2018年南平市居民主要慢性病死亡和早死概率分析

Probability analysis on major chronic disease deaths and premature deaths among residents,Nanping city,2018

目的了解南平市居民主要慢性病死亡特征和早死概率,为制定公共卫生防控策略提供依据。方法收集2018年南平市居民死亡个案信息,分析死亡率、主要慢性病死亡率及早死概率等指标,描述慢性病对人群健康的影响。结果2018年南平市居民以第二大类疾病(慢性非传染性疾病)为死因首位,共报告死亡14942例,死亡率为467.86/10万,占全死因的82.97%,三大类疾病中男性死亡率均高于女性(P<0.01)。循环系统疾病和肿瘤是主要慢性病死因,占慢性病死亡总数的77.45%;居民四类主要慢性病早死概率为10.73%,其中恶性肿瘤、循环系统疾病、慢性呼吸系统疾病和糖尿病的早死概率分别为6.57%、3.60%、0.51%、0.38%,除糖尿病外,男性早死概率均显著高于女性(P<0.01);分县(市、区)中各地早死概率差异较大,建瓯市(12.15%)最高,邵武市(11.82%)次之,松溪县(8.43%)最低。结论慢性病是目前南平市的首要死因,恶性肿瘤和循环系统疾病所致的早死状况较为严峻。

Objective To understand the death characteristics and premature death rate of major chronic diseases among residents of Nanping city,so as to provide a basis for formulating public health prevention and control strategies.Methods The information of death cases of residents in Nanping city in 2018 was collected.The death rate,mortality of major chronic diseases and the probability of early death were analyzed to describe the impact of chronic diseases on the health of the population.Results In 2018,residents of Nanping city took the second largest category of diseases(chronic non-communicable diseases)as the leading cause of death,and a total of 14942 deaths were reported,with a mortality of 467.86/10~5,accounting for 82.97%of the total cause of death.The mortality of males in the 3 major types of diseases was higher than that of females(P<0.01).The premature death rate of the 4 major chronic diseases of the residents was 10.73%,of which the premature death rates of malignant tumors,circulatory system diseases,chronic respiratory diseases and diabetes was 6.57%,3.60%,0.51%,0.38%respectively,except for diabetes,the probability of premature death in men was significantly higher than that in women(P<0.01);There was a large difference in the probability of early death in different counties(cities or districts),it was the highest in Jian’ou city(12.15%),followed by Shaowu city(11.82%),and Songxi county(8.43%)had the lowest probability of early death.Conclusion Chronic diseases are currently the leading cause of death in Nanping city.The premature death caused by malignant tumor and circulatory system disease is severe.