2013年广西壮族自治区疾病监测点居民死因资料分析

Analysis and death causes in residents in disease surveillance areas,Guangxi,2013

目的了解广西壮族自治区(广西)疾病监测点居民死亡水平和主要死因,为制定有效防控策略提供参考依据。方法对2013年广西居民死亡资料,按照《国际疾病分类第10版》进行死因归类,进行死亡率、死因构成比、死因顺位和平均期望寿命等分析。根据全国死因监测漏报调查资料计算死亡率。结果 2013年广西粗死亡率和调整死亡率分别为634.22/10万和736.16/10万,性别和城乡之间均有差异;人群期望寿命为75.11岁。前5位死因依次为脑血管疾病、心脏病、恶性肿瘤、呼吸系统疾病和伤害。前5位恶性肿瘤依次为肝癌、肺癌、胃癌、唇口腔和咽恶性肿瘤、食道癌。结论慢性病及伤害是广西居民的主要死因,应针对不同年龄段采取相应控制措施。加强慢性病与伤害的防控是当前工作重点。

Objective To understand the mortality and death cause distribution in residents of Guangxi in 2013 and provide evidence for effective disease prevention and control. Methods Analysis was conducted on the death data of the residents in Guangxi in 2013,collected from national population death registration information system. The death cause were classified according to International Classification of Diseases, 10 threvision. The death rate, death cause constituent,rank of death causes were analyzed. The average life expectancy was calculated by using life table. The mortality were calculated according to the underreporting survey of national death cause of surveillance. Results The crude mortality was 634. 22 / lakh and the adjusted mortality was 736. 16 / lakh among the residents in Guangxi in 2013.The mortality was higher in males than in females,and in rural area than in urban area,the differences were statistically significant. The life expectancy of the residents in Guangxi in 2013 was 75. 11 years. The first 5 leading death causes were cerebrovascular disease,heart disease,malignant tumor,respiratory system disease and injury. The deaths caused by these diseases accounted for 84. 57% of the total deaths. The first 5 malignant tumors were liver cancer,trachea bronchus and lung cancer,stomach cancer,mouth and oropharynx cancer and esohpageal cancer. Conclusion The chronic disease and injury were the major death causes among the residents in Guangxi. The targeted prevention and control measures should taken for different age groups. It is necessary to strengthen the prevention and control of chronic diseases and injury.