2013～2017年广西国家级死因监测点居民慢性病死亡情况分析

目的分析2013~2017年广西国家级死因监测点居民慢性病的死亡情况,为更好地预防与控制慢性病提供基础资料。方法收集整理2013~2017年广西国家级死因监测点居民慢性病的死亡信息,对慢性病顺位、死因构成、死亡率特点及四类慢性病早死概率进行分析。结果广西国家级死因监测点居民慢性病死亡以脑血管病、恶性肿瘤和心脏病为主。慢性病死亡率为545. 82/10万(标化死亡率为526. 14/10万),其中男性、女性、城市和乡镇慢性病死亡率分别为643. 29/10万、439. 48/10万、474. 10/10万和578. 18/10万。女性居民不同年份慢性病死亡率比较,呈上升趋势(χ2=63. 120,P=0. 001),城市居民亦呈上升趋势(χ2=210. 790,P=0. 001),而乡镇居民呈下降趋势(χ2=13. 420,P=0. 001)。男性慢性病死亡率高于女性(χ2=8 874. 550,P=0. 001)。乡镇居民慢性病死亡率高于城市居民(χ2=1 987. 470,P=0. 001)。慢性病死亡率随年龄的增长而升高。0~4岁组人群主要死于先天畸形变性和染色体异常,65岁以上人群中,死于脑血管病和心脏病比例较高。2013~2017年四类慢性病早死概率依次为19. 62%、19. 78%、19. 60%、19. 34%和20. 10%。结论广西国家级死因监测点女性和城市居民不同年份慢性病死亡率变化呈上升趋势,乡镇居民呈下降趋势。男性慢性病死亡率高于女性,乡镇高于城市,不同年龄段主要慢性病死因不同,四类慢性病早死概率较高。

The causes of death of chronic non-communicable diseases in Guangxi national monitoring points from 2013 to 2017

Objective To analyze the causes of death of chronic non-communicable diseases in Guangxi national monitoring points from 2013 to 2017,and to provide the basic data for prevention and control of chronic diseases.Methods The death data of chronic diseases were collected and sorted out in Guangxi national monitoring points from 2013 to 2017.The death of sequence of the chronic diseases,the constituent ratio of death,the characteristics of mortality rate and probability of early death caused by four main chronic diseases were analyzed.Results Cerebrovascular diseases,malignant tumors,and heart disease were the main causes of deaths of chronic diseases in Guangxi national monitoring points.The mortality rate of chronic diseases was 545.82/100 000(The standardized mortality rate was 526.14/100 000),and the mortality rates of chronic diseases in male,female,urban residents and township residents were 643.29/100 000,439.48/100 000,474.10/100 000 and 578.18/100 000 respectively.The comparison of chronic diseases of the mortality rates among female residents in different years showed an upward trend(χ^2=63.120,P=0.001),and urban residents also showed an upward trend(χ^2=210.790,P=0.001),while township residents showed a downward trend(χ^2=13.420,P=0.001).The mortality rate of chronic diseases of males was higher than that of females(χ^2=8 874.550,P=0.001).The mortality rate of chronic diseases in rural residents was higher than that of urban residents(χ^2=1 987.470,P=0.001).The mortality rate of chronic diseases increased with age.The leading causes of death in the population aged 0~4 years were congenital malformation and chromosomal abnormalities,but those of the population aged more than 65 years were cerebrovascular diseases and heart disease.From 2013 to 2017,the probabilities of early death caused by four main chronic diseases were 19.62%,19.78%,19.60%,19.34%and 20.10%respectively.Conclusion The changes in mortality rates of chronic diseases among women and urban residents in Guangxi national monitoring points show an upward trend in different years,and the township residents show a downward trend.The mortality rate of chronic diseases in male residents is higher than that in female residents,and the mortality rate of rural residents is higher than that of urban residents.The main causes of death are different in different ages.The probabilities of early death caused by four main chronic diseases are high.