九江市1989-1991年疾病监测点居民死因分析

目的了解九江市城乡居民死亡情况,为制订相应的疾病防制策略和措施提供科学依据。方法对九江地区四个疾病监测点中随机抽取的乡(镇)居民的死亡情况进行调查,全部数据应用Epidata建库管理,用SPSS13.0进行统计分析。结果1989-1991年四监测点居民的标化死亡率为719.83/10万,其中城镇为555.43/10万,农村为629.61/10万,且各年龄组死亡率农村普遍高于城市;城镇居民死亡率呈逐年下降趋势,而农村居民死亡率有所升高;婴儿死亡率较高,为3512/10万;感染性疾病的死亡率、构成比及死因顺位迅速下降,而慢性非传染性疾病的死亡率、构成比、死因顺位迅速上升。结论九江市应将疾病预防工作的重点放在农村地区,在有效控制感染性疾病的同时应高度重视慢性非传染病的预防控制工作,同时还应加强妇幼保健工作,尤其是农村妇幼工作。

Analysis of Mortality Cause at Jiujiang Disease Monitoring Site From 1989 to 1991

Objective To understand current mortality of inhabitant in Jiujiang, and to formulate the strategy for disease control and prevention. Methods Surveys were conducted to investigate the mortalities of inhabitants among the townships selected from the four monitoring sites. We established the database by using Epidata and carried out statistical analysis by SPSS13.0 software. Results The standardized mortality of inhabitant in four monitoring sites was 719.83/100,000, and standardized mortality of urban area was 555.43/100,000, and rural area 629.61/100,000; and every age group mortality of the rural inhabitants was higher. The urban inhabitant mortality showed a decreasing tendency annually, but the rural mortality showed somewhat elevation. The infant mortality was high, and reached 3,512/100,000. The case mortality, proportion and position in death cause table of infectious diseases dropped rapidly, but the chronic non-infectious diseases raised fast. Conclusions Jiujiang should place the rural areas as the key point to carry out disease control and prevention, and pay more attention to the chronic non-infectious diseases. In addition, maternal and child health care should be strengthened especially in the rural areas.