2013—2018年恩施市常住居民死因监测及减寿分析

目的 分析2013—2018年恩施市常住居民的死亡情况和主要死因的变化趋势,评估不同疾病所导致的疾病负担,为制定疾病防治对策提供依据.方法 收集2013—2018年恩施市常住居民死亡监测数据,分别计算粗死亡率、标化死亡率、期望寿命、潜在减寿年数(PYLL)、标化减寿年数(SPYLL)、潜在减寿率(AYLL)、年度变化百...

Death cause and life loss analysis of permanent residents in Enshi City during 2013-2018

Objective To analyze the basic characteristics and variation trend of death causes of permanent residents in Enshi City during 2013-2018,to assess the burden of different diseases,and to provide a scientific basis for formulating disease prevention and control strategies.Methods The death monitoring data of permanent residents in Enshi City,Hubei Province from 2013 to 2018 was collected.The crude mortality,standardized mortality,life expectancy,potential years of life loss(PYLL),standard potential years of life loss(SPYLL),average years of life lost(AYLL),and annual percentage change(APC)were calculated to describe the distribution and trend of death causes.Results The average annual crude death rate and standardized death rate of residents in Enshi City from 2013 to 2018 were 679.43 per 100000 and 615.02 per 100000,respectively.The top 5 causes of death were circulatory system diseases,respiratory system diseases,malignant tumors,injuries,and digestive system diseases,accounting for 91.2%of the total deaths.Analysis of life expectancy found that the average life expectancy of local residents from 2013 to 2018 was 78.02 years,and the value in the male group(75.57 years)was lower than that in the female group(80.78 years).Life loss analysis revealed that PYLL caused by various diseases was 171620 person-years,SPYLL was 171284.62 person-years,and AYLL was 15.03 years/person in Enshi City from 2013 to 2018.Among all the death causes,the top five in terms of life loss were injuries,malignant tumors,circulatory diseases,respiratory diseases and digestive diseases.Conclusion From 2013 to 2018,the death rate of residents in Enshi City was relatively higher compared with those in other cities in China,the average annual crude death rate was on the rise,and the average annual standardized death rate was on the decline,indicating a highly ageing region.Chronic diseases such as circulatory system diseases,malignant tumors,and respiratory diseases,as well as injuries were the main death causes and caused a heavy burden of diseases,which should be the focus of future prevention and control work.Considering the higher levels of death and life loss indicators of male residents than those of women,targeted prevention and control measures should be taken to narrow the gap between men and women and improve the overall life quality of the whole population.