2017年河北省沧县居民死因、期望寿命及过早死概率分析
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摘要
目的通过了解2017年河北省沧县居民健康水平,评价慢性非传染性疾病防控效果,为完善卫生健康和优化资源配置提供参考依据。方法依据中国疾病预防控制系统死因登记报告信息系统相关数据,采用描述流行病学方法,对2017年河北省沧县居民健康水平进行分析。结果 2017年共报告死亡人数3 973人,粗死亡率为5.40‰,男性死亡率(6.22‰)高于女性(4.59‰);5～24岁4个年龄组死亡率最低,分别为0.14‰、0.12‰、0.13‰和0.15‰,70～≥85岁4个年龄组死亡率最高,分别为20.68‰、45.37‰、63.14‰和57.59‰;死因顺位(前5位)分别为心血管疾病、恶性肿瘤、脑血管疾病、呼吸系统疾病、损伤及中毒,死亡率分别为196.64/10万、121.76/10万、103.68/10万、36.28/10万和27.45/10万;恶性肿瘤顺位(前5位)分别是肺癌、肝癌、胃癌、食管癌和白血病;平均期望寿命为78.22岁,男性期望寿命为76.71岁,女性为82.78岁;早死概率为17.15%;2010—2017年婴儿死亡率、5岁以下儿童死亡率、孕产妇死亡率分别在5‰、6‰和13/10万以下水平。结论居民健康水平数据已经达到高收入国家水平;慢性非传染性疾病是2017年河北省沧县居民主要死因,更需要关注男性健康。
[Objective]To understand the health level of residents in Cang County of Hebei Province in 2017, to evaluate the prevention and control effect of chronic non-communicable diseases,and provide reference for improving health and optimizing resource allocation. [Methods] According to the relevant data of The Information System of Death Registration of China CDC,descriptive epidemiological method was adopted to analyze the health level of residents in Cang County of Hebei Province in2017. [Results] A total of 3 973 deaths were reported in 2017. The crude mortality rate was 5.40‰, and the mortality rate for males(6.22‰) was higher than that for females(4.59‰). The mortality of 4 age groups aged 5-24 years old was the lowest,which was 0.14‰, 0.12‰, 0.13‰ and 0.15‰ respectively. The mortality of 4 age groups aged 70-85 years old was the highest,which was 20.68‰, 45.37‰, 63.14‰ and 57.59‰ respectively. The causes of death(top 5) were cardiovascular disease, malignan t tumor, cerebrovascular disease, respiratory disease, injury and poisoning, with the mortality of 196.64/1 00 000, 121.76/100 000,103.68/100 000, 3628/100 000 and 2745/100 000, respectively. The first 5 malignant tumors were lung cancer, liver cancer,stomach cancer, esophageal cancer and leukemia. The average life expectancy was 78.22 years, 76.71 years for men and 82.78 years for women. The probability of early death was 17.15%. From 2010-2017, infant mortality rate, child mortality rate under 5 years old and maternal mortality rate were 5‰, 6‰ and 13/100 000, respectively. [Conclusion] The health level of residents has reached the level of high-income countries; Chronic non-communicable diseases were the leading cause of death among residents of Cang County of Hebei Province in 2017, and more attention should be paid to male health.
[Objective]To understand the health level of residents in Cang County of Hebei Province in 2017, to evaluate the prevention and control effect of chronic non-communicable diseases,and provide reference for improving health and optimizing resource allocation. [Methods] According to the relevant data of The Information System of Death Registration of China CDC,descriptive epidemiological method was adopted to analyze the health level of residents in Cang County of Hebei Province in2017. [Results] A total of 3 973 deaths were reported in 2017. The crude mortality rate was 5.40‰, and the mortality rate for males(6.22‰) was higher than that for females(4.59‰). The mortality of 4 age groups aged 5-24 years old was the lowest,which was 0.14‰, 0.12‰, 0.13‰ and 0.15‰ respectively. The mortality of 4 age groups aged 70-85 years old was the highest,which was 20.68‰, 45.37‰, 63.14‰ and 57.59‰ respectively. The causes of death(top 5) were cardiovascular disease, malignan t tumor, cerebrovascular disease, respiratory disease, injury and poisoning, with the mortality of 196.64/1 00 000, 121.76/100 000,103.68/100 000, 3628/100 000 and 2745/100 000, respectively. The first 5 malignant tumors were lung cancer, liver cancer,stomach cancer, esophageal cancer and leukemia. The average life expectancy was 78.22 years, 76.71 years for men and 82.78 years for women. The probability of early death was 17.15%. From 2010-2017, infant mortality rate, child mortality rate under 5 years old and maternal mortality rate were 5‰, 6‰ and 13/100 000, respectively. [Conclusion] The health level of residents has reached the level of high-income countries; Chronic non-communicable diseases were the leading cause of death among residents of Cang County of Hebei Province in 2017, and more attention should be paid to male health.
引文
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[13]贺宇彤,梁迪,李道娟,等.河北省2011年恶性肿瘤发病与死亡分析[J].中华流行病学杂志,2015,36(8):846-851.
[14]梁迪,李道娟,师金.等.河北省1973—2013年恶性肿瘤死亡变化分析[J].中华流行病学杂志,2018,39(1):35-39.
[15]肖亚茹.黄素芳.我国过早死的原因及对策[J].医学与社会,2018,31(1):41-43.
[2]王黎君,董景五,宋桂香,等.人口死因监测工作指导手册[M].北京:中国人口出版社,2017:27-30.
[3]曾新颖,李镒冲,刘世炜,等.1990—2015中国四类慢性病早死概率与健康中国下降目标分析[J].中华预防医学杂志,2017,51(3):209-214.
[4]王德征,张辉,徐忠良,等.天津市1999—2015年慢性病非传染疾病过早死亡趋势分析[J].中华流行病学杂志,2017,38(12):1672-1676.
[5]张辉,徐忠良,王德征,等.2015年天津市居民死亡水平及主要死因[J].职业与健康,2017,33(9):1245-1248.
[6]沈洁,姜庆五.2005—2010年中国城市居民期望寿命性别差异的分析[J].中华流行病学杂志,2013,34(7):690-695.
[7]吴娅莉.河北省居民死因及主要死因疾病谱变迁的调查分析[D].石家庄:河北医科大学,2008:1-27.
[8]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,2016,36(9):1268-1271.
[9]吴生根,许能锋,林丹.2005年中国居民与日本居民期望寿命的比较研究[J].河南预防医学杂志,2008,19(4):241-243.
[10]孙惠玲,李芳.影响武汉市2006年居民平均期望寿命的因素[J].中国慢性病预防与控制,2008,16(4):419-420.
[11]张晓磊.2000年以来中国人口死亡水平死因研究[J].中国人口科学,2007(2):69-74.
[12]丁贤彬,唐文革,毛德强,等.重庆市慢性病早死率及潜在寿命损失分析[J].中国慢性病预防与控制,2017,25(5):329-333.
[13]贺宇彤,梁迪,李道娟,等.河北省2011年恶性肿瘤发病与死亡分析[J].中华流行病学杂志,2015,36(8):846-851.
[14]梁迪,李道娟,师金.等.河北省1973—2013年恶性肿瘤死亡变化分析[J].中华流行病学杂志,2018,39(1):35-39.
[15]肖亚茹.黄素芳.我国过早死的原因及对策[J].医学与社会,2018,31(1):41-43.