无锡市2008—2015年儿童死亡状况及减寿分析

Analysis on death status and life lost in children in Wuxi, 2008-2015

目的分析无锡市儿童的死亡现状和流行特征,为开展防制工作提供科学依据。方法对无锡市2008—2015年儿童死亡资料进行分析,计算死亡率、死亡率的年度变化百分比(APC)和潜在寿命损失年数。结果 2008—2015年儿童平均死亡率为37.89/10万(标化死亡率为40.43/10万),男童明显高于女童(u=7.315,P<0.01);8年间死亡率无明显变化趋势(APC=1.01%,95%CI=-4.76%~7.11%,P>0.05),但儿童死亡在全人群死亡中的构成比下降了40.40百分点。前3位主要死因为损伤和中毒、起源于围生期的某些情况、先天畸形变性和染色体异常,分别占27.84%,21.03%,20.75%;0~<1岁组的主要死因为起源于围生期的某些情况,1~17岁各年龄组主要死因为损伤和中毒。减寿总年数为67 368.5人年,减寿率为12.63‰,平均减寿年数为61.41年;减寿前3位主要死因为损伤和中毒、肿瘤、先天畸形变性和染色体异常。结论损伤和中毒、起源于围生期的某些情况、先天畸形变性和染色体异常是导致无锡市儿童死亡的主要原因。应采取综合性防制措施降低死亡率。

Objective To analyze mortality and epidemiological characteristics of children in Wuxi in order to provide scientific basis for carrying out prevention. Methods The children death data in Wuxi from 2008 to 2015 were analyzed to calculate mortality, annual percent change （APC） and potential years of life lost. Results The average mortality of children from 2008 to 2015 was 37.89/105（standardized mortality 40.43/105）, boys＂ mortality was significant higher than girls＇（ u= 7.315, P〈0.01）. There was no significant trend in mortality during 8 years （APC= 1.01%, 95%CI=-4.76-7.11, P〉0.05）. The proportion of children＇s death in the whole population decreased 40.40%. The first three leading causes of mortality were injury and poisoning, certain conditions originating in the perinatal period, congenital malformations deformations and chromosomal abnormalities. The major death cause in 0-1 years old was certain conditions during the perinatal period, in 1-17 years old was injury and poisoning. The total PYLL was 67 368.5 person years, PYLL%v was 12.63%o, AYLL was 61.41 year. The three leading causes of PYLL were injury and poisoning, neoplasms, congenital malformations deformations and chromosomal abnormalities. Conclusion Injury and poisoning, certain conditions during the perinatal period, congenital malformations deformations and chromosomal abnormalities are the leading causes of death in children in Wuxi. Comprehensive prevention and control measures should be carried out to reduce child mortality.