上海宝山区某社区2013-2017年居民死因分析

Analysis of the death causes of residents in a community in Baoshan District,Shanghai from 2013 to 2017

目的:分析上海宝山区张庙街道泗塘社区2013-2017年居民死因构成及变化趋势,为卫生行政部门制定预防控制策略提供科学依据。方法:收集2013-2017年上海宝山区张庙街道泗塘社区户籍居民的死因监测资料,按国际疾病分类(ICD-10)进行死因编码分类,统计分析不同年龄和性别的死亡率以及死因构成。结果:2013-2017年上海泗塘社区户籍居民报告粗死亡率为1 169.16/10万,标化死亡率为424.72/10万;前五位死因依次为循环系统疾病、肿瘤、呼吸系统疾病、损伤与中毒、内分泌营养代谢疾病。男性的死亡率高于女性,居民死亡率随年龄增长而升高。结论:慢性非传染性疾病及损伤与中毒已成为严重影响上海泗塘社区居民健康的主要疾病,有针对性地开展健康教育和健康促进工作,对于减少慢性病的发生和发展是当前疾病防控的重中之重。

Objective: To analyze the composition and trends of the death causes of residents in Sitang Community of Zhangmiao Neighborhood, Baoshan District, Shanghai so as to provide a scientific basis for the health administrative department to develop prevention and control strategies. Methods: The surveillance data of the death causes of the residents of Sitang Community in Zhangmiao Neighborhood of Baoshan District, Shanghai from 2013 to 2017 were collected, and according to the international classification of diseases(ICD-10), the cause of death coding was classified, and the mortality and death causes of different ages and genders were statistically analyzed. Results: From 2013 to 2017, the reported crude mortality rate of the registered residents in Sitang Community, Shanghai was 1 169.16/100 000 and a standardized mortality rate was 424.72/100000;the top five causes of death were circulatory diseases, tumors, respiratory diseases, injuries and poisoning, and endocrine and nutrient metabolic diseases. The mortality rate of men was higher than that of women, and the mortality rate of the residents increased with age. Conclusion: Chronic non-communicable diseases and injuries and poisoning have become major diseases that seriously affect the health of residents in Sitang Community, Shanghai, and targeted health education and health promotion work are the top priority for disease prevention and control in reducing the occurrence and development of chronic diseases.