新疆生产建设兵团2008-2012年居民死因分析

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目的了解新疆生产建设兵团(兵团)居民死因状况及主要死因造成的寿命损失情况,为制定有效的预防干预措施提供科学依据。方法利用兵团2008-2012年8个师部死因监测系统上报的数据和公安部门提供的人口资料,采用ICD-10进行死因分类,使用Excel 2010和SAS 9.2软件进行数据整理和统计分析,计算死亡率、潜在寿命损失年(potential years of life lost,PYLL)和减寿率等指标。结果兵团2008-2012年居民粗死亡率为508.67/10万,男性624.01/10万,女性383.14/10万,男性粗死亡率高于女性;0~岁组和15~岁组的5年标化死亡率呈下降趋势,45~岁组和≥65岁组的标化死亡率呈上升趋势;损伤与中毒占0~岁组和15~岁组死亡人数的构成比为24.19%和30.48%,循环系统疾病占45~岁组和≥65岁组死亡人数的构成比为36.68%和47.20%;按标化潜在寿命损失年(standard potential years of life lost,SPYLL)排序前5位死因依次是损伤与中毒、循环系统疾病、恶性肿瘤、呼吸系统疾病和消化系统疾病。结论损伤与中毒和慢性非传染性疾病已经成为严重威胁兵团居民健康的公共卫生问题,应有针对性的开展健康教育与健康促进等措施,降低损伤与中毒和慢性非传染性疾病对居民健康的威胁。 Objective To understand the cause of death caused by residents of Xinjiang Production and Construction Corps (Corps) and the loss of life caused by the main causes of death, to provide a scientific basis for making effective preventive interventions. Methods Using the data reported by Corps from eight departments of the cause of death monitoring system from 2008-2012, and the demographic data provided by the public security department, ICD-10 was used to classify the causes of death and the data were analyzed and statistically analyzed using Excel 2010 and SAS 9.2 software to calculate the mortality rate , Potential years of life lost (PYLL) and longevity rates and other indicators. Results The crude death rate of Corps from 2008 to 2012 was 508.67 / lakh, 624.01 / lakh for males and 383.14 / lakh for females, and the crude mortality rate was higher for males than for females. The 5-year standardization for 0- and 15-year-olds The mortality rate showed a downward trend, and the standardized mortality rates in 45-year-old group and ≥65-year-old group were on the rise. The proportions of injury and poisoning accounted for 24.19% and 30.48% of the death toll in 0- and 15- The proportions of system diseases accounted for 36.68% and 47.20% of the deaths in the 45-year-old group and ≥65-year-old group, respectively. The top five deaths due to standard potential years of life lost (SPYLL) Poisoning, circulatory diseases, malignancies, respiratory diseases and digestive diseases. Conclusions Injury and poisoning and chronic non-communicable diseases have become public health problems that seriously threaten the health of the residents of the Corps. Health education and health promotion measures should be targeted to reduce the risks to health and safety of residents due to injury and poisoning and chronic non-communicable diseases Threats.
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