无锡市滨湖区2013-2017年育龄妇女死亡状况及负担分析

Analysis on death condition and disease burden of childbearing women in Binhu district of Wuxi city from 2013 to 2017

目的了解育龄妇女死亡现状和疾病负担情况,为开展防治工作提供依据。方法对无锡市滨湖区2013-2017年育龄妇女死因监测资料进行回顾性分析,计算死亡率、年度变化趋势和早死所致生命损失年(years of life lost,YLL)等评价指标。结果 2013-2017年滨湖区育龄妇女粗死亡率为47. 93/10万(标化死亡率为40. 79/10万),死亡率随着年龄的增加而升高(χ2趋势=77. 548,P <0. 001)。5年间育龄妇女死亡率无显著时间变化趋势(APC=1. 31%,95%CI:-0. 11～0. 15,P>0. 05),而自杀死亡率呈现上升趋势(APC=42. 39%,95%CI:0. 04～0. 95,P <0. 05)。全病因所致的YLL为7525. 06人年,标化YLL率为1011. 02/10万。疾病负担模式以肿瘤、损伤中毒和循环系统疾病为主,合计占总YLL的84. 85%。结论近5年滨湖区育龄妇女死亡率维持在较低水平,但乳腺癌、自杀及心脏病等疾病负担严重,是未来需要重点防控的病种。

Objective To investigate the status of death and disease burden among childbearing women in Binhu district for providing evidences in prevention and treatment of diseases. Methods The death data of women aged 15-49 years old in Binhu District from 2013 to 2017 were collected for retrospective analysis. The mortality rate,annual trend and years of life lost due to premature mortality ( YLL) were calculated. Results The crude and adjusted mortality rates among childbearing women were 47. 93 per 100 000 and 40. 79 per 100 000,respectively. The mortality rate increased along with the increase of age ( χ^2 = 77. 548,P < 0. 001) . Over the past five years,there was no significant trend of mortality rate among childbearing women ( APC =1. 31%,95%CI: -0. 11 -0. 15,P >0. 05) ,while suicide mortality showed an increasing trend ( APC =42. 39%,95% CI: 0. 04-0. 95,P <0. 05) . The years YLL of all causes of diseases was 7525. 06 years,and the standardized YLL rate was 1 011. 02 per 100 000. The burden of diseases were mainly composed of tumor,injury and poisoning and circulatory system diseases,accounting for 84. 85% of the total YLL. Conclusion The mortality rate of childbearing women in Binhu district was low. The disease burden of breast cancer,suicide, and heart disease were serious,which should be prevented and controlled in the future.