禅城区2014-2016年居民死因及疾病负担分析

Analysis on causes of deaths and burden of disease in residents of Chancheng district,2014-2016

目的分析佛山市禅城区户籍居民死亡原因及疾病负担,为制定疾病防控措施提供科学依据。方法采用粗死亡率、标化死亡率、死因顺位、潜在减寿年数(PYLL)、潜在减寿率(PYLL率)等指标分析居民死亡原因及疾病负担。结果 2014-2016年,禅城区居民粗死亡率为607.67/10万,男性高于女性,差异有统计学意义(P<0.01),非传染性疾病(慢性病)致死人数占总死亡人数的91.64%;传染病、母婴疾病和营养缺乏性疾病占4.52%,伤害占3.54%;死因前5位依次为恶性肿瘤、心血管疾病、脑血管疾病、呼吸系统疾病、损伤和中毒;因疾病和损伤导致的寿命损失为205 774人/年,各年龄段人口PYLL负担呈现不同的趋势;PYLL负担的前5位疾病依次为恶性肿瘤、心血管疾病、脑血管疾病、呼吸系统疾病、损伤和中毒。结论慢性非传染性疾病及伤害是危害居民健康的主要死因,应加强监测,制定可行性预防措施。

Objective To analyze the causes of deaths and burden of disease in residents of Chancheng district and provide scientific evidence for the formulation of diseases prevention and control measures. Methods The causes of death and burden of diseases in residents of Chancheng district were analyzed by using indexes such as crude death rate,standardized death rate,rank of cause-specific death rate,potential years of life lost（ PYLL）,PYLL rate and so on. Results The crude death rate of residents was 607. 67/100,000 during 2014 and 2016,the crude death rate of males was higher than that of females（ P〈0. 01）. The number of deaths caused by non-communicable diseases（ chronic diseases） accounted for 91. 64%.Communicable diseases,maternal and infant diseases and nutritional deficiencies accounted for 4. 52% and injuries accounted for 3. 54%. The top five causes of death were respectively malignant tumors,angiocardiopathy,cerebrovascular disease,respiratory diseases,injuries and toxicosis. The total annual loss of life due to various diseases and injuries totaled 205 774 person-years,and the PYLL burden of all age groups showed different tendencies. The top five diseases in PYLL burden were respectively malignant tumors,angiocardiopathy,cerebrovascular disease,respiratory diseases,injuries and toxicosis. Conclusion Chronic non-communicable diseases and injuries are the major causes of death which are hazardous to residents＇ health. Monitoring efforts should be stepped up and feasible preventive measures should be formulated.