中华预防医学杂志
中華預防醫學雜誌
중화예방의학잡지
CHINESE JOURNAL OF
2010年
4期
288-292
,共5页
黄正京%王丽敏%李晓燕%胡楠%王志会%姜勇
黃正京%王麗敏%李曉燕%鬍楠%王誌會%薑勇
황정경%왕려민%리효연%호남%왕지회%강용
传染病%死亡率%死亡原因%回顾性研究
傳染病%死亡率%死亡原因%迴顧性研究
전염병%사망솔%사망원인%회고성연구
Infectious diseases%Mortality%Cause of death%Retrospective studies
目的 分析1973-2005年我国居民传染病、母婴和营养缺乏性疾病死亡率、死亡构成及其变化趋势.方法 使用3次全国死因回顾调查资料进行统计分析,分别是:1973-1975年中国恶性肿瘤死亡调查,调查人年数为2 513 949 310;1990-1992年中国恶性肿瘤死亡调查,调查人年数为335 213 493;2004-2005年全国第3次死因回顾抽样调查,调查人年数为142 660 482,分为0～、15～、60～岁3个年龄段.根据调查收集的人口资料和死亡个案数据计算年龄别、性别、疾病别粗死亡率,使用2000年我国人口普查的人口计算标化死亡率.结果 1973-1975年、1990-1992年和2004-2005年调查中居民传染病、母婴和营养缺乏性疾病的死亡数分别为4 913 521、284 811和47 161例,粗死亡率分别为195.45/10万、84.96/10万和33.06/10万,标化死亡率分别为158.71/10万、70.76/10万和27.98/10万.2004-2005年调查中城市、农村居民传染病、母婴和营养缺乏性疾病的死亡数分别为11 752、35 409例,粗死亡率分别为24.69/10万、37.35/10万,标化死亡率分别为19.62/10万和32.12/10万;男、女性死亡数分别为26 176、20 985例,粗死亡率分别为35.87/10万、30.11/10万,标化死亡率分别为35.23/10万和26.65/10万;东、中、西部地区的死亡数分别为13 286、13 922和19 953例,粗死亡率分别为25.28/10万、27.97/10万和49.48/10万,标化死亡率分别为21.33/10万、28.10/10万和45.98/10万;死亡排位前3位的传染病、母婴和营养缺乏性疾病为肺炎、结核病、病毒性肝炎,其死亡数分别为14 265、8537和5771例,粗死亡率分别为10.00/10万、5.98/10万和4.05/10万,标化死亡率分别为8.88/10万,5.46/10万和3.74/10万.2004-2005年调查中传染病、母婴和营养缺乏性疾病死亡数占全部死亡数(868 484例)的5.43%.较1973-1975年的27.87%(4 913 521/17 629 350)下降了80.52%.结论 我国传染病、母婴和营养缺乏性疾病的死亡率总体上呈显著下降趋势,农村高于城市,男性高于女性,西部地区高于东、中部地区.
