2018—2022年白银市居民主要慢性病早死概率变化趋势分析

Analysis of variation trend of premature death due to major chronic diseases in residents of Baiyin city from 2018 to 2022

目的了解2018—2022年甘肃省白银市居民主要慢性非传染性疾病(简称慢性病)早死概率的变化趋势。方法利用中国疾病预防控制信息系统—人口死亡信息登记管理系统,导出2018年1月1日—2022年12月31日所有已审核的白银市常住居民的死亡个案数据,按照《国际疾病分类(第10版)》编码,计算年度变化百分比(APC)分析变化趋势。结果2018—2022年白银市居民4类主要慢性病粗死亡率(APC=6.97%,t=5.480)、标化死亡率(APC=6.94%,t=5.263)均呈上升趋势(P<0.05);早死概率为10.31%~12.00%,变化趋势差异无统计学意义(t=2.133,P>0.05);每年早死概率男性均高于女性(P<0.05)。男性慢性呼吸系统疾病早死概率呈上升趋势(APC=5.30%,t=3.442,P<0.05)。慢性呼吸系统疾病及心脑血管疾病的早死概率较高。结论4类主要慢性病是白银市居民的主要死因;应重点关注慢性呼吸系统疾病及心脑血管疾病;男性是重点关注人群。

Objective To understand the variation trend of premature death due to major non-communicable diseases among the residents in Baiyin city of Gansu province from2018 to 2022.Methods The death data of audited permanent residents in Baiyin city from January 1,2018 to December 31,2022 were collected from the Death Information Registration Management System of China Disease Control and Prevention Information System.The data were coded according to the International Classification of Diseases(10th edition),and the annual percentage change(APC)was calculated to analyze the change trend.Results From2018 to 2022,the crude mortality rate(APC=6.97%,t=5.480)and standardized mortality rate(APC=6.94%,t=5.263)of four major non-communicable diseases showed an increasing trend(P<0.05)in Baiyin city,and the probability of premature death was 10.31%to 12.00%.There was no statistical difference in the changing trend(P>0.05).The annual probability of premature death of the male was higher than that of the female(P<0.05)each year.The probability of premature death of the male due to chronic respiratory diseases showed increasing trend(APC=5.30%,t=3.442,P<0.05).The probabilities of premature death of chronic respiratory diseases and cardiovascular and cerebrovascular diseases were high.Conclusions Four major non-communicable diseases are the main causes of death among residents of Baiyin city.The chronic respiratory diseases and cardiovascular and cerebrovascular diseases should be paid attention to,and the male group is the key population.