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目的了解西安市居民死因分布特点及对寿命的影响,为综合防治提供依据。方法利用死亡率、构成比及潜在寿命损失(PYLL),对我市2007年死因监测资料进行描述性统计分析。结果西安市2007年报告总死亡率为572.88/10万,前5位死因分别为:心脏病、恶性肿瘤、脑血管病、损伤和中毒、呼吸系统疾病,占全死因的78.91%;交通事故(机动车辆交通事故、机动车以外的运输事故)、意外跌落、意外中毒和自杀是损伤和中毒的主要死因,是造成该市居民“早死”及青壮年死亡的主要死因。结论慢性非传染性疾病在总死亡中的比例最高,是危害该市居民健康的主要死因,损伤和中毒是危害西安市青壮年健康的主要危险因素,因此,加强预防和控制慢性病是当务之急,同时政府应尽快把伤害纳入疾病预防控制规划。
Objective To understand the distribution characteristics of death causes of residents in Xi’an and its impact on life expectancy, to provide a basis for comprehensive prevention and treatment. Methods The mortality, constituent ratio and potential life-loss (PYLL) were used to carry out descriptive statistical analysis on the data of the cause of death monitoring in our city in 2007. Results The total reported death rate in Xi’an in 2007 was 572.88 / 100,000. The top five causes of death were heart disease, malignant tumor, cerebrovascular disease, injury and poisoning, respiratory diseases, accounting for 78.91% of all causes of death; traffic accident Motor vehicle accidents, accidents other than motor vehicles), accidental falls, accidental poisoning and suicide are the leading causes of injury and poisoning, leading to the deaths of “premature death” and young adults in the city. Conclusion Chronic non-communicable diseases have the highest proportion of total deaths, which is the main cause of death for the health of residents in this city. Injury and poisoning are the main risk factors that affect the health of young adults in Xi’an. Therefore, it is imperative to strengthen the prevention and control of chronic diseases. The government should include the harm as soon as possible in the disease prevention and control plan.