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目的分析福建省1973—1975和2008—2009年人群死亡谱改变的主要影响因素。方法计算疾病死因、构成比、调整死亡率,用死亡率差别分解法对死亡率差别进行定量分解。结果 2008—2009年人群粗死亡率和调整死亡率均下降。呼吸系病从首位降至第4位,传染病从第3位降至第10位,恶性肿瘤从第2位升至首位。恶性肿瘤、脑血管病、心脏病等疾病死亡率的上升主要是人口因素引起的;传染病、呼吸系病等疾病死亡率下降主要是非人口因素所致。结论福建省传染病得到有效控制,慢性病将成为疾病控制的重点。
Objective To analyze the main influencing factors of the change of death spectrum in Fujian Province between 1973-1975 and 2008-2009. Methods Calculate the cause of death, the composition ratio, adjust the mortality rate, and use the difference of mortality rate to decompose the mortality rate quantitatively. Results Both the crude mortality rate and the adjusted mortality rate declined during 2008-2009. Respiratory disease fell from the top to No. 4, infectious diseases dropped from No. 3 to No. 10, and malignant tumors rose from No. 2 to No. 1. Mortality rates of diseases such as malignant tumors, cerebrovascular diseases and heart diseases are mainly caused by population factors. The decrease in mortality rates of infectious diseases, respiratory diseases and other diseases is mainly caused by non-demographic factors. Conclusion Infectious diseases in Fujian Province are effectively controlled, and chronic diseases will become the focus of disease control.