2017年兰州市七里河区居民死因监测及4种主要慢性病早死概率分析

目的了解2017年兰州市七里河区居民的死亡水平及主要死亡原因,为制定疾病预防控制策略提供参考依据。方法采用2017年兰州市七里河区疾病预防控制中心收集的居民全死因监测数据,户籍人口信息源自兰州市七里河区公安局;计算该地区粗死亡率、标化死亡率、期望寿命、去死因期望寿命及早死概率等指标。结果 2017年兰州市七里河区居民粗死亡率为637.83/10万,标化死亡率为732.81/10万,男性居民死亡率高于女性(χ²=82.187,P<0.05);三大类疾病中主要死因为慢性非传染性疾病(90.76%);当地居民期望寿命为76.82岁,男性74.68岁,女性79.01岁,四种主要慢性病(心脑血管疾病、恶性肿瘤、慢性呼吸系统疾病、糖尿病)所致的寿命损失分别为5.51、2.43、1.58和0.60岁,去除影响后寿命分别增加7.17%、3.16%、2.06%和0.78%;四种主要慢性病总的早死概率为15.30%,心脑血管疾病、恶性肿瘤、慢性呼吸系统疾病、糖尿病分别为6.23%、7.61%、1.24%和1.01%,男性居民的早死概率是女性的2.21倍。结论影响2017年兰州市...

Analysis on death surveillance and early death probability of four major chronic diseases in Qilihe District of Lanzhou City in 2017

Objective To understand the death level and main causes of death of the residents in Qilihe District of Lanzhou City in2017,provide scientific evidence for making disease prevention and control strategy.Methods Total cause of death monitoring data in 2017 collected by Qilihe Center for Disease Control and Prevention of Lanzhou City and the household registration information came from the Public Security Bureau of Qilihe District in Lanzhou City were used to calculate the indexes of crude mortality,standardized mortality,life expectancy,cause-deleted life expectancy and early death probability.Results In 2017,the crude mortality rate among residents in Qilihe District of Lanzhou City was 637.83/lakh,and the standardized mortality rate was732.81/lakh.The mortality rate was higher in males than in females(χ^2=82.187,P<0.05).Chronic non-communicable diseases were the leading cause of death among the three major diseases.The life expectancy of residents was 76.82 years old,which 74.68 years old for males and 79.01 years old for females.The life loss caused by four major chronic diseases(cardio-cerebrovascular disease,malignant tumor,chronic respiratory system disease,and diabetes mellitus)were respectively 5.51,2.43,1.58 and 0.60 years old,and the life expectancy increased by 7.17%,3.16%,2.06%and 0.78%after removing the influence,respectively.The total probability of early death of four major chronic diseases was 15.30%.The probability of early death of cardiovascular and cerebrovascular diseases,malignant tumors,chronic respiratory diseases and diabetes was 6.23%,7.61%,1.24%and 1.01%,respectively.The probability of early death of male residents was 2.21 times greater than of female residents.Conclusion The diseases affecting the health of residents in Qilihe District of Lanzhou City are mainly chronic diseases in 2017,which have become a serious public health problem,and should be paid more attention to and effective intervention measures should be taken.