| 2017年新疆疏附县户籍居民心脑血管疾病死亡情况及对期望寿命的影响 |
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| 引用本文： | 杨琼英,薛振香,李燕,董航,刘华章,王玉忠,阿依夏穆姑丽·巴吾顿,罗冬梅,严鑫,魏卓敏,陈远源,张周斌,杨智聪. 2017年新疆疏附县户籍居民心脑血管疾病死亡情况及对期望寿命的影响[J]. 疾病监测, 2019, 34(3): 205-210. DOI: 10.3784/j.issn.1003-9961.2019.03.006 |
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| 作者姓名： | 杨琼英 薛振香 李燕 董航 刘华章 王玉忠 阿依夏穆姑丽·巴吾顿 罗冬梅 严鑫 魏卓敏 陈远源 张周斌 杨智聪 |
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| 作者单位： | 1.广州市疾病预防控制中心，广东 广州 510440 |
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| 基金项目： | 广州市科技计划项目（No. 201704020004）；广东省科技发展专项（No. 2017B020247040） |
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| 摘 要： | 目的分析新疆疏附县户籍居民心脑血管疾病（CVD）的死亡水平及对预期寿命的影响，为制定CVD的防控措施提供科学基础数据。方法通过多部门获取2017年疏附县户籍居民死亡名单，采用多阶段抽样的方法确定调查对象，利用死因推断量表对死者家属或知情人进行入户调查，计算CVD死亡率、死因顺位和去CVD死因预期寿命。结果2017年疏附县户籍居民CVD粗死亡率为195.00/10万，标化死亡率为253.30/10万。 其中，男性CVD死亡率为219.43/10万（标化死亡率290.28/10万），女性为169.70/10万（标化死亡率226.31/10万）。 CVD死亡率随年龄的增长呈明显的上升趋势，尤其在65岁以后迅速升高。 CVD死亡率有2个高峰，分别为4－5月和11－12月。 心血管疾病以其他冠心病（37.93%）、急性心肌梗死（32.76%）死亡为主，脑血管疾病以脑出血（47.97%）和脑血管病后遗症（25.20%）死亡为主。 去CVD死因后，2017年疏附县户籍居民的期望寿命可由71.40岁增加到77.98岁，平均增加6.58岁，其中男性增加5.84岁，女性增加8.06岁。结论CVD是导致疏附县户籍居民最主要的死亡原因，针对高危人群开展预防控制措施对提高人口预期寿命具有重要的公共卫生意义。
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| 关 键 词： | 心脑血管疾病 死亡率 去死因期望寿命 维吾尔族 |
| 收稿时间： | 2018-10-23 |
Incidence of cardiocerebral vascular disease death and its influence on life expectancy in residents of Shufu county of Xinjiang, 2017 |
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| Affiliation: | 1.Guangzhou Municipal Center for Disease Control and Prevention, Guangzhou 510440, Guangdong, China2.Shufu County Center for Disease Control and Prevention, Shufu 844100, Xinjiang, China3.Shufu County Health Bureau, Shufu 844100, Xinjiang, China |
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| Abstract: | ObjectiveTo analyze the incidence of cardiocerebral?vascular disease death and its effects on life expectancy in residents?of Shufu county of Xinjiang, and provide evidence for the prevention and control of cardiocerebral?vascular disease.MethodsThe death data of the residents in Shufu in 2017 were obtained from multi-departments. Verbal Autopsy Scale was used to investigate the bereaved or the insider selected through multistage sampling, and the cardiocerebral?vascular disease mortality rate, the death cause rank and the life expectancy without cardiocerebral?vascular disease death were calculated.ResultsIn 2017, the crude mortality rate and standard mortality rate of cardiocerebral?vascular disease were 195.00/100 000 and 253.30/100 000 respectively, the two rates were 219.43/100 000 and 290.28/100 000 respectively in males and 169.70/100 000 and 226.31/100 000 respectively in females. The mortality rate of cardiocerebral?vascular disease increased with age, especially after the age of 65 years. The incidence of cardiocerebral?vascular disease death had obvious seasonality, which reached the peaks in March-April and November-December. Other coronary heart disease (37.93%) and acute myocardial infarction (32.76%) were the leading death causes for cardiovascular disease, and hematencephalon (47.97%) and sequelae of cerebrovascular disease (25.20%) were the leading death causes for cerebrovascular diseases. After eliminating causes of cardiocerebral?vascular disease death, the life expectancy increased from 71.40 years to 77.98 years in local residents. Life expectancy for eliminating causes of cardiocerebral?vascular disease death in males and females increased by 5.84 years and 8.06 years, respectively.Conclusioncardiocerebral?vascular disease was the leading cause of death in Shufu. It is important to develop prevention and control measures for high-risk groups to improve the life expectancy. |
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