泰安市城市社区职业人群的主要死因顺位和PYLL分析

Analysis of death causes and potential years of life lost for the occupational population in Taian city

目的 分析泰安市1993-2003年城市社区内职业人群的死因构成及潜在寿命损失年（PYLL），经社区诊断。探讨职业人群的死因顺位和主要的卫生问题。方法 用SPSS10.0统计分析软件计算各主要死因的构成比、PYLL和PYLL相对比，注明死因位序。结果 按照死因构成比排序，前五位死因为恶性肿瘤、心血管疾病、脑血管疾病、伤害与中毒、呼吸系统疾病；按照PYLL构成比排序，前五位死因为恶性肿瘤、伤害与中毒、心血管疾病、脑血管疾病、消化系统疾病；按照PYLL相对比排序，前五位依次是伤害与中毒、泌尿生殖系统疾病、消化系统疾病、恶性肿瘤和心血管疾病。另外，不同性别的职业人群，其死固顺位也有区别。结论 泰安市城市社区职业人群的主要死因和卫生问题应是恶性肿瘤、伤害与中毒、心血管疾病、脑血管疾病、消化系统疾病，而造成早死的主要疾病是伤害与中毒、以及男性的消化系统疾病和女性的泌尿生殖系统疾病。应加强社区为基础的综合防治工作。

Objective： To analyze the causes of death and PYLL for the occupational population in communities of TaJan city during the years 1993 - 2003; To make community diagnosis and find the sequence of death causes and the priority of health problems of the population. Methods： The Constituent ratio, PYLL and PYLL Rate were calculated with SPSS 10.0, and the sequence of death causes was evaluated. Results： According to Constituent ratio, the sequence of death causes. was Cancer, Heart Disease, Cerebrovascular Disease, Injury and Poisoning, Disease of the Respiratory System; according to PYLL, the sequence of death causes was Cancer, Injury and Poisoning, Heart Disease, Cerebrovascular Disease. Disease of the Respiratory System; according to PYLL Rate, ahead of the sequence was Injury and Poisoning, Disease of the Urological and Reproductive System, Disease of the Digestive System, Cancer, Heart Disease. Meanwhile, the sequence of death causes was different while the population sorted by sex . Conclusion： The major death eausesof the occupational population of community in Taian city are Malignant Neoplasm, Injury and Poisoning, Heart Disease, Cerebrovaseular Disea.se, Disease of the Digestive System. Injury and Poisoning are the main causes of early death as well as Disease of the Digestive System in males and Disease of the Urological and Reproductive System in females. Synthesized preventive measures based on community should be strengthened.