Trends in death and premature death from major chronic diseases in Jiefang District of Jiaozuo City, 2015-2019
CHEN Hai-hui1, JIN Li-ming1, SHI Yu-qing2, TIAN Zhen3, WANG San-feng3, PANG Qiu-yan3
1. Jiefang District Center for Disease Control and Prevention, Jiaozuo, Henan 454000, China; 2. Jiaozuo Hospital of Traditional Chinese Medicine, Jiaozuo, Henan 454000, China; 3. Jiaozuo Municipal Center for Disease Control and Prevention, Jiaozuo, Henan 454003, China
摘要目的 了解焦作市解放区主要慢性病死亡及早死概率等相关指标及其变化趋势。 方法 收集2015—2019年焦作市解放区居民死因资料,采用有关疾病和健康问题的国际统计分类第10版(ICD-10)分类方法进行死因分类,分别计算粗死亡率、标化死亡率、平均减寿年数(average years of life lost,AYLL)、早死概率等指标并分析焦作市解放区居民死亡资料。 结果 2015—2019年焦作市解放区65岁及以上人口占总人口比例由8.52%上升至10.82%,年度变化百分比(annual percent change,APC)为5.39%,呈上升趋势(t=5.579,P=0.011);恶性肿瘤、糖尿病、心脑血管疾病、慢性呼吸系统疾病4种主要慢性病死亡占总死亡人口数的比例由84.76%上升至88.20%,标化死亡率由 543.46/10万下降至459.64/10万;男性死亡率均高于女性(P<0.05);心脑血管疾病为首位死亡原因,年平均粗死亡率为315.78/10万,AYLL为11.77～12.97年,粗死亡率及AYLL的APC分别为0.67%和-1.42%,未见明显变化趋势(P>0.05)。 结论 老年人口占比呈上升趋势,心脑血管疾病为重点干预病种,男性为重点干预人群,应针对不同慢性病危险因素采取综合防控措施降低慢性病早死概率。
Abstract：Objective To understand the death rate of main chronic diseases, the probability of early death and their changing trends in Jiefang District of Jiaozuo City. Methods We collected the data regarding death causes of residents in Jiefang District of Jiaozuo City from 2015 to 2019, used the 10th edition of the International Statistical Classification of Diseases and Related Health Problems (ICD-10) to classify the causes of death in residents, calculated the crude death rate, standardized death rate, average years of life loss (AYLL), probability of premature death and other indicators, and analyzed the death data of residents in Jiefang District of Jiaozuo City. Results From 2015 to 2019, the proportion of residents aged 65 years and above in the total population in Jiefang District of Jiaozuo City rose from 8.52% to 10.82%, and the annual percent change (APC) was 5.39%, showing an upward trend (t=5.579, P=0.011). The proportion of deaths from four major chronic diseases, including malignant tumor, diabetes, cardio-cerebral vascular diseases and chronic respiratory diseases, in the total death population increased from 84.76% to 88.20%, and the standardized mortality rate decreased from 543.46/100,000 to 459.64/100,000. The mortality rates were all higher in males than in females (all P<0.05). Cardiovascular and cerebrovascular diseases were the first cause of death, the annual average crude death rate was 315.78/100,000, AYLL was 11.77-12.97 years, the crude death rate and APC of AYLL were 0.67% and -1.42%, respectively, and no obvious changing trend was found (P>0.05). Conclusion The proportion of elderly population shows an increasing tendency. Cardiovascular and cerebrovascular diseases are the key intervention diseases, and males are the key intervention population. Comprehensive prevention and control measures targeted at different risk factors of chronic diseases should be taken to reduce the probability of premature death from chronic diseases.
陈海慧, 靳黎明, 石雨晴, 田珍, 王三凤, 庞秋艳. 2015—2019年焦作市解放区主要慢性病死亡及早死趋势分析[J]. 实用预防医学, 2021, 28(10): 1161-1164.
CHEN Hai-hui, JIN Li-ming, SHI Yu-qing, TIAN Zhen, WANG San-feng, PANG Qiu-yan. Trends in death and premature death from major chronic diseases in Jiefang District of Jiaozuo City, 2015-2019. , 2021, 28(10): 1161-1164.
2021, Vol. 28 
