摘要
目的了解兰州市居民死因构成和寿命损失情况,为提高居民期望寿命提供参考。方法收集2019—2022年兰州市居民死亡资料,通过粗死亡率、潜在减寿年数(PYLL)、潜在减寿率(PYLLR)和平均减寿年数(AYLL)等描述死因情况。结果2019—2022年共报告死亡75639人,总粗死亡率为502.04/10万,总标化死亡率为253.57/10万。男性年均粗死亡率(χ^(2)=13.516)、年均标化死亡率(χ^(2)=10.130)均高于女性(P<0.05)。根据粗死亡率确定前5位死因依次为循环系统疾病(230.53/10万),肿瘤(110.61/10万),呼吸系统疾病(60.11/10万),内分泌、营养和代谢性疾病(22.21/10万)以及损伤和中毒(19.18/10万),占全死因的90.79%。PYLL为471049人年,AYLL为6.71人年,PYLLR为31.26‰。AYLL最高的为损伤和中毒,PYLL和PYLLR前2位依次为循环系统疾病和肿瘤。结论2019—2022年兰州市居民的主要死因是循环系统疾病、肿瘤和呼吸系统疾病,损伤和中毒是导致居民早死的主要原因。针对影响居民健康的慢性非传染性疾病和伤害,应采取针对性的干预措施,以期提高居民期望寿命。
Objective To understand the composition of causes of death and loss of life expectancy among residents in Lanzhou city and to provide a reference for improving life expectancy.Methods Data on deaths among residents in Lanzhou City from 2019 to 2022 were collected and the causes of death described using crude mortality rate,potential years of life lost(PYLL),potential years of life lost rate(PYLLR)and average years of life lost(AYLL).Results A total of 75639 deaths were reported in 2019—2022,with an overall crude mortality rate of 502.04/100000,and the overall standardized mortality rate was 253.57/100000.The annual crude mortality rate(χ^(2)=13.516)and standardized mortality rate(χ^(2)=10.130)of males were higher than those of females(P<0.05).Based on the crude mortality rate,the top five causes of death were circulatory system diseases(230.53/100000),neoplasms(110.61/100000),respiratory diseases(60.11/100000),endocrine,nutritional,and metabolic diseases(22.21/100000),and injuries and poisoning(19.18/100000),accounting for 90.79%of all deaths.The PYLL was 471049 person-years and the AYLL was 6.71 person-years,and PYLLR was 31.26‰.The highest AYLL was for injuries and poisoning,while circulatory system diseases and tumors ranked first and second,respectively,in terms of PYLL and PYLLR.Conclusions The main causes of death among residents in Lanzhou City from 2019 to 2022 are circulatory system diseases,tumors and respiratory diseases.Injuries and poisoning were the main causes of premature death.Targeted interventions for chronic non-communicable diseases and injuries affecting the health of the residents'should be taken with the aim of increasing the life expectancy.
作者
陈瑞
樊玉芳
杨永宏
孙建云
CHEN Rui;FAN Yu-fang;YANG Yong-hong;SUN Jian-yun(Environmental Hygiene Section,Gansu Provincial Centre for Disease Control and Prevention,Lanzhou,730000,China)
出处
《疾病预防控制通报》
2025年第2期63-66,73,共5页
Bulletin of Disease Control & Prevention(China)
基金
甘肃省自然科学基金(24JRRA1153)。
关键词
死因
潜在减寿年数
平均减寿年数
减寿率
Causes of death
Potential years of life lost
Average years of life lost
Years of life lost rate
