2002—2015年江苏省扬中市四类慢性病死亡的定量研究

爆闪灯管
·3349·
www.chinagp  E-mail:zgqkyx@chinagp 中国全科医学杂志·人健康问题研究·
半夏去皮机2002—2015年江苏省扬中市四类慢性病死亡的定量研究仝海员1*,张梦梦2平板扬声器
【摘要】 目的 分析2002—2015年江苏省扬中市四类慢性病的死亡现况,探讨四类慢性病的早死概率、人口因素和非人口因素对慢性病死亡率变化趋势的影响,以及当地“健康中国2030”重大慢性病早死概率下降目标的实现情况。方法 于扬中市公安局获取2002—2015年扬中市人口资料,扬中市疾病预防控制中心获取2002—2015年循环系统疾病、恶性肿瘤、糖尿病和慢性呼吸系统疾病的死亡人口资料。计算四类慢性病粗死亡率、标化死亡率、年度变化百分比(APC ),采用人口学的死亡率差别分解法进行死亡率差别分解分析,以寿命表法计算早死概率。结果 2002—2015年扬中市总人四类慢性病粗死亡率为648.69/10万、标化死亡率为341.26/10万,死亡构成比呈上升趋势。总人四类慢性病粗死亡率呈上升趋势,标化死亡率呈下降趋势,这一差异是人口、非人口因素共同作用的结果。2002—2015年扬中市总人四类慢性病早死概率均呈下降趋势,男性早死概率高于女性,年均变化速度低于女性。预计到2030年男、女性早死概率均能实现“健康中国2030年”目标。结论 四类慢性病是当地全人的主要死因,其死亡率在全国处于较高水平,加强非人口因素的干预力度,可有效降低本地慢性病死亡率,男性人是降低慢性病早死概率需要关注的重点人。
【关键词】 慢性病;死亡率;差别分解法;早死概率;健康中国2030
【中图分类号】 R 36 【文献标识码】 A  DOI :10.3969/j.issn.1007-9572.2018.00.077
仝海员,张梦梦.2002—2015年江苏省扬中市四类慢性病死亡的定量研究[J ].中国全科医学,2018,21(27):
3349-3353.[www.chinagp ]TONG H Y ,ZHANG M M .Mortality rate of four main chronic diseases in Yangzhong City of Jiangsu Province during 2002—2015:a quantitative study [J ].Chinese General Practice ,2018,21(27):3349-3353.
Mortality Rate of Four Main Chronic Diseases in Yangzhong City of Jiangsu Province during 2002—2015:a Quantitative Study  TONG Hai-yuan 1*,ZHANG Meng-meng 2
1.Yangzhong Center for Disease Control and Prevention ,Zhenjiang 212200,China
2.Public Health College ,Dalian Medical University ,Dalian 116044,China
*Corresponding author :TONG Hai-yuan ,Associate chief physician ;E-mail :3721681@qq
【Abstract 】 Objective  To analyze the data of the people in Yangzhong city who died between 2002 and 2015 due to circulatory disease ,malignant tumor ,diabetes ,or chronic respiratory disease ,and based on this ,to calculate the probability of premature death of these diseases ,explore the effect of demographic and non-demographic factors on the trend of the mortality rate ,contributing to reducing the probability of premature death of major chronic diseases ,a goal listed in the local program for achieving Healthy China 2030.Methods  The census records of Yangzhong from 2002 to 2015 were obtained from Yangzhong Public Security Bureau ,and the records of deaths due to circulatory system diseases ,malignant tumors ,diabetes and chronic respiratory diseases in Yangzhong from 2002 to 2015 were obtained from Yangzhong Center for Disease Control and Prevention.The annual crude mortality rate ,annual standardized mortality rate ,and APC of four kinds of chronic diseases were calculated.Decomposition analysis was performed to examine the mortality differentials.The probability of premature death was calculated by life table method.Results  In Yangzhong City during 2002—2015,the overall annual crude mortality rate ,overall annual standardized mortality rate for the 4 main chronic diseases was 648.69/100 thousands ,341.26/100 thousands ,respectively ;the annual contribution ratio of deaths from these diseases presented an upward trend.The annual crude mortality rate of the 4 diseases was on the rise ,while the annual standardized mortality rate of the 4 diseases was on the decline ,which
was caused by the interactions between demographic and non-demographic factors.The probability of premature mortality of each of the 4 chronic diseases showed downward trend during this period ,and the probability of premature death in males was higher than that of females ,while the average annual rate of change was lower than that of females.It was estimated that the expected probabilities of
西瓜连
1.212200江苏省镇江市,扬中市疾病预防控制中心充气模型
2.116044辽宁省大连市,大连医科大学公共卫生学院*通信作者:仝海员,副主任医师;E-mail:3721681@qq 注:仝海员与张梦梦共同为第一作者金属工艺品制作

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