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[目的]比较2007~2008年西安市不同地区居民的主要死因。[方法]应用标化死亡率、死因顺位、平均减寿年数、减寿率等指标分析西安市城区、城乡结合部及农村2007~2008年死因资料。[结果]西安市城乡结合部居民2007~2008年标化死亡率为569.87/10万,高于城区及农村;恶性肿瘤的标化死亡率呈城乡结合部﹥城区﹥农村,其中肺癌的标化死亡率呈城乡结合部﹥城区﹥农村,且差异尤为显著;城乡结合部交通运输事故、意外中毒、意外的机械性窒息、砸死、机器切割等所致的意外事故、触电等死因标化死亡率均显著高于城区及农村,而农村地区意外跌落、淹死及自杀标化死亡率显著高于城区及城乡结合部。城乡结合部及农村意外死亡的减寿率居第一。[结论]为了降低西安市居民死亡率,既要进一步加强自然环境的治理,也应重视社会环境治理。
[Objective] To compare the main causes of death among residents in different areas of Xi’an from 2007 to 2008. [Methods] The standardized death rate, the cause of death, the average number of years of life lost, the rate of reduction of life and other indicators were used to analyze the urban and rural areas in Xi’an and rural areas from 2007 to 2008. [Results] The standardized death rate of urban residents in urban and rural areas in Xi’an from 2007 to 2008 was 569.87 / 100,000, which was higher than that in urban areas and rural areas. The standardized mortality rate of malignant tumors was between urban and rural areas> urban areas> rural areas, with the standardization of lung cancer The death rate showed a combination of urban and rural areas> urban areas> rural areas, and the differences were particularly significant. Deaths due to traffic accident, accidental poisoning, accidental mechanical asphyxia, stoning, machine cutting, accidental death due to electric shock, etc. Rates were significantly higher than urban areas and rural areas, and accidental drop in rural areas, drowning and suicide standardization mortality was significantly higher than the urban areas and urban-rural integration. Urban-rural combination and rural death toll in the first place. [Conclusion] In order to reduce the mortality rate of residents in Xi’an City, it is necessary to further strengthen the governance of the natural environment as well as the social environment governance.