2011-2016年重庆市18～44岁青年主要死因分析和减寿评估

  目的  分析2011-2016年重庆市18~44岁青年死亡水平和减寿情况，为制定相应干预措施提供依据。  方法  收集2011-2016年重庆市青年死亡资料，疾病分类按照国际疾病分类法（international classification of diseases，ICD）-10统一编码，采用健康测量指标:粗死亡率、标化死亡率、潜在减寿年数（potential year of life lost，PYLL）、潜在减寿率（potential year of life lost rate，PYLLR）、平均减寿年数（average years of life lost，AYLL）进行分析。  结果  重庆市青年年均死亡率为92.21/10万，标化死亡率为78.95/10万，死因顺位前3位依次为损伤中毒外部原因、肿瘤和循环系统疾病，男性死亡率为124.63/10万，女性死亡率为57.69/10万；青年死因年均PYLL为477 134.10人年，PYLLR为36.39‰，AYLL为39.48年/人，其中死因年均PYLL和PYLLR顺位前3位与死因顺位相同。  结论  2011-2016年重庆市18~44岁青年人群死亡率总体呈下降趋势，损伤中毒和慢性非传染病是造成重庆市青年人群死亡和减寿的重要原因。

Analysis on the main causes of death and years of life lost among youth aged 18-44 in Chongqing from 2011 to 2016

  Objective  To estimate the mortality and years of life lost among youth aged 18-44 in Chongqing from 2011 to 2016, so as to provide evidence for development of intervention.  Methods  The death data of young people in Chongqing from 2011 to 2016 were collected. The disease classification was coded according to the international classification of diseases (ICD-10).Healthcare indexes such as crude and standardized mortality, potential year of life lost (PYLL), potential year of life lost rate (PYLLR), and average years of life lost (AYLL)were analyzed.  Results  The crude morality and standardized mortality among youth in Chongqing were 92.21 per 100 000 and 78.95 per 100 000, respectively. The top three cause of death were injury and poisoning, tumor and circulation system disease. The mortality rate of male and female were 124.63 per 100 000 and 57.69 per 100 000, respectively. The PYLL of total cause of death for young people was 477 134.10 years, PYLLR was 36.39‰, and AYLL was 39.48 years per person. The top three causes of PYLL and PYLLR due to diseases were the same as the cause of death.  Conclusions  The mortality rate of young people aged 18-44 in Chongqing shows a general decline from 2011 to 2016. Injury, poisoning and chronic non-communicable diseases are important causes of death and loss of life in young people in Chongqing.