摘要
目的分析2019年淄博市户籍居民死亡特征和疾病负担,为淄博市卫生决策和疾病防控提供科学依据。方法收集和整理2019年淄博市户籍居民死因监测资料,计算早死所致的寿命损失年(YLLs)、伤残所致的寿命损失年(YLDs)和伤残调整寿命年(DALYs)等疾病负担指标。结果2019年淄博市户籍居民死亡率为706.03/10万,标化死亡率为402.47/10万,DALYs为941.36千人年,DALY率为216.71‰,YLLs是DALYs的主要构成部分(62.14%)。男性标化死亡率和DALY率均高于女性;65岁及以上人群死亡数占总死亡数的77.50%,DALYs占总DALYs的47.97%;分别有89.77%的死亡人数和86.87%的DALYs来自慢性非传染性疾病。死因顺位前3位分别是循环系统疾病、恶性肿瘤和各类伤害;DALYs顺位前3位分别为循环系统疾病、恶性肿瘤和肌肉骨骼及结缔组织疾病。结论2019年淄博市户籍居民主要死因和疾病负担都主要以慢性非传染性疾病为主,应重点关注中老年男性等人群,加强对循环系统疾病、恶性肿瘤等居民主要死因和肌肉骨骼及结缔组织疾病等可能严重影响居民健康生命年的疾病的预防与控制。
Objective To analyze the death characteristics and disease burden of registered residents of Zibo City in 2019 and provide scientific evidence for health decision-making and disease prevention and control.Methods The monitoring data of death of registered residents of Zibo City in 2019 were collected and collated.The disease burden of indicators such as years of life lost(YLLs),years lived with disability(YLDs)and disability-adjusted life years(DALYs)were calculated.Results In 2019,the mortality was 706.03/100,000,standardized mortality was 402.47/100,000,DALYs was 941.36 thousand person-years and DALY rate was 216.71‰.YLLs was the major part of DALYs(62.14%).The standardized mortality and DALY rate of males were higher than those of females;people aged 65 and over accounted for 77.50%of the total deaths and DALYs accounted for 47.97%of the total DALYs;non-communicable diseases accounted for 89.77%of deaths and 86.87%of DALYs,respectively.The top three causes of death were circulatory diseases,malignant neoplasms and various injuries.The top three causes of DALYs were circulatory diseases,malignant neoplasms,and musculoskeletal and connective tissue diseases.Conclusion The major causes of death and disease burden of registered residents of Zibo City in 2019 are non-communicable diseases.The prevention and control of circulatory diseases,malignant neoplasms,and musculoskeletal and connective tissue diseases that may seriously affect residents?healthy life years should be strengthened for middle-aged and elderly men and other key groups.
作者
刘盈
杨淑霞
佘凯丽
程传龙
房启迪
韩闯
崔峰
李秀君
LIU Ying;YANG Shuxia;SHE Kaili;CHENG Chuanlong;FANG Qidi;HAN Chuang;CUI Feng;LI Xiujun(Department of Biostatistics,School of Public Heath,Cheeloo College of Medicine,Shandong University,Jinan 250012,Shandong,China;Zibo Center for Disease Control and Prevention,Zibo 255026,Shandong,China)
出处
《山东大学学报（医学版）》
CAS
北大核心
2022年第6期114-121,共8页
Journal of Shandong University:Health Sciences
基金
国家自然科学基金(81673238)
国家重点研发计划(2019YFC1200500,2019YFC1200502)
关键词
死因监测
疾病负担
伤残调整寿命年
死亡率
死因顺位
Death-surveillance
Disease burden
Disability-adjusted life years
Mortality
Death sequence
