2003-2007年浙江省温州市居民死亡趋势及死亡负担分析

Study on death trend and death burden among residents in Wenzhou city,2003-2007

目的分析浙江省温州市居民死亡水平、主要死亡原因及死亡负担变化趋势。方法按照ICD-10编码对温州市居民2003-2007年死亡资料进行分类整理,计算出生率、死亡率、死因构成、潜在寿命损失年(YPLL)。用Death Reg_2002软件系统进行统计分析。结果温州市2003-2007年出生率、婴儿死亡率、死亡率、标化死亡率各为896.69/10万、510.06/10万、538.66/10万、424.27/10万。主要死因顺位为恶性肿瘤、脑血管疾病、呼吸系统疾病、心脏病、伤害和中毒,前5位死因死亡数占总死亡数的78.41%。潜在寿命损失前8位分别为恶性肿瘤、伤害和中毒、脑血管疾病、心脏病、先天畸形、源于围生期疾病、呼吸系统疾病、传染病,平均减寿率分别为1.26%、0.94%、0.23%、0.21%、0.17%、0.13%、0.08%、0.08%。结论慢性病和伤害为温州市居民的主要死因,应加强肿瘤和伤害的预防控制工作。

Objective To analyze the mortality level, the distribution of death causes and death burden among the residents in Wenzhou, 2003-2007, provide the basis for the prevention and control of disease. Methods The data of death among the residents in Webzhou from 2003-2007 were classified according to ICD - 10, and birth rate, mortality, proportion of death causes and years of potential life lost （YPLL） were calculated and analyzed by using Death Reg 2002 software. Results The birth rate, infant mortality, mortality, standard mortality was 896. 69/lakh, 510.06/lakh, 538.66/lakh and 424.27/lakh, respectively. The rank of death cause order was malignant tumors, cerebrovascular disease, respiratory system diseases, heart disease, injury and poisoning, and the death by which accounted for 78.41% of total death. The first 8 diseases which caused potential life lost were malignant tumors, injury and poisoning, cerebrovascular disease, heart disease, congenital deformity, perinatal disease, respiratory system diseases and infectious diseases, respectively, with the average YPLL rates of 1.26%, 0.94%, 0.23%, 0.21%, 0.17%, 0.13%, 0.08%, and 0.08%. Conclusion The main death causes among the residents in Wenzhou were chronic diseases and injury/ poisoning, so the prevention of chronic diseases and injury should be strengthened.