湘西自治州2007年居民死亡原因和预期寿命分析

Analysis on Death Cause and Life Expectancy of Residents in Xiangxi Autonomous Prefecture in 2007

目的调查湘西自治州2007年居民的死亡原因及其分布情况,初步分析当地居民的预期寿命和评价其的健康状况,为疾病防治提供流行病学研究依据。方法按ICD-10死因分类法,运用描述流行病学方法和卫生部《死因医学登记系统》进行死因分析。结果湘西自治州2007年居民的平均粗死亡率为2.54‰,前五位死因顺位为循环系统疾病、呼吸系统疾病、肿瘤、损伤和中毒、消化系统疾病。5～44岁以损伤和中毒为第一位死因;45～65岁以上循环系统疾病为第一位死因。湘西自治州2007年居民平均预期寿命73.27岁,其中女性(75.48岁)显高于男性(69.81岁)。结论慢性非传染性疾病是导致湘西自治州居民死亡的主要疾病,应引起重视和加强控制工作;损伤和中毒的预防亦应引起关注。湘西自治州居民平均预期寿命有了较大的提高,但与经济发达地区相比仍有明显差距。

Objective To investigate death cause, diseases distribution, life expectancy, and health status of local residents in Xiangxi Autonomous Prefecture in 2007, and to provide epidemiological research reference for diseases prevention. Methods Death causes were classified by approaches of ICD - 10, and analyzed by descriptive epidemiology method and software of medical registration system of death cause issued by Ministry of Health. Results The crude death rate was 2.54%o in Xiangxi Autonomous Prefecture in 2007, the first five death - causing diseases were circulatory system diseases, respiratory disease, tumor, trauma, toxication, and digestive disease. Trauma and toxication were both the number one killer among the population of 5--44 years old; but for the population of 45--65 years old or more, the first death- causing disease was circulatory system diseases. The life expectancy of local residents was 73.27 years, and female＇s life expectancy （75.48 years） was significantly longer than that of males＇ （69.81 years）. Conclusions The chronic non - infective dis- ease is the major cause of death in Xiangxi Autonomous Prefecture, trauma and toxication are also the important causes of death. There is a remarkable increase in the life expectancy in Xiangxi Autonomous Prefecture, but a distinct-gap remains when compares with the economically advanced regions. To better control these causes of death and improve the state of health of Xiangxi local residents, more work needs to be done.