上海交通大学学报（医学版）

上海交通大学学报（医学版）

• 论著（公共卫生） • 上一篇    下一篇

2013年重庆市常住居民主要死因及潜在寿命损失分析

罗琳，陈于   

  1. 重庆医科大学 公共卫生与管理学院医学与社会发展研究中心健康领域社会风险预测治理协同创新中心， 重庆 400016
  • 出版日期:2016-03-28 发布日期:2017-06-02
  • 通讯作者: 陈于, 电子信箱: chenyu@cqmu.edu.cn。
  • 作者简介:罗琳（1990—）， 女， 硕士生; 电子信箱: luolin0105@126.com。

Analysis on main death causes and potential life lost in Chongqing permanent residents in 2013

LUO Lin, CHEN Yu   

  1. Research Center for Medicine and Social Development, Innovation Center for Social Risk Governance in Health, School of Public Health and Management, Chongqing Medical University, Chongqing 400016, China
  • Online:2016-03-28 Published:2017-06-02

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摘要：

目的 分析2013年重庆市常住居民的主要死亡原因和潜在寿命损失，了解其死因特点，为制定合理的卫生防控措施提供参考依据。方法 按照国际疾病分类标准(ICD-10)对2013年重庆市常住居民死因资料统一编码归类，用DeathReg 2005死因分析软件及SPSS 13.0软件进行统计分析，利用死亡率、死因构成比、死因顺位、潜在减寿年数、平均减寿年数等指标描述重庆市常住居民的死因特点。结果 重庆市2013年常住居民死亡率为671.08/10万，标准化死亡率为475.72/10万；男性死亡率高于女性（χ2=8 128.081，P=0.000）；死因顺位前5位为循环系统疾病、肿瘤、呼吸系统疾病、损伤与中毒和消化系统疾病，不同死因的死因顺位有差异（χ2=3 562.187，P=0.000），这5类死因占全人群死因的9288%；肺癌死亡数占肿瘤死亡数的4701%，超过2012年全国平均水平；不同年龄组的死因顺位不同；潜在寿命损失分析显示：肿瘤、损伤与中毒、循环系统疾病、呼吸系统疾病、消化系统疾病是导致居民早死的前5位死因。结论 2013年重庆市常住居民的主要死因以循环系统和肿瘤等慢性非传染性疾病为主；损伤与中毒，特别是交通事故是导致儿童、青壮年死亡的重要原因;应根据重庆市居民不同的死因特点制定相应的疾病预防和控制策略。

关键词: 死亡率, 死因顺位, 潜在寿命损失

Abstract:

Objective To analyze main causes of death and potential life lost in Chongqing permanent residents in 2013, understand characteristics of death causes and provide reference evidence for developing reasonable health prevention and control measures. Methods The data of death causes in Chongqing permanent residents in 2013 were classified according to the International Classification of Diseases (ICD-10) and statistically analyzed with death cause analysis software DeathReg 2005 and SPSS 13.0. Characteristics of death causes in Chongqing permanent residents were described by mortality, constituent ratio of death cause, ranking of death cause, potential years of life lost (PYLL) and average years of life lost (AYLL). Results The mortality was 671.08 per 100 000 people in 2013. Standardized mortality was 475.72 per 100 000 people and the mortality was higher in males than in females (χ2=8 128.081，P=0.000). The top 5 death causes were circular system diseases, tumors, respiratory system diseases, injuries and poisoning, and digestive system diseases. Rankings of different death causes were different (χ2=3 562.187, P=0.000). These 5 death causes accounted for 92.88% of all deaths Deaths caused by lung cancer accounted for 47.01% of all tumorcaused deaths, which was more than the national average level in 2012. Death cause rankings in different age groups were different. Potential life lost analysis showed that tumors, injuries and poisoning, circulatory system diseases, respiratory diseases and digestive system diseases were top 5 causes for early death in residents. Conclusion In  2013, main death causes in Chongqing permanent residents are chronic noninfectious diseases such as tumors and circulatory system diseases. Injuries and poisoning and especially traffic accidents are main death causes in children and young adults. Disease control and prevention strategies should be developed according to different death cause characteristics in Chongqing residents.

Key words: mortality, rank of death cause, potential years of life lost