湖北省神农架林区2013年居民死因监测评价

Analysis of cause of death among residents in Shennongjia area, Hubei province

目的了解湖北省神农架林区居民主要死因及疾病负担,为预防控制策略的制定提供依据。方法神农架林区2013年死因资料从中国疾病预防控制信息系统平台的死因登记报告信息系统下载。按ICD-10国际疾病分类对死因进行分类及编码,运用Deathreg 2005死因统计分析软件统计分析人群的粗死亡率、标化死亡率及死因构成。统计学处理方法采用χ2检验,P<0.05为差异有统计学意义。结果 2013年神农架林区居民死亡率为570.05/10万,标化死亡率414.37/10万。5种主要死亡原因第1位死因是恶性肿瘤,死亡专率111.75/10万,占总死亡的19.60%;第2位死因是脑血管病,死亡专率为95.43/10万,占总死亡的16.74%;第3位死因是损伤中毒,死亡专率为85.38/10万,占总死亡的14.98%。第4位死因是心脏病,死亡专率为72.83/10万,占总死亡的12.78%;第5位死因是呼吸系统疾病,死亡专率为72.83/10万,占总死亡的12.78%。结论慢性病和损伤中毒已成为神农架林区居民的主要死亡原因和疾病负担,是神农架林区重要的公共卫生问题。

Objective To understand the main causes of death and patterns of diseases among population in Shennongjia area, and to provide evidences for prevention and control strategies. Methods Death reports were acquired from information system of China Center of Disease Control and Prevention. All the death reports of Shenlongjia residences were categorized and coded according to International Classification of Disease 10(ICD 10). Deathreg2005 was applied to analyze crude mortality, standardized mortality and constitution of death. χ2is used to analyze the statistic differences and P<0.05 would be considered as statistical significant. Results In 2013, the rude mortality rate was 570.05/100, 000 and the standardized mortality rate was 414.37/100, 000. Cancers, cerebrovascular diseases, injuries, heart diseases and respiratory diseases were the top five causes of death. The mortality rates of these diseases were 111.75/100, 000, 95.43/100, 000, 85.38/100, 000, 72.83/100, 000, and 72.83/100, 000 respectively. These five diseases counted respectively 19.60%, 16.74%, 14.98%, 12.78%, and 12.78% of the total death. Conclusions Non-communicable diseases and injuries, which were the main causes of death in Shennongjia, were already the burden and major public health issues for this area.