2013年上海市江宁社区居民死因顺位分析

Analysis of Sequence of Death Cause in Residents of Jiangning Community of Shanghai in 2013

目的了解2013年江宁社区居民死因构成及死因顺位,为制定疾病预防控制方案提供依据。方法收集2013年死因监测系统数据和人口学资料,根据ICD-10编码手册进行死因分类,用Death Reg 2005软件进行统计分析。结果江宁社区户籍人口的粗死亡率为8.90‰,死因构成比的前5位依次为:循环系统疾病、肿瘤、呼吸系统疾病、内分泌与营养代谢疾病以及损伤和中毒,这5类死因占总死因的91.25%。不同年龄、性别死亡率及死因的构成比存在一定差异。男性循环系统疾病粗死亡率高于女性,但女性心血管病死亡率高于男性,差异有统计学意义(χ2=7.901,P=0.005);恶性肿瘤死因构成比的前5位依次为肺癌、结直肠肛门癌、胃癌、肝癌和乳腺癌,这5类死因占恶性肿瘤死因的64%。男性呼吸系统疾病死亡率高于女性,且差异有统计学意义(χ2=3.925,P=0.048)。结论 2013年,慢性非传染性疾病是威胁江宁社区居民的主要疾病,慢性病的预防和干预是今后工作的重点。需要针对不同人群开展健康教育和行为干预,动员全社区居民共同参与,积极控制慢性疾病的发病率和死亡率。

Objective To understand the proportional mortality rate and the sequence of death cause in residents of Jiangning Community in 2013, to provide bases for the development of prevention and intervention measures. Methods The data of death surveillance system and demography in 2013 was been collected. All death causes were classified according to ICD-10 coding manual, and Death Reg 2005 was used for statistical analysis. Results The crude death rate of registered population of Jiangning Community was 8.90/104. The top five proportional mortality rate were circulation system disease, tumor, respiratory disease, endocrine, nutritional and metabolic disease, and injury and poisoning, which accounting for 91.25% of the total cause of death. The mortality rate and constituent ratio of death have difference in different age or gender group. The crude death rate of circulation system disease among male was higher than female, while the result is opposite in the case of cardiovascular disease(χ2= 7.901, P=0.005). The top five constituent ratio of malignant tumor death were lung cancer, colon, rectal and anal cancers, gastric cancer, liver cancer and mammary cancer, which accounting for 64% of the total cause of malignant tumor death. The mortality of respiratory system disease among male is higher than female(χ2= 3.925, P=0.048). Conclusion The chronic non-infectious diseases were the main cause of death among Jiangning residents in 2013. Prevention and intervention of chronic disease are the two crucial tasks for us in the future. So health education and behavior intervention should been carried out according to different groups of people. And encourage the residents to get involved in these activities in order to control the morbidity and mortality of chronic diseases.