重庆市2011年监测点居民死亡统计及死因分析

Mortality statistics and death cause sequence of residents at sites of national surveillance in Chongqing in 2011

摘要:

目的：了解重庆市居民病伤死亡原因监测点居民死亡水平和死因结构特点，为制定疾病控制策略提供科学依据。方法：综合全市8个疾病监测点的疾病监测资料，按照《国际疾病分类》第10版编码进行死因归类。计算粗死亡率、表化死亡率、死因构成比、死因顺位等指标，率的比较采用卡方检验。结果：监测点居民人群粗死亡率667.79/10万，标准化死亡率为473.39/10万，城市高于农村（?字2=224.89，P<0.001），男性高于女性（?字2=572.44，P<0.001）；65岁以上年龄组粗死亡率高于0~14岁、15~64岁（?字2=114 118.60，P<0.001）。居民死因顺位前5位为循环系统疾病（死亡率为249.01/10万，构成比为37.29%）、肿瘤（164.36/10万，24.61%）、呼吸系统疾病（131.27/10万，19.66%）、损伤中毒（53.78/10万，8.05%）和消化系统疾病（18.42/10万，2.76%）。结论：慢性非传染性疾病是重庆市疾病监测点居民生命健康的主要威胁，应协调社会各方力量，开展健康教育，改变不良生活行为，加强环境保护，积极控制慢性病的危害。

Abstract:

Objective：To understand the mortality and death cause sequence of residents from diseases surveillance sites in Chongqing so as to provide scientific references for formulating strategies of disease control. Methods：Based on the data from 8 diseases survei-llance sites and international classification of diseases-10，death causes were classified. Crude mortality，age-standardized mortality and proportion of death causes were calculated. Chi-square test was used to compare rates. Results：Crude mortality of residents from diseases surveillance sites was 667.79/100 000 and age-standardized mortality was 473.39/100 000. Crude mortality of urban was higher than that of rural（?字2=224.89，P<0.001）. Male’s crude mortality was higher than female’s（?字2=572.44，P<0.001）. Crude mortality of aged more than 65 was higher than that of aged 0-14 and aged 15-64（?字2=114 118.60，P<0.001）. The top five death causes were circular system disease（crude mortality was 249.01/100 000，proportion of death cause was 37.29%），tumor（164.36/100 000，24.61%），respiratory system disease（131.27/100 000，19.66%），injury and poisoning（53.78/100 000，8.05%） and digestive system disease（18.42/100 000，2.76%）. Conclusions：Chronic non-communicable diseases are the diseases harming the residents in Chongqing. In order to actively control the harmfulness of chronic non-communicable diseases，all social parts should be mobilized to carry out health education，change the unhealthy life habits and strengthen environmental protection.