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目的了解浙江省岱山县海岛地区居民主要死因及居民减寿主要原因,为疾病预防控制提供科学依据。方法应用死亡率、期望寿命和去死因期望寿命、减寿年数和减寿率等指标分析死亡资料。结果 2009-2011年岱山县居民死亡率为761.01/10万,标化死亡率为379.34/10万,死亡率男性高于女性(χ2=70.32,P<0.01);前5位死因顺位依次为恶性肿瘤、呼吸系病、脑血管病、心脏病和损伤中毒;期望寿命79.31岁,去除前5位死因期望寿命分别可增加3.65、2.86、2.27、1.41、1.37岁;减寿年数构成顺位依次为恶性肿瘤、损伤中毒、脑血管病、心脏病和呼吸系病,5种死因占总减寿年数的86.50%,与死因顺位相比,损伤中毒由第5位上升至第2位,而呼吸系病由第2位下降至第5位;平均减寿数顺位依次为损伤中毒、恶性肿瘤、心脏病、脑血管病和呼吸系病。结论岱山县居民主要死亡原因以慢性非传染性疾病为主,损伤中毒和恶性肿瘤是影响低年龄组死亡的主要原因,应根据岱山县居民死因特点制定有效防控干预措施和策略。
Objective To understand the main causes of death among residents living in islands in Daishan County, Zhejiang Province and the main reasons for the loss of life of residents in Daishan County, Zhejiang Province, so as to provide a scientific basis for disease prevention and control. Methods Mortality, life expectancy, life expectancy at death, years of life lost and life expectancy were used to analyze death data. Results The death rate of residents in Daishan was 761.01 / lakh from 2009 to 2011, with a standardized death rate of 379.34 / lakh. The mortality rate was higher in males than in females (χ2 = 70.32, P <0.01). The rankings of the top 5 causes of death were Life expectancy of 79.31 years, the expected life expectancy of removal of the top 5 causes of death increased by 3.65, 2.86, 2.27, 1.41, and 1.37 years, respectively; and the number of years of life lost For malignant tumor, injury poisoning, cerebrovascular disease, heart disease and respiratory disease, the five causes of death accounted for 86.50% of the total number of years of life lost. Compared with the cause of death, injury poisoning increased from 5 to 2, while breathing Department of disease decreased from No. 2 to No. 5; the average reduction in life order followed by injury poisoning, cancer, heart disease, cerebrovascular disease and respiratory disease. Conclusion The main causes of death in residents of Daishan County are chronic non-communicable diseases. The main causes of death in low-age group are injury poisoning and malignant tumor. Effective prevention and control interventions and strategies should be formulated according to the causes of death in residents in Daishan County.