2016年江西省监测地区居民去死因期望寿命分析

目的 了解各类死因对江西省国家级死因监测地区(以下简称国家点)居民期望寿命的影响,为制定疾病防治策略提供依据。方法 利用2016年江西省国家点全死因登记资料，计算期望寿命、去死因期望寿命及寿命损失年数。结果 2016年江西省国家点居民粗死亡率为570.31/10 万,平均期望寿命78.59岁，女性高于男性5.56岁，城市高于农村1.04岁。导致寿命损失的前4大类疾病是循环系统疾病、恶性肿瘤、呼吸系统疾病和伤害，去除后期望寿命男性可分别增长6.48岁、2.79岁、1.82岁、1.58岁，女性可分别增长8.95岁、1.76岁、1.97岁、0.91岁。循环系统疾病中主要是脑血管病、心脏病，去除后男性分别增长2.57岁、2.11岁，女性分别增长2.97岁、2.82岁，呼吸系统疾病中主要是慢性下呼吸道疾病，去除后男性增长1.32岁，女性增长1.72岁，恶性肿瘤中前2位是肺癌、肝癌，去除后男性分别增长0.82岁、0.64岁，女性分别增长0.35岁、0.23岁。结论 心脑血管疾病、慢性下呼吸道疾病及以肺癌为首的恶性肿瘤等慢性非传染性疾病是造成江西省国家点居民期望寿命减少的主要疾病，需针对不同人群，采取有效的防治策略。

Analysis of cause eliminated life expectancy of the inhabitants in the disease surveillance points of Jiangxi Province in 2016

Objective To explore the influence of major death causes on the life expectancy of the inhabitants in the disease surveillance points(DSPs) in Jiangxi Province. Methods Death information was obtained from the disease surveillance system in Jiangxi in which citizens died in 2016. Specific disease of death life expectancy, cause eliminated mortality and potential years of life lost were calculated. Results In 2016, the mortality was 570.31/100 000 of the citizens in the DSPs in Jiangxi. The life expectancy was 78.59 years. Female had lived 5.56 years longer thanmale, and urban areas lived 1.04 years longer thanrural areas in the citizens. The first four kinds of diseases system affecting the life expectancy were circulatory system diseases, malignant neoplasm, respiratory system diseases and injuries. The life expectancy increased 6.48,2.79,1.82,1.58 years among men, and 8.95,1.76,1.97,0.91 years among women respectively after the exclusion of the four diseases system deaths. The main reason of life expectancy lost were cerebrovascular and heart disease(2.57, 2.11 years in males, 2.97, 2.82 years in females) in circulatory system diseases, lower respiratory disease(1.32 years in males, 1.72 years in females) in respiratory system diseases, lung and liver cancer(0.82, 0.64 years in males, 0.35, 0.23 years in females) in malignant neoplasm, respectively. Conclusion Non-communicable chronic disease (Cardiovascular, lower respiratory system disease and lung cancer with in particular) were the major death causes and life expectancy lost of the inhabitants in the DSPs in Jiangxi. Effective prevention strategies should be adopted for different groups.