际疾病分类第10版（ICD-10）对死亡个案进行编码，分析心脑血管疾病、恶性肿瘤、慢性呼吸系统疾病、糖尿病等四类主要慢性病的死亡率、标化死亡率、构成比、早死概率、期望寿命、去死因期望寿命。结果 2016年重庆市报告死亡病例218 004例，死亡率为731.73/10万。四类主要慢性病死亡共计179 637例，占总死亡的82.40%；死亡率与标化死亡率分别为602.95/10万与455.82/10万；早死概率为15.96%，男性（25.39%）高于女性（10.78%）。心脑血管疾病、恶性肿瘤、慢性呼吸系统疾病和糖尿病的早死概率分别为6.01%、8.32%、2.05%和0.43%。分别去除心脑血管疾病、恶性肿瘤、慢性呼吸系统疾病与糖尿病后，增长的期望寿命分别是6.02、3.19、1.89与0.19年。结论 重庆市主要慢性病早死概率高，男性高于女性，应针对不同性别间的危险因素开展干预和人群的健康管理，降低早死概率。
Objective To analyze the premature death probability and cause-eliminated life expectancy of cardiovascular disease, cancer, chronic respiratory disease and diabetes in Chongqing residents in 2016 so as to provide recommendation for non-communicable diseases （NCDs） prevention and control in Chongqing.Methods Death cases of Chongqing Municipality between January 1st and December 31st, 2016 were reported through death case registry system of national center for disease prevention and control. Death cases were sorted by international classification of disease （ICD-10）. Mortality rate, standardized mortality rate, constituent ratio, premature death probability, life expectancy, and cause-eliminated life expectancy of four major NCDs were analyzed.Results A total of 218 004 death cases were reported in Chongqing, 2016, and the mortality rate was 731.73/100 000. Of them, a total of 179 637 death cases of the four major NCDs including cardiovascular disease, cancer, chronic respiratory disease and diabetes were reported, accounting for 82.40% of all death cases. The mortality rate and standardized mortality rate of four major NCDs was 602.95/100 000 and 455.82/100 000, respectively. The premature death probability of four major NCDs was 15.96%, and males （25.39%） had a higher premature death probability than females （10.78%）. The premature death probability of cardiovascular disease, cancer, chronic respiratory disease, and diabetes were 6.01%, 8.32%, 2.05%, and 0.43%, respectively. Life expectancy would increase by 6.02, 3.19, 1.89, and 0.19 years, after eliminating cardiovascular disease, cancer, chronic respiratory disease and diabetes respectively.Conclusion The premature death probability of major NCDs was high in Chongqing, and males had a higher premature death probability than females did. Intervention and health management of the population should be conducted according to different gender-based risk factors to reduce the premature death probability.
作者
丁贤彬
唐文革
毛德强
焦艳
沈卓之
Ding Xianbin Tang Wenge Mao Deqiang Jiao Yan Shen Zhuozhi(Institute of Non-communicable Disease Prevention and Control, Chongqing Center for Disease Prevention and Control, Chongqing 400042, Chin)
出处
《中华预防医学杂志》
CAS
CSCD
北大核心
2017年第11期1033-1037,共5页
Chinese Journal of Preventive Medicine
关键词
慢性病
死亡率
预期寿命
早死概率
Chronic disease
Mortality
Life expectancy
Probability of premature death
