2010-2016年北京市房山区慢性病死亡及四类慢病早死概率研究
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摘要
目的分析北京市房山区2010-2016年慢性病死亡情况及四类慢病早死概率。方法利用北京市户籍居民死因监测系统中2010-2016年死亡登记资料,按照国际统一ICD-10编码分类、汇总、统计,分析慢性病死亡情况及四类慢病早死概率。结果 2010-2016年房山区户籍人口慢性病死亡占总死亡构成比呈上升趋势;户籍人口慢性病死亡率呈升高趋势,男性高于女性;慢性病年龄标化死亡率由2010年的460.36/10万下降至2016年的430.40/10万;四类慢病中心血管疾病和癌症死亡率明显上升,四类慢病早死概率由2010年的15.44%下降至2016年的14.39%。结论房山区慢性病死亡率处于较高水平。四类慢病早死概率有所下降,说明近些年的慢病防控措施起到了积极作用,但是男性早死概率高于女性,慢性病防控应关注重点人群。
Objective To analyze the deaths from chronic diseases and the probability of premature death from four kinds of chronic diseases in Fangshan district of Beijing from 2010 to 2016. Methods The death registration data of 2010-2016 were used to analyze the death from chronic diseases and the probability of premature death from four kinds of chronic diseases, according to ICD-10. Results The deaths from chronic diseases accounted for about 90% of the total deaths in Fangshan district of Beijing, 2010-2016. The mortality rate of chronic diseases in the population was increased, and the rate of male was higher than that of females. The standardized mortality rate of chronic diseases decreased from 460.36/100 000 in 2010 to 430.40/100 000 in 2016; The upward trend was obvious in cardiovascular disease and cancer mortality among four kinds of chronic diseases; and the probability of premature mortality caused by four kinds of chronic diseases decreased from 15.44% in 2010 to 14.39% in 2016. Conclusion The mortality rate of chronic diseases in Fangshan area is at a high level. The probability of premature death has declined.This suggest that the measures of chronic disease prevention and control has produced a positive effect in recent years. While the probability of premature death in male is higher than that in female, the prevention and control of chronic diseases should be further strengthened in special population.
Objective To analyze the deaths from chronic diseases and the probability of premature death from four kinds of chronic diseases in Fangshan district of Beijing from 2010 to 2016. Methods The death registration data of 2010-2016 were used to analyze the death from chronic diseases and the probability of premature death from four kinds of chronic diseases, according to ICD-10. Results The deaths from chronic diseases accounted for about 90% of the total deaths in Fangshan district of Beijing, 2010-2016. The mortality rate of chronic diseases in the population was increased, and the rate of male was higher than that of females. The standardized mortality rate of chronic diseases decreased from 460.36/100 000 in 2010 to 430.40/100 000 in 2016; The upward trend was obvious in cardiovascular disease and cancer mortality among four kinds of chronic diseases; and the probability of premature mortality caused by four kinds of chronic diseases decreased from 15.44% in 2010 to 14.39% in 2016. Conclusion The mortality rate of chronic diseases in Fangshan area is at a high level. The probability of premature death has declined.This suggest that the measures of chronic disease prevention and control has produced a positive effect in recent years. While the probability of premature death in male is higher than that in female, the prevention and control of chronic diseases should be further strengthened in special population.
引文
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[2] 朱成华,邵月琴,张一英,等.慢性病相关防控政策评价历程及实施现状[J].上海预防医学,2016,28(1):19-23.
[3] 郭积勇,谢辉,杜红,等.北京市慢性病流行现状及综合防控策略[J].首都公共卫生,2015,9(3):105-107.
[4] WHO. Global health estimates: deaths by cause, age, sex and country, 2000-2012[R].Geneva:WHO,2014.
[5] WHO. Global status report on noncommunicable diseases 2014[R].Geneva:WHO,2014.
[6] 胥馨尹,邓颖,季奎,等.四川省人群健康状况及重点慢性病流行现况[J].疾病监测:2017,32(1):6-8.
[7] 闵霞,张淑娟,田玉敏.2000-2011 年辽宁省东港市居民慢性病死亡率变化趋势分析[J].中国慢性病预防与控制,2013,21(4):508-509.
[8] 张彦亭,董会敏,姜彩肖.2009-2012年石家庄市区慢性病发病死亡监测[J].医学动物防制,2014,30(4):453-455.
[9] 李刚,苏健婷,韦再华,等.北京市2010-2015年慢性非传染性疾病早死概率研究[J].中华流行病学杂志,2016,37(9):1268-1271.