2014—2020年上海市松江区居民4类主要慢性病早死概率分析

Analysis on the Premature Death Probability of Four Major Non-communicable Diseases in Songjiang District of Shanghai from 2014—2020

目的:分析2014—2020年上海市松江区居民恶性肿瘤、心脑血管疾病、慢性呼吸系统疾病和糖尿病4类主要慢性病死亡水平、早死概率等指标的变化趋势,为慢性病的干预、控制提供建议。方法:收集2014—2020年上海市松江区全人群死因监测数据,计算粗死亡率、标化死亡率、早死概率、年度变化百分比等指标。结果:2014—2020年松江区居民的4类主要慢性病粗死亡率呈上升趋势,标化死亡率呈下降趋势;松江区居民的4类主要慢性病早死概率从8.76%下降至7.39%;男性和女性居民的4类主要慢性病早死概率均呈下降趋势,男性的4类主要慢性病早死概率高于女性,是女性的1.65~2.36倍。结论:松江区居民的4类主要慢性病标化死亡率和早死概率均呈下降趋势。松江区已提前实现“健康上海2030”的目标。

OBJECTIVE To analyze the change trend of the mortality rate and premature death probability of four major non-communicable diseases(NCDs)including malignant tumors,cardiovascular and cerebrovascular diseases,chronic respiratory diseases and diabetes in Songjiang district from 2014—2020,and to provide direction and suggestions for the intervention and control of non-communicable diseases.METHODS The population-wide cause of death surveillance data from 2014 to 2020 in Songjiang district was collected.The crude mortality rate,standardized mortality rate,the premature death probability and annual percent change(APC)of four major NCDs were calculated.RESULTS Crude mortality rate of major NCDs showed an increasing trend,and the standard mortality showed a decreasing trend in Songjiang district from 2014 to 2020.The premature death rate of four major NCDs in Songjiang district was from 8.76%in 2014 to 7.39%in 2020.The premature death rate of major NCDs decreased in both males and females,and the premature death rate of major NCDs in males was 1.65~2.36 times higher than that in females.CONCLUSION The standardized mortality rate and the probability of premature death of the four major NCDs showed a decreasing trend in Songjiang district.Songjiang district had achieved premature death rate targets setting out in the“Healthy Shanghai 2030”.