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中文摘要: 目的 分析2014-2018年无锡市锡山区30-69岁户籍居民重大慢性病死亡情况及变化趋势，为政府制定慢性病防治策略提供科学依据。方法 采用年估计变化百分比（EAPC）描述2014-2018年无锡市锡山区30-69岁户籍居民恶性肿瘤、心脑血管疾病、糖尿病以及慢性呼吸系统疾病的死亡率变化趋势，采用寿命表法计算四类重大慢性病的过早死亡率。结果 2014-2018年无锡市锡山区30-69岁户籍居民重大慢性病年均粗死亡率为250.85/10万，男性粗死亡率为344.22/10万，高于女性的粗死亡率161.36/10万（x2=454.738,P<0.001）。2014-2018年间，30-69岁全人群恶性肿瘤的粗死亡率（EAPC=-1.93%，P=0.017）及标化死亡率（EAPC=-2.31，P=0.039）均呈下降趋势；心脑血管疾病、糖尿病、慢性呼吸系统疾病的变化趋势无统计学意义（P>0.05）。2014-2018年间，重大慢性病过早死亡率以平均每年1.89%的速度下降（P=0.029）；恶性肿瘤的过早死亡率以平均每年2.19%的速度下降（P=0.022）。结论 无锡市锡山区30-69岁户籍居民恶性肿瘤的死亡率及过早死亡率呈下降趋势，四类重大慢性病合计的过早死亡率也呈下降趋势，但与实现“健康中国2030”的目标还有一定差距，政府部门需进一步加强慢性病的防治。
Abstract:Objective To analyze the characteristics and trends of surveillance data of major chronic disease deaths among 30-69 year-old household registered residents in Xishan District, Wuxi City, from 2014 to 2018, and to provide scientific basis for the government to formulate prevention and control strategies for chronic diseases. Methods The annual estimated percentage change (EAPC) was used to describe the mortality trends of malignant tumors, cardiovascular and cerebrovascular diseases, diabetes mellitus and chronic respiratory diseases among 30-69 year-old household registered residents in Xishan District of Wuxi City from 2014 to 2018. The premature mortality of four major chronic diseases was calculated by life table method. Results From 2014 to 2018, the average annual crude mortality rate of major chronic diseases among 30-69 year-old household registered residents in Xishan District of Wuxi City was 250.85/100,000, including 344.22/100,000 for males and 161.36/100,000 for females. The crude mortality rate of males was higher than that of females (x2 = 454.738, P < 0.001). From 2014 to 2018, the crude mortality rate (EAPC=-1.93%, P=0.017) and standardized mortality rate (EAPC=-2.31, P=0.039) of malignant tumors in the population aged 30-69 showed a downward trend. There was no significant difference in the trend of cardiovascular and cerebrovascular diseases, diabetes mellitus and chronic respiratory diseases (P > 0.05). From 2014 to 2018, the premature mortality rate of major chronic diseases decreased at an average rate of 1.89% per year (P=0.029). The premature mortality rate of malignant tumors decreased at an average rate of 2.19% per year (P=0.022). Conclusion The mortality rate of malignant tumors and premature mortality of residents aged 30-69 in Xishan District of Wuxi City have declined, and the total premature mortality rate of four major chronic diseases has also declined, but there is still a certain gap to achieve the goal of "Healthy China 2030". Relevant government departments need to further strengthen the prevention and treatment of chronic diseases.
keywords: chronic disease mortality rate premature mortality
文章编号：3202004016 中图分类号：R195 文献标志码：
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