1985—2011年上海市金山区居民脑血管病死亡及其所致寿命损失的趋势分析

目的了解1985—2011年上海市金山区居民脑血管病死亡情况及其影响因素,为政府部门制定脑血管病防治策略和措施提供参考依据。方法采用Microsoft Access对1985—2011年间金山居民脑血管病死亡个案建立数据库,并计算脑血管病的粗死亡率、标化死亡率、年龄别死亡率、潜在寿命损失年、潜在寿命损失率和标化寿命损失率等指标。结果 1985—2011年,金山区居民脑血管病死亡率为127.66/10万,占总死亡的18.68%,位居全死因顺位的第3位。在此期间,金山区居民脑血管病死亡率呈较明显的上升趋势,但标化死亡率却呈现下降趋势。在各个时期,男性脑血管病死亡率要低于女性,但标化死亡率却要高于女性。随着时间的推移,45岁及以上年龄组脑血管病死亡率呈下降趋势,但80岁及以上组脑血管病死亡构成却呈上升趋势。27年间,男性和女性居民潜在寿命损失率和标化寿命损失率均趋于下降,但男性潜在寿命损失率和标化寿命损失率在各个时期均要高于女性。结论脑血管病对金山居民的危害日趋严重,人口老龄化是造成金山脑血管病死亡率升高的重要因素。

Trend analysis of mortality and life loss of cerebrovascular disease in Jinshan District of Shanghai City from 1985-2011

Objective]To study the mortality trend and life loss of cerebrovascular disease in Jinshan District from 1985 to 2011,and provide reference for developing policy of cerebrovascular disease prevention.Methods] Microsoft Access was utilized to create the database based on death reports of cerebrovascular disease among Jinshan residents from 1985-2011 and the cure death rate,standardized mortality,potential years of life loss(PYLL),rate of potential years of life loss(PYLLR) and standardized rate of potential years of life loss(SPYLLR),etc were calculated.Results] The mortality rate of cerebrovascular disease was 127.66/100 000 and the proportion of cerebrovascular disease was 18.68 % among all death cases from 1985 to 2011.Cerebrovascular disease ranked third place of all death causes.During the period,mortality of cerebrovascular disease in male was lower than in female,but standardized mortality of cerebrovascular disease was on the contrary.Mortality of cerebrovascular disease in 45 years old age group and above decreased,but proportion of cerebrovascular disease in 80 years old age group and above increased.During 27 years,the rate of PYLL and SPYLLR caused by cerebrovascular disease decreased in male and female,and the rate of PYLL and SPYLLR in male were higher than female all the time.Conclusion]Cerebrovascular disease has been the serious threaten to the health of resident in Jinshan District..Aging of population was one of the most important causes which lead to the increase of mortality of the cerebrovascular disease.