摘要
目的:了解2019至2022年安徽省滁州市居民死因分布状况,为制定疾病防控策略提供依据。方法:由安徽省滁州市疾病预防控制中心死因监测系统获得2019至2022年安徽省滁州市居民死亡资料,分析粗死亡率、死因构成比以及死因顺位等指标,并采用Joinpoint回归模型计算死亡率的年度变化百分比(annual percent change,APC),以描述死亡率年均变化情况。结果:2019至2022年安徽省滁州市居民年均粗死亡率为668.80/10万,粗死亡率(/10万)分别为640.58、652.10、 659.32、 723.46 (APC=3.10%, P=0.356),年均粗死亡率男性(735.93/10万)高于女性(598.52/10万)(χ2=1148.724,P<0.01)。前3位死因分别是恶性肿瘤、脑血管系统疾病以及心血管系统疾病。恶性肿瘤的死亡率呈现下降趋势(APC=-1.51%,P<0.01),恶性肿瘤具体死因中,前3位分别是肺癌、胃癌以及肝癌。各年龄组中,先天性畸形、变形和染色体异常以及起源于围产期的某些情况是导致0~4岁年龄组居民死亡的首位原因;5~14岁中首位死因是意外伤害;15~44岁和45~64岁组首位死因均是恶性肿瘤;≥65岁组脑血管系统疾病是首位死因。意外伤害死亡率呈上升趋势(APC=1.64%,P<0.01),各年龄组意外伤害死因中具体种类顺位有所差异。结论:安徽省滁州市居民的主要健康威胁来自慢性非传染性疾病,尤其是癌症和心脑血管系统疾病,应制定切实可行的防控措施。
Objective:To analyze the distribution of causes of death among residents in Chuzhou City of Anhui Province from 2019 to 2022,in order to provide evidence for formulating disease prevention and control strategies.Methods:The death data of residents in Chuzhou City from 2019 to 2022 were obtained from the cause of death surveillance system of Chuzhou Center for Disease Control and Prevention in Anhui Province.The crude death rate,composition ratio of cause of death and the rank of cause of death were analyzed.The annual percent change(APC)of mortality was calculated by using the Joinpoint regression model to describe the average annual change of mortality.Results:From 2019 to 2022,the average annual crude mortality of permanent residents in Chuzhou City was 668.80/100000,and the crude mortality rate(/100000)was 640.58,652.10,659.32,and 723.46,respectively(APC=3.10%,P=0.356).The annual crude mortality of males(735.93/100000)was higher than that of females(598.52/100000)(χ2=1148.724,P<0.01).The top three causes of death were malignant tumor,cerebrovascular disease,and cardiovascular disease.The mortality of malignant tumors showed a decreasing trend(APC=-1.51%,P<0.01),and the top three causes of death of malignant tumors were lung cancer,gastric cancer and liver cancer.Among the age groups,congenital malformations and deformations,chromosomal abnormalities,and certain conditions originating in the perinatal period were the leading causes of death among residents aged 0 to 4 years old.Accidental injuries were the first cause of death among residents aged 5 to 14 years old.The leading cause of death among residents in the 15-44 and 45-64 age groups was malignant tumor.Cerebrovascular disease was the leading cause of death in≥65 years old.The mortality of accidental injuries showed an increasing trend(APC=1.64%,P<0.01),and the specific types of death causes of accidental injuries were different among different age groups.Conclusion:Chronic non-communicable diseases,especially cancer and cardiovascular and cerebrovascular diseases,are the main health threats to the residents of Chuzhou City of Anhui Province,and feasible prevention and control measures should be formulated.
作者
解萍
林小洁
陈森科
韩明
高步刚
XIE Ping;LIN Xiaojie;CHEN Senke;HAN Ming;GAO Bugang(Basic Medical College,Chuzhou City Vocational College,Chuzhou 239000,China;School of Public Health,Guang-dong Medical University;Chronic Disease Control Center,Chuzhou Center for Disease Control and Prevention)
出处
《沈阳医学院学报》
2025年第1期26-31,共6页
Journal of Shenyang Medical College
基金
安徽省高等学校科学研究项目(自然科学类重点项目)(No.2022AH052879)
安徽省高等学校质量工程项目(No.2022jnds042)
安徽省高等学校质量工程(No.2021zyjxzyk025)。
关键词
死因分析
死因监测
死亡率
死因顺位
慢性非传染性疾病
analysis of cause of death
cause of death surveillance
mortality
rank of cause of death
chronic non-communicable diseases
