2009—2018年上海市浦东新区居民主要死因及减寿分析

目的了解2009—2018年浦东新区居民死因分布特征与潜在寿命损失,评估不同疾病导致的疾病负担,为制定区域防控策略提供依据。方法收集2009—2018年浦东新居民死因资料,采用国际疾病分类标准(ICD-10)对居民死因进行分类,分别计算粗死亡率、标化死亡率、潜在减寿年数(PYLL)、减寿率(PYLLR)、平均减寿年数(AYLL)对浦东新区居民死亡资料进行分析。结果2009—2018年浦东新区居民年均粗死亡率为7.55‰,标化死亡率为3.62‰,浦东新区居民前五位死亡原因分别为循环系统疾病、肿瘤、呼吸系统疾病、内分泌营养和代谢疾病、损伤中毒,合计占死亡总数的87.85%。浦东新区居民各类疾病导致的PYLL为687729人年,PYLLR为24.11‰,AYLL为3.19年/人,减寿顺位前五位疾病,分别是肿瘤、循环系统疾病、损伤中毒、内分泌营养与代谢疾病、先天异常,合计占居民寿命损失的82.08%。结论包括循环系统疾病、肿瘤、内分泌营养代谢疾病在内的慢性非传染性疾病是浦东新区居民的主要死亡原因,并引起了沉重的疾病负担,应作为今后的防控重点,应采用综合性的防控措施,降低慢性病的危害,保护居民健康。

Analysis of themain causes of death and life loss of residents in Pudong New Area of Shanghai,2009-2018

Objective To understand the distribution characteristics of death causes and potential life loss of residents in Pudong New Area from 2009 to 2018,assess the disease burden caused by different diseases,and provide a basis for formulating regional prevention and control strategies.Methods The mortality data of residents in Pudong New Area of Shanghai from 2009 to 2018 were collected.The death causes were classified by International Classification of Diseases(ICD-10).The crude mortality rate,standardized mortality rate,potential years of life lost(PYLL),potential years of life lost rate(PYLLR),and average years of life lost(AYLL)were calculated.Results The crude mortality and standardized mortality of residents in Pudong New Area between 2009 and 2018 were 7.55/‰and 3.65‰,respectively.The top five causes of death in Pudong New Area residents were circulatory system diseases,tumors,respiratory diseases,endocrine nutrition and metabolic diseases,and injury and poisoning,accounting for 87.85%of the total deaths.The PYLL was 687,729 person-years,the PYLLR was 24.11‰and the AYLL was 3.19 years per person.The top 5 causes of life loss of residents in Pudong New Area was tumor,circulatory system disease,injury and poisoning,endocrine nutrition and metabolism illness,and congenital anomalies,accounting for 82.08%of total life loss of residents.Conclusion Chronic non-infectious diseases,including circulatory diseases,tumors,and endocrine nutritional metabolism diseases,were the main causes of death of residents in Pudong New Area,and caused a heavy disease burden,which should be the focus of prevention and control in the future.Comprehensive preventive and control measures should be taken to protect the residents from the harm due to chronic non-communicable diseases and improve the health condition of the residents in Pudong New Area.