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目的分析四川省60岁及以上老年人群的健康状况、主要死因及变化趋势,为政府部门制定有关卫生政策措施提供科学依据。方法利用2004-2013年四川省死因数据资料,按国际疾病分类(ICD-10)编码进行死因分类,计算分析死亡率、标化死亡率及死亡率变化趋势。结果 2004-2011年四川省60岁及以上老年人死亡率呈上升趋势,2011年后下降,2011年最高(3 953.18/10万,标化率为3 846.19/10万),2013年最低(3 049.21/10万,标化率为2 798.67/10万)。2004年到2013年间,恶性肿瘤死因顺位上升至第1位。呼吸系统死亡率呈下降趋势(APC=-4.00%,P<0.01),恶性肿瘤与心脏病的死亡率呈上升趋势(APC分别为4.54%和10.61%,P<0.01),损伤中毒和内分泌、营养、代谢、免疫相关疾病的死亡率相对较低且变化幅度不大。结论四川省老年居民保健工作宜以恶性肿瘤和心脏病为重点,同时继续加强呼吸系统疾病、脑血管疾病的防治。
Objective To analyze the state of health, major causes of death and changing trend of elderly population aged 60 years and above in Sichuan Province and provide scientific basis for government departments to formulate relevant health policies and measures. Methods According to the data of cause of death in Sichuan province from 2004 to 2013, the causes of death were classified according to the International Classification of Diseases (ICD-10), and the trends of mortality, standardized mortality and mortality were calculated and analyzed. Results The mortality rate of the elderly aged 60 years and over in Sichuan province increased from 2004 to 2011 and then decreased after 2011, the highest in 2011 (3 953.18 / 100 thousand, the standardization rate was 3 846.19 / 100 000), the lowest in 2013 (3 049.21 / 100000, the standardization rate of 2 798.67 / 100000). Between 2004 and 2013, the number of deaths from malignancies rose to No. 1. Mortality of respiratory system showed a decreasing trend (APC = -4.00%, P <0.01), mortality of malignant tumors and heart disease was on the rise (APC 4.54% and 10.61% respectively, P <0.01) Mortality rates for nutrition, metabolism, and immune-related diseases are relatively low and vary slightly. Conclusion The elderly health care in Sichuan Province should focus on malignant tumors and heart disease, while continuing to strengthen the prevention and treatment of respiratory diseases and cerebrovascular diseases.