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1975-2015年青海省慢性病死亡特征及流行趋势 认领 被引量:2

The death characteristics and the changing trend of non-communicable chronic disease in Qinghai Province from 1975 to 2015
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摘要 目的了解青海省慢性非传染性疾病(以下简称“慢性病”)死亡特征及流行趋势,为制定青海省慢性病预防控制策略和措施提供科学依据。方法青海省1975年死因资料来源于原国家卫生部组织开展的全国第1次全死因回顾性调查青海省调查数据;2006年死因资料来源于原国家卫计委组织的全国第3次死因回顾性调查青海省调查数据;2015年死因资料来源于原青海省卫计委组织开展的死因回顾抽样调查。慢性病包括肿瘤、脑血管病、心脏病、消化系统疾病、内分泌及代谢疾病、慢性呼吸系统疾病以及其他非传染性疾病,不同年份慢性病均按照国际疾病分类(ICD-10)进行编码。应用Vfp 6.0、Excel 2010软件计算粗死亡率、标化死亡率。采用SPSS 22.0进行χ^2检验。结果青海省慢性病粗死亡率由1975年的326.09/10万上升到2015年的467.66/10万,2015年较1975年上升了43.41%,标化死亡率先上升后下降,2015年较1975年下降了8.74%。1975、2006、2015年男性粗死亡率均高于女性,差异均有统计学意义(Ρ<0.01));与1975年相比,2015年城市慢性病粗死亡率上升幅度(115.20%)明显高于农村(28.81%)和牧区(51.92%);2015年城市标化死亡率较1975年下降了35.58%,2015年农村标化死亡率较1975年下降了14.32%,2015年牧区标化死亡率较1975年总体上升了20.87%。不同时期慢性病死因谱明显不同,1975年粗死亡率居前3位慢性病分别是心脏病(100.67/10万)、消化系统疾病(75.26/10万)及恶性肿瘤(67.23/10万),2006分别是恶性肿瘤(112.62/10万)、脑血管病(93.59/10万)及慢性呼吸系统疾病(92.60/10万),2015年分别是脑血管病(113.64/10万)、心脏病(113.28/10万)及恶性肿瘤(105.38/10万)。结论1975、2006和2015年青海省慢性病粗死亡率呈明显上升趋势,不同年代慢性病死因谱明显不同。青海省应针对不同地区慢性病的分布特点及流行趋势,开展不同模式的慢性病防控制工作。 Objective To understand the death characteristics and changing trend of non-communicable chronic diseases(NCD)in Qinghai Province,and to provide the basis for formulating the prevention and control strategies and measures of NCD in Qinghai Province.Methods The death data of Qinghai Province in 1975 were from the first national retrospective investigation data;the death data of Qinghai Province in 2006 were from the third national retrospective investigation data organized by the national health ministry;the death data of Qinghai Province in 2015 were from the Qinghai Province retrospective investigation data organized by the Qinghai provincial health planning commission.The NCD included tumors,cerebrovascular diseases,heart diseases,digestive system diseases,endocrine and metabolic diseases,chronic respiratory diseases and other non-communicable diseases.Vfp 6.0 and Excel 2010 were used to calculate the crude mortality rates(CMR)and the standardized mortality rates(SMR)of different diseases.Theχ^2 test was used to analyze the data,the used software was SPSS 22.0.Results The CMR of NCD in Qinghai Province in 1975 was 326.09/10^5,the CMR of NCD in Qinghai Province in 2015 was 467.66/10^5,the CMR of NCD increased 43.41%from 1975 to 2015;the SMR of NCD in Qinghai Province decreased 8.74%from 1975 to 2015.The CMR of males were significantly higher than those of females in 1975,2006 and 2015(P<0.01);as compared with1975,the CMR of urban area in 2015 increased 115.20%,which was significantly higher than those(28.81%and 51.92%)of rural and pastoral areas;as compared with 1975,the SMR in urban area declined 35.58%,the SMR in rural area reduced 14.32%,the SMR in pastoral area increased 20.87%in 2015.The spectrum of death causes of NCD was different in the different periods.In 1975 the top 3 death causes of CMR were heart diseases(100.67/10^5),digestive system(75.26/10^5)and malignant tumors(67.23/10^5),respectively.In 2006 the top 3 death causes of CMR were malignant tumors(112.62/10^5),cerebrovascular disease(93.59/10^5)
作者 周敏茹 许志华 赵春明 姜勇 ZHOU Min-ru;XU Zhi-hua;ZHAO Chun-ming;JIANG Yong(Division of Chronic Diseases,Qinghai Center for Diseases Control and Prevention,Xining,Qinghai Province 810007,China)
出处 《中国慢性病预防与控制》 CAS CSCD 北大核心 2019年第9期646-649,共4页 Chinese Journal of Prevention and Control of Chronic Diseases
基金 青海省重点研发与转化计划项目(165111429106390)。
关键词 慢性非传染性疾病 粗死亡率 标化死亡率 Non-communicable chronic disease Crude mortality Standardized mortality
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