甘肃省居民慢性非传染性疾病死亡流行病学分析

Mortality Study of Non-communicable Diseases in Gansu Residents

目的分析甘肃省慢性病死亡流行现状,为制定甘肃省慢性病预防与控制规划、防治策略提供依据。方法利用2004-2005年甘肃省第三次死因调查资料,计算各种死亡指标。结果甘肃省慢性病粗死亡率为504.59/10万(男性为578.38/10万,女性为431.42/10万),占全死因的82.72%;标化死亡率为523.02/10万(男性为598.58/10万,女性为446.08/10万),男性高于女性;城市粗死亡率为513.59/10万,农村粗死亡率为471.09/10万,标化死亡率分别为523.70/10万和520.06/10万。甘肃省首位慢性病是恶性肿瘤,其次为呼吸系统疾病、脑血管疾病、心血管疾病及消化系统疾病,前五位慢性病占全部慢性病的87.73%。结论慢性病已成为甘肃省城乡居民生命安全的主要威胁,防治亟待加强;重点防治的目标人群为农村人群。

Objective To investigate the mortality of non-communicable diseases （NCD） among the dwellers in Gansu, to provide some proofs to formulate the program of preventing and controlling the NCD and cure strategy of Gansu Province. Methods The data of the death＇s causes was collected from the data of sampling survey in 21 st century （2004-2005）. Results The crude mortality of NCD was 504. 59 per 100 000 in Gansu Province（578.38 per 100 000 for male and 431.42 per 100 000 for female） ,accounted for 82. 72% among all the deaths cases, The age-adjusted mortality of NCD was 523, 02 per 100 000 in Gansu Province（598.58 per 100 000 for male and 446. 08 per 100 000 for female） ,the mortality of NCD of the male was obviously higher than that of female（ P 〈0.01 ）. The crude mortality of NCD was 513.59 per 100 000 in urban and 471.09 per 100 000 in rural. The age-adjusted mortality of NCD was 523.70 per 100 000 and 520.06 per 100 000,respectively. The 5 commonest NCD in Gansu accounted for 87. 73 % of all NCD, the cancers was the commonest NCD followed by respiratory system disease, cranial vascular disease,CVD and digestive system disease. Conclusion NCD has been an important public health problem in Gansu. The important target population is the rural population.