2017年新疆疏附县户籍居民传染病死亡情况分析

目的了解新疆疏附县户籍居民传染病的死亡水平及病种构成。 为当地政府及国家合理配置卫生资源提供科学数据支持。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，计算传染病死亡率、死因顺位和构成。结果2017年疏附县户籍居民传染病粗死亡率为80.10/10万，标化死亡率为107.77/10万， 位居死因顺位第3位。 肺结核粗死亡率为75.50/10万，标化率为103.45/10万，位居传染病第1位。 无论男性和女性，肺结核死亡主要集中在65岁以上的老年人，死亡率为1 118.92/10万，占肺结核总死亡人数的82.61%。 农民和小学及以下文化程度人群为主，死亡地点82.61%发生在家中，秋冬季节高发。结论新疆疏附县户籍居民传染病死亡情况不容乐观，应以肺结核防治为重点，加强健康教育，及时发现并彻底治疗患者。

Mortality of communicable disease in residents of Shufu county of Xinjiang, 2017

ObjectiveTo understand the mortality and category of communicable diseases in residents of Shufu county of Xinjiang in 2017, and provide evidence for the reasonable distribution of health resource.MethodsThe incidence data of deaths in local residents were obtained from related departments. Multistagesampling was conducted to select families for a household interview of bereaved family members or insiders by using " Death Cause Survey Scale”. The mortality rates of communicable diseases and the constituent ratio and rank of the death causes were calculated.ResultsThe crude mortality rate and the standardized mortality rate of communicable disease were 80.10/100 000 and 107.77/100 000, respectively, in Shufu in 2017, ranking third in all death causes. The crude mortality rate and the standardized mortality rate of pulmonary tuberculosis (TB) were 75.50/100 000 and 103.45/100 000 respectively, ranking first in all communicable diseases. In both men and women, the deaths caused by TB mainly occurred in the elderly aged ≥65 years with the mortality rate of 1 118.92/100 000, accounting for 82.61% of total TB deaths. The TB deaths mainly occurred in farmers and those with low education level and 82.61% of the TB deaths occurred at home. Autumn and winter were the high incidence seasons.ConclusionsThe mortality of communicable diseases in Xinjiang Shufu was serious. It is necessary to strengthen the prevention and control of TB by improving health education and timely detection/thorough treatment of TB cases.