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目的了解危害居民平均寿命的主要死因,为制定区域卫生规划,做好疾病预防控制提供依据。方法通过死因监测网络系统,收集2010年晋城市城区居民人口与死亡病例资料,采用SAS9.2进行婴儿死亡率、性别年龄别死亡率、死因构成及期望寿命的计算,不同性别死亡率的比较采用Poisson分布,P<0.05为差异有统计学意义。结果晋城市城区居民2010年粗死亡率为3.74‰(1 782/475 952),男4.89‰(1 173/239 821),女2.58‰(609/236 131)。晋城市城区居民平均寿命为76.05岁,其中男73.08岁,女79.71岁。影响晋城市城区居民的前3位死因主要是循环系统疾病、恶性肿瘤、损伤和中毒,占到全死因人口的85.35%(1 521/1 782),死亡率分别为:1.57‰、1.04‰、0.59‰。结论循环系统疾病、恶性肿瘤等慢性非传染性疾病和伤害已成为危害晋城市城区居民健康状况的主要原因,加强居民健康素质教育,切实落实健康管理与监测措施,是提高居民期望寿命和生活质量的关键。
Objective To understand the main cause of death of residents’ average life expectancy and provide the basis for the formulation of regional health planning and disease prevention and control. Methods Through the network of causes of death monitoring, we collected data on the population and deaths of urban residents in Jincheng City in 2010. SAS9.2 was used to calculate the infant mortality rate, gender-specific mortality rate, cause of death and life expectancy. The comparison of different gender mortality rates Poisson distribution, P <0.05 for the difference was statistically significant. Results The crude death rate of urban residents in Jincheng City in 2010 was 3.74 ‰ (1 782/475 952), 4.89 ‰ (1 173/239 821) men and 2.58 ‰ (609/236 131) females. The average life expectancy of urban residents in Jincheng City is 76.05 years, of which 73.08 are male and 79.71 are female. The top three causes of death in urban areas of Jincheng are mainly circulatory diseases, malignant tumors, injuries and poisonings, accounting for 85.35% (1521/1782) of the total number of deaths and the death rates are 1.57 ‰ and 1.04 ‰ respectively, 0.59 ‰. Conclusions Chronic non-communicable diseases and injuries, such as circulatory diseases and malignant tumors, have become the main reasons that endanger the health status of urban residents in Jincheng City. Strengthening health literacy education for residents and earnestly implementing health management and monitoring measures is to improve residents’ life expectancy and quality of life key.