摘要
目的:研究不同年龄、时期及队列中国居民各类型疾病死亡率的变化趋势,为中国居民健康促进政策的持续性调整优化提供科学依据。方法:基于中国死因监测数据集(2005~2019),采用APC模型探索中国居民分死因死亡风险的年龄-时期-队列效应。结果:各类疾病死亡风险具有显著差异(P<0.05)。慢性非传染性疾病成为中国居民主要的死亡原因。各类疾病死亡风险随居民年龄增大逐步上升(P<0.05),60岁后死亡风险加速上升。在时期和队列效应上,居民全死因死亡风险呈下降趋势(P<0.05),各类疾病死亡风险及变化速度不一。传染病、母婴疾病和营养缺乏性疾病死亡风险呈现出急速下降后的再次抬头趋势。1940~1969年出生人口伤害死亡风险呈现明显的上升趋势。结论:各级卫生部门应以控制慢性病危险因素、建设健康支持性环境为重点,降低高危人群发病风险,同时采取有效的预防措施,以应对新发传染性疾病的传播风险,降低高危人群伤害死亡风险。
Objective To study the change trend of mortality caused by different types of diseases or injuries among Chinese residents of different ages,periods and cohorts,and provide a scientific basis for the continuous adjustment and optimization of health promotion policies for Chinese residents.Methods Based on the cause of death surveillance data set in China(2005-2019),the APC model was used to explore the age-period-cohort effect of death risk caused by different diseases in Chinese residents.Results There was significant difference in the death risk among different diseases(P<0.05).Chronic non-communicable diseases have become the main cause of death for Chinese residents.The death risk of different diseases gradually increased with the increase of residents’age(P<0.05),which accelerated after 60 years old.In terms of period and cohort effect,the death risk of all causes showed a downward trend(P<0.05).The death risk and change speed of different diseases were different.The death risk from infectious diseases,maternal and infant diseases and nutritional deficiency diseases showed a trend of rising again after a rapid decline.The injury death risk of the people born from 1940 to 1969 showed an obvious upward trend.Conclusion Health departments should focus on controlling the risk factors of chronic diseases and building a healthy supporting environment to reduce the incidence risk of high-risk groups.And it is necessary to take effective preventive measures to deal with the transmission risk of new infectious diseases and reduce the injury death risk of high-risk groups.
作者
李昀东
凌巍
龚霓
Li Yundong(School of Ethnology and Sociology,Yunnan University,Kunming,P.R.China)
出处
《中国卫生事业管理》
北大核心
2022年第7期545-551,共7页
Chinese Health Service Management
基金
国家社会科学基金“农村临终关怀模式构建的文化适宜性研究”(21CSH026)
贵州省高校人文社会科学研究项目“新型城镇化背景下欠发达地区农业转移人口市民化推动路径研究——以贵州为例”(2021ZC001)。
