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目的了解长乐市居民健康状况及死亡原因,分析主要死因及影响居民寿命的疾病,为制定防控措施提供依据。方法对死因监测系统上报的2012年居民死亡资料进行分析。结果长乐市2012年居民死亡率为5.6‰,男性明显高于女性。死因顺位前5位的是恶性肿瘤、脑血管病、心脏病、呼吸系病和损伤与中毒。恶性肿瘤死亡率为134.4/10万,占死亡总数的23.9%,死因顺位前5位依次是胃癌、肝癌、肺癌、食管癌和结直肠癌。0~14岁主要死因为围生期病(13.7/10万),15~44岁主要为损伤与中毒(18.5/10万),45~64岁主要为恶性肿瘤(222.4/10万),≥65岁主要为脑血管病(1217.5/10万)。潜在减寿年数(PYLL)前5位是恶性肿瘤、损伤与中毒、脑血管病、心脏病和呼吸系病。结论慢性病、损伤与中毒是长乐市居民的主要死因,恶性肿瘤和心、脑血管疾病是防控的重点,中老年是干预的主要人群;损伤与中毒是青年的主要死因。卫生、行政等部门应抓住源头,消除环境中潜在的不安全因素和隐患。
Objective To understand the health status and cause of death of residents in Changle City, analyze the main causes of death and diseases affecting the life of residents, and provide the basis for the development of prevention and control measures. Methods The 2012 death toll data of residents reported by the cause of death monitoring system were analyzed. Results Changle City residents in 2012 mortality was 5.6 ‰, males were significantly higher than women. The top 5 causes of death are malignant tumors, cerebrovascular disease, heart disease, respiratory disease and injuries and poisoning. The death rate of malignant tumors was 134.4 / 100 000, accounting for 23.9% of the total number of deaths. The top 5 causes of death were gastric cancer, liver cancer, lung cancer, esophageal cancer and colorectal cancer. The main causes of death from 0 to 14 years were perinatal disease (13.7 per 100,000), injuries and poisoning at 15 to 44 years (18.5 per 100,000), malignant tumors (222.4 per 100,000) at 45 to 64 years, and ≥ 65-year-old mainly for cerebrovascular disease (1217.5 / 100,000). The top 5 potential years of life lost (PYLL) are malignant tumors, injuries and poisonings, cerebrovascular disease, heart disease and respiratory disease. Conclusion Chronic diseases, injuries and poisoning are the major causes of death among residents in Changle. Malignancies and cardiovascular and cerebrovascular diseases are the main prevention and control targets. Middle-aged and elderly patients are the major intervention groups. Injuries and poisoning are the major causes of death among young people. Health, administration and other departments should seize the source to eliminate potential insecurity and hidden dangers in the environment.