2004—2005年东营市河口区农村居民死因调查分析

A survey and analysis on the death causation among countryside residents in Hekou district of Dongying city during 2004—2005

目的了解东营市河口区农村居民死亡率和死亡原因及其顺位,为疾病预防和控制提供科学依据。方法采用普查方法对东营市河口区农村人口作为调查对象,由流行病学专业人员组成的调查队收集2004年1月1日—2005年12月31日人口死亡监测资料,采用Excel2000软件录入,转SPSS11.0软件统计分析和描述。死因分类采用ICD-9。率的标化采用2000年山东省人口普查资料直接法标化。结果2004—2005年共死亡1 284人,其中男性770人,女性514人,男∶女=1∶0.67,年平均粗死亡率5.25‰,标化死亡率5.44‰。居前五位的死因依次是:恶性肿瘤、心脏病、脑血管疾病、伤害和衰老,死亡率分别为3.37‰、2.12‰、1.54‰、1.36‰和1.16‰,分别占32.09%、20.17%、14.72%、12.93%和11.06%。前五位死亡总数占全死因的90.97%。结论该地区居民死亡率高于20世纪90年代全国平均水平,恶性肿瘤死亡率升高,伤害成为第四位死因。因此,加强肿瘤和伤害的预防控制更为重要。

Objective To understand on the mortality and death causes among countryside residents in Hekou district of Dongying city for the prevention and control diseases. Methods The data was used to combine the death survey data from the death survey spot g report with death cases of population from police office and a household questionnaire survey by epidemic professional staff in residents of Hekou district of Dongying city with a census from January 1, 2004 to December 31,2005. The classification of death cause was confined with ICD-9. All data were imported and analyzed with Excel 2000 and SPSS11.0 software. The standardized death rate was calculated with the data of population census from Shandong province in 2000. Results The number of death case was 1284 peoples and higher in men（770 cases） than in women（514 cases） in 2004-2005. The crude death rate was 5.25‰ and the standardized death rate was 5.44‰. The leading death causes was the malignant neoplasm, other as follows ： heart disease （ eardiopathy and cardiovascular, ） , brain-vascular diseases, injuries and senility . The proportional ratio and special mortality rate were 32. 09% and 3.37‰, 20. 17% and 2. 12‰, 14.72% and 1.54‰, 12.93% and 1.36‰, 11.06% and 1.16‰ respectively. The total proportion ratio between the five leading death causes was 90. 97% in all death causes. Conclusion It is quite obvious that the mortality rate was higher among this residents between 2004-2005 than among the national population in the 90g of the 20th century. The mortality rate in the malignant neoplasm is more and more rising. Injury is rising at fourth. Therefore, it is very important that prevention and control of the malignant neoplasm and injury be enhanced .