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目的了解2013-2015年郫县户籍60岁及以上老年人的死亡特征,为有关部门制定60岁及以上老年人死亡防治措施提供科学依据。方法使用Excel 2007、SPSS 18.0软件对郫县2013-2015年户籍60岁及以上老年人死亡监测数据进行统计分析。结果郫县2013-2015年户籍60岁及以上老年人死亡率为25.67‰人年,占全人群死亡的82.07%。2013-2015年户籍老年人死亡率差异无统计学意义(χ2=2.280,P>0.05)。户籍老年人死因中死亡率位居前五位的在男性分别为:肿瘤,循环系统疾病,呼吸系统疾病,损伤和中毒,内分泌、营养和代谢疾病,前5位死因共占男性老年人死因的94.04%;女性分别为:循环系统疾病,呼吸系统疾病,肿瘤,内分泌、营养和代谢疾病,损伤和中毒,前5位死因共占女性老年人死因的91.64%。不论男女,死亡率均有随年龄增加而增高的趋势。除85岁及以上年龄段外,各年龄段男性死亡率均高于女性且差异有统计学意义。各年间户籍农村老年人死亡率均高于城镇。结论郫县户籍老年人的主要死因是循环系统疾病,呼吸系统疾病,肿瘤,内分泌、营养和代谢疾病,损伤和中毒,应有针对性地开展老年人的慢性病防控以及损伤和中毒干预工作。
Objective To understand the death characteristics of aged 60 years old and above in Juxian County from 2013 to 2015 and provide scientific evidences for the departments concerned to establish the prevention and control measures for the death of the elderly aged 60 years and over. Methods The data of mortality monitoring of elderly people aged 60 and over in Pixian from 2013 to 2015 were analyzed by Excel 2007 and SPSS 18.0 software. Results The death rate of Elders aged 60 years and over in Pixian from 2013 to 2015 was 25.67 ‰, accounting for 82.07% of the total population. There was no significant difference in the mortality rate of registered elderly people between 2013 and 2015 (χ2 = 2.280, P> 0.05). Among the top five deaths among registered elderly people, the top five deaths were cancer, circulatory diseases, respiratory diseases, injuries and poisoning, endocrine, nutritional and metabolic diseases. The top five causes of death were male deaths 94.04%. The women were: circulatory system diseases, respiratory system diseases, tumors, endocrine diseases, nutrition and metabolic diseases, injuries and poisoning. The top five death causes accounted for 91.64% of the total deaths among female elderly people. Both men and women, mortality rates have increased with age trend. With the exception of those aged 85 and over, male mortality was higher in all age groups than in women and the difference was statistically significant. The death rates of rural residents in rural areas are higher than those in urban areas in all years. Conclusion The main causes of death of elderly persons in Yue County are circulatory system diseases, respiratory system diseases, tumor, endocrine, nutritional and metabolic diseases, injuries and poisonings. Prevention and control of chronic diseases and injury and poisoning interventions should be targeted in the elderly.