1993-2007年寿光市农村居民死因资料分析

目的]摸清寿光市农村居民全死因死亡水平及死因构成，掌握死因变化趋势，为疾病预防控制工作指明方向。方法]对寿光市1993～2007年农村居民死亡进行分析。结果]1993～2007年，累计监测2491042人次，死亡17071例，死亡率（／10万）为685．29（男性765．57，女性为603．14，各年为644．85～819．35）；标化死亡率（／10万）为491．94（男性为527．15，女性为451．88，各年为410．76～729．17）。1993～2007年。粗死亡率上升的死因是内分泌营养代谢类疾病、损伤与中毒、恶性肿瘤、循环系统疾病，下降的死因是呼吸系统疾病、消化系统疾病、传染病与寄生虫病、先天畸形、围产期疾病、泌尿生殖系统疾病、神经和精神疾病、血液和造血系统疾病。居民平均期望寿命，全部居民由1993年的70．12岁上升到2007年的77．96岁。其中男性由68．43岁上升到76．17岁，女性由71．89岁上升到80．21岁。去掉循环系统疾病、呼吸系统疾病、恶性肿瘤和损伤与中毒死亡后，1993年的期望寿命分别为73．81岁、72．90岁、72．78岁、71．76岁，2007年分别为86．68岁、80．25岁、80．91岁、79．63岁。结论]15年间寿光市农村居民的粗死亡率基本持平，标化死亡率明显下降．前4位主要死因1993年为循环系统疾病、呼吸系统疾病、恶性肿瘤和损伤与中毒，2007年为循环系统疾病、恶性肿瘤、损伤与中毒和呼吸系统疾病。

Analysis on Mortality Data of Shouguang Rural Population from 1993 to 2007

Objective]This study is aimed to clarify the causes of death of Shouguang population and identify the trend of mortality since 1993,to provide evidence for disease control and prevention. Methods]The mortality data of Shouguang city collected during the period from 1993 to 2007 were analyzed. Results]There were a total of 2 491 042 person years investigated and 17 071 deaths occurred from 1993 to 2007. The overall crude and age-adjusted mortality rates （/100000） during this time were 685.29（765.57 for males and 603.14 for females）and 491.94 （527.15 for males and 451.88 for females） respectively. The mortality rate for each year varied between 644.85 and 819.35 for crude rate, and between 410.76 and 729. 17 for adjusted rate. From the year 1993 to 2007, the crude mortality rate of endocrine, nutritional and metabolic diseases,Injury and poisoning,malignant neoplasms, and diseases of the circulatory system was increasing. The causes with decreasing mortalities included diseases of the respiratory system, diseases of the digestive system, infectious and parasitic diseases,congenital malformations, perinatal diseases, diseases of the genitourinary system, neuropsychiatric disorders,and diseases of the blood and blood-forming organs. The life expectancy of Shouguang population has been risen from 73.81,72.90,72.78 and 71.76 in 1993 to 86.68,80.25,80.91 and 79.63 in 2007. Conclusion]The crude mortality rates has been maintained relatively level during the past 15 years. However,the age-adjusted mortality rates demonstrate a clear decreasing trend. The top 4 causes of death in Shouguang were cardiovascular disease, respiratory disease, cancer and injury. In 2007,the top 4 causes were cardiovascular disease,cancer,injury and respiratory disease.