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目的为掌握浙江省岱山县海岛地区居民健康状况和主要疾病死亡原因,评价居民健康水平,为政府和相关部门制定疾病预防控制策略提供参考依据。方法对岱山县1986-1988年和2009-2010年两个时期居民死亡资料进行比较分析,采用国际疾病分类法进行编码,以2000年全国标准人口构成比进行死亡率标化。结果岱山县两个时期居民粗死亡率分别为657.46/10万和767.65/10万,标化死亡率分别为699.37/10万和399.07/10万,两个时期死亡率均男性高于女性(u=6.17,P<0.01;u=7.48,P<0.01);前5位死因顺位依次分别为恶性肿瘤、呼吸系病、损伤中毒、脑血管病及消化系病和恶性肿瘤、呼吸系病、脑血管病、心脏病及损伤中毒,5类死因占死亡总数分别为77.74%和84.33%。居民平均期望寿命男性分别为68.58岁和75.80岁,女性分别为72.17岁和81.76岁,平均期望寿命分别上升了7.22岁和9.59岁,两个时期均为女性大于男性。结论岱山县居民以恶性肿瘤、呼吸系病、脑血管病、心脏病及损伤中毒为主要死因,其中肿瘤死亡率以肝癌居首,其次为胃癌。
Objective To assess the health status of residents and the causes of death of major diseases in the island area of Daishan County in Zhejiang Province, evaluate the residents’ health level and provide reference for the government and relevant departments in formulating disease prevention and control strategies. Methods The mortality data of residents in Daishan County from 1986 to 1988 and from 2009 to 2010 were compared and analyzed by International Classification of Diseases, and the mortality rate was standardized by the national standard population composition in 2000. Results The crude death rates of residents in Daishan County during the two periods were 657.46 / lakh and 767.65 / lakh, respectively. The standardized mortality rates were 699.37 / lakh and 399.07 / lakh respectively, both of which were higher than females = 6.17, P <0.01; u = 7.48, P <0.01). The top five causes of death were malignant tumors, respiratory diseases, injuries, cerebrovascular diseases and digestive diseases and malignancies, respiratory diseases, Cerebrovascular disease, heart disease and injury poisoning, the total number of deaths caused by Category 5 were 77.74% and 84.33% respectively. The average life expectancy of residents was 68.58 years and 75.80 years respectively, with females of 72.17 years and 81.76 years respectively, and the average life expectancy increased by 7.22 years and 9.59 years respectively. Both of the two periods were more females than males. Conclusion Daishan County residents with malignant tumor, respiratory disease, cerebrovascular disease, heart disease and injury poisoning as the main cause of death, of which the mortality rate of liver cancer topped, followed by gastric cancer.