中国循证医学杂志

中国循证医学杂志

南昌市新建区居民 2011~2015 年死因及减寿分析

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目的 了解南昌市新建区居民死亡水平及寿命损失情况,为卫生管理者制定相关政策,提高居民期望寿命提供科学依据。 方法 基于 2011~2015 年南昌市新建区人口和死亡数据,采用 SPSS 20.0 软件进行编程,分析该区居民的死亡率、死因谱、期望寿命、去死因期望寿命、减寿年数(PYLL)、潜在减寿率(PYLLR)、平均潜在减寿年数(APYLL)、标化潜在减寿年数(SPYLL)、标化潜在减寿率(SPYLLR)等居民健康信息。 结果 2011~2015 年,南昌市新建区居民粗死亡率为 538.38/105,标化死亡率为 563.00/105,男性粗死亡率高于女性(χ2=788.91,P<0.01);死因前 5 位依次是:循环系统疾病,肿瘤,呼吸系统疾病,伤害,内分泌、营养和代谢疾病。男、女性死因顺位一致。不同年龄组死亡率结果发现 30 岁之后居民死亡率开始大幅度上升,低年龄组与高年龄组的主要死因类型不同。该区居民期望寿命为 78.38 岁,全死因 PYLL 为 129 087.5 人年、PYLLR 为 39.84‰、APYLL 为 17.44 人年,SPYLL 为 134 057.00 人年,SPYLLR 为 38.61‰。其中,伤害造成的 PYLL 为 46 191.5 人年,PYLLR 为 14.26‰,APYLL 为 33.14 人年,均为最高;肿瘤造成的 SPYLL 为 48 414.95 人年、SPYLLR 为 13.94‰均为最高。 结论 南昌新建区居民死亡率高于南昌市城区居民,但低于江西省与全国平均水平,减寿分析显示伤害和慢性非传染性疾病是该区居民的主要死因,因此针对性开展三级预防对降低居民死亡、提高期望寿命具有重要意义。

Objective To investigate the death rate and life lost of the Xinjian district residents in Nanchang city, and to provide scientific evidence for the health administrators to formulate relevant policies and improve the life expectancy of the residents. Methods Based on the population and the death data in this area from 2011 to 2015, the mortality, the cause of death spectrum, the life expectancy, the life expectancy for death causes, the potential years of life lost (PYLL), the potential years of life lost rate (PYLLR), the average potential years of life lost (APYLL), the standardized potential years of life lost (SPYLL), the standardized potential years of life lost rate (SPYLLR) were analyzed by SPSS 20.0 software. Results From 2011 to 2015, the crude death rate of Xinjian district was 538.38/10 million, the standardized mortality rate was 563.00/10 million, the crude death rate of males is higher than that of females (χ2=788.91, P<0.01); the causes of death in the top five were follows: circulatory system diseases, tumor, respiratory system diseases, injury, endocrine, nutrition and metabolic diseases. The causes of death were in the same order whether in male or female. Mortality rates of different age groups showed that the mortality rates began to rise substantially after the age of 30, the main causes of death were different between the low age group and the high age group. The life expectancy of residents was 78.38 years, the PYLL for all causes of death was 129 087.5 years, the PYLLR was 39.84‰, the APYLL was 17.44 years, the SPYLL was 134 057.00 years, the SPYLLR was 38.61‰. The PYLL caused by injury was 46 191.5 years, the PYLLR was 14.26‰, APYLL was 33.14 years, of which were all ranked first. The SPYLL caused by tumor was 48 414.95 years, the SPYLLR was 13.94‰, of which were ranked first. Conclusion The mortality rate of Xinjian district residents is higher than that of Nanchang urban residents, but lower than the average level of Jiangxi province and the whole country. Life reduction analysis shows that chronic non-communicable diseases and injuries are the main causes of death for residents in the area. The three levels prevention is of great significance to reduce the death of residents and improve their life expectancy.

关键词: 死亡率; 期望寿命; 寿命损失; 伤害; 肿瘤

Key words: Mortality; Life Expectancy; Life loss; Injury; Tumor

引用本文: 曾艺旋, 周小军, 周孔香, 杨姣, 周慧. 南昌市新建区居民 2011~2015 年死因及减寿分析. 中国循证医学杂志, 2018, 18(3): 271-275. doi: 10.7507/1672-2531.201707125 复制

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