2008年浙江省温岭市居民主要死因Fulfillment指数分析

Fulfillment index analysis on the main causes of death among residents in Wenling,Zhejiang,2008

目的研究不同年龄人群某死因对居民期望寿命的影响程度。方法按PrifhisDasGupta等提出的Fulfillment指数法,对2008年浙江省温岭市居民死因监测资料进行分析。结果0岁组新生儿病和先天异常对潜在寿命的影响最大,Fulfillment指数分别为54.40和47.86;在1～39岁年龄段,去意外死亡的Fulfillment指数较高,20～岁组高达65.69,自此呈下降趋势;去恶性肿瘤的Fulfillment指数在40～69岁年龄段较高,自70岁以后有所下降;脑血管病自35～岁组后Fulfillment指数大致逐年升高,80岁以后略有下降;呼吸系统疾病和心脏病自45岁以后Fulfillment指数亦大致逐年增加。结论Fulfillment指数可以说明各种死因对各年龄组段人口寿命的影响程度,提示某死因防制的重点时期,对提高居民寿命有积极作用。

Objective To determine the impact of the cause of death on the residents＇ life expectancy. Methods Fulfillment index analysis, introduced by Prifhis Das Gupta and colleagues, was employed to summarize the data on causes of death of residents in Wenling city, Zhejiang Province in 2008. Results The greatest impact on potential years of life was exerted by neonatal diseases and congenital anomalies in the 0-year-old group, the Fulfillment index being 54.40 and 47.86, respectively; high Fulfillment index was also noticed when accidental deaths were excluded among 1- to 39-year- olds, reaching up to 65.69 in the 20-year-old group, followed by a downward trend. The Fulfillment index remained high in the 40- to 69-year-old age group, deaths due to malignant tumors excluded, and declined after the age of 70. Annually gradual increase of the Fulfillment index was seen associated with cerebrovascular diseases in the age group older than 35, which slightly declined after the age of 80. The index, when related to respiratory diseases and heart attacks, also generally increased every year since the age of 45. Conclusion Fulfillment index could be utilized to interpret the extent to which a variety of causes of death exert an impact on the longevity in each age group, eliciting the remarkably crucial period for possible control and prevention of certain diseases in order to improve the life of the residents.