目的 分析1973-2005年我國居民傳染病、母嬰和營養缺乏性疾病死亡率、死亡構成及其變化趨勢.方法 使用3次全國死因迴顧調查資料進行統計分析,分彆是:1973-1975年中國噁性腫瘤死亡調查,調查人年數為2 513 949 310;1990-1992年中國噁性腫瘤死亡調查,調查人年數為335 213 493;2004-2005年全國第3次死因迴顧抽樣調查,調查人年數為142 660 482,分為0～、15～、60～歲3箇年齡段.根據調查收集的人口資料和死亡箇案數據計算年齡彆、性彆、疾病彆粗死亡率,使用2000年我國人口普查的人口計算標化死亡率.結果 1973-1975年、1990-1992年和2004-2005年調查中居民傳染病、母嬰和營養缺乏性疾病的死亡數分彆為4 913 521、284 811和47 161例,粗死亡率分彆為195.45/10萬、84.96/10萬和33.06/10萬,標化死亡率分彆為158.71/10萬、70.76/10萬和27.98/10萬.2004-2005年調查中城市、農村居民傳染病、母嬰和營養缺乏性疾病的死亡數分彆為11 752、35 409例,粗死亡率分彆為24.69/10萬、37.35/10萬,標化死亡率分彆為19.62/10萬和32.12/10萬;男、女性死亡數分彆為26 176、20 985例,粗死亡率分彆為35.87/10萬、30.11/10萬,標化死亡率分彆為35.23/10萬和26.65/10萬;東、中、西部地區的死亡數分彆為13 286、13 922和19 953例,粗死亡率分彆為25.28/10萬、27.97/10萬和49.48/10萬,標化死亡率分彆為21.33/10萬、28.10/10萬和45.98/10萬;死亡排位前3位的傳染病、母嬰和營養缺乏性疾病為肺炎、結覈病、病毒性肝炎,其死亡數分彆為14 265、8537和5771例,粗死亡率分彆為10.00/10萬、5.98/10萬和4.05/10萬,標化死亡率分彆為8.88/10萬,5.46/10萬和3.74/10萬.2004-2005年調查中傳染病、母嬰和營養缺乏性疾病死亡數佔全部死亡數(868 484例)的5.43%.較1973-1975年的27.87%(4 913 521/17 629 350)下降瞭80.52%.結論 我國傳染病、母嬰和營養缺乏性疾病的死亡率總體上呈顯著下降趨勢,農村高于城市,男性高于女性,西部地區高于東、中部地區.
목적 분석1973-2005년아국거민전염병、모영화영양결핍성질병사망솔、사망구성급기변화추세.방법 사용3차전국사인회고조사자료진행통계분석,분별시:1973-1975년중국악성종류사망조사,조사인년수위2 513 949 310;1990-1992년중국악성종류사망조사,조사인년수위335 213 493;2004-2005년전국제3차사인회고추양조사,조사인년수위142 660 482,분위0～、15～、60～세3개년령단.근거조사수집적인구자료화사망개안수거계산년령별、성별、질병별조사망솔,사용2000년아국인구보사적인구계산표화사망솔.결과 1973-1975년、1990-1992년화2004-2005년조사중거민전염병、모영화영양결핍성질병적사망수분별위4 913 521、284 811화47 161례,조사망솔분별위195.45/10만、84.96/10만화33.06/10만,표화사망솔분별위158.71/10만、70.76/10만화27.98/10만.2004-2005년조사중성시、농촌거민전염병、모영화영양결핍성질병적사망수분별위11 752、35 409례,조사망솔분별위24.69/10만、37.35/10만,표화사망솔분별위19.62/10만화32.12/10만;남、녀성사망수분별위26 176、20 985례,조사망솔분별위35.87/10만、30.11/10만,표화사망솔분별위35.23/10만화26.65/10만;동、중、서부지구적사망수분별위13 286、13 922화19 953례,조사망솔분별위25.28/10만、27.97/10만화49.48/10만,표화사망솔분별위21.33/10만、28.10/10만화45.98/10만;사망배위전3위적전염병、모영화영양결핍성질병위폐염、결핵병、병독성간염,기사망수분별위14 265、8537화5771례,조사망솔분별위10.00/10만、5.98/10만화4.05/10만,표화사망솔분별위8.88/10만,5.46/10만화3.74/10만.2004-2005년조사중전염병、모영화영양결핍성질병사망수점전부사망수(868 484례)적5.43%.교1973-1975년적27.87%(4 913 521/17 629 350)하강료80.52%.결론 아국전염병、모영화영양결핍성질병적사망솔총체상정현저하강추세,농촌고우성시,남성고우녀성,서부지구고우동、중부지구.
Objective To analyze the mortality and the constitution of total deaths of infectious disease, maternal and perinatal diseases, nutritional deficiencies and their trends in China, 1973-2005. Methods The following data collected from three national retrospective sampling surveys of death causes were used: 1973 - 1975 nation-wide cancer mortality survey for person years of approximately 2 513 949 310; 1990 - 1992 nation-wide cancer mortality survey for person years of approximately 335 213 493; 2004-2005 the 3rd national retrospective sampling survey of death cause for person years of approximately 142 660 482 by three age groups (0-, 15 - and 60 - ). Based on the data, the crude death rates of ages, genders and diseases were calculated. The standardized death rates were calculated using the population census data of 2000. Results The total number of deaths caused by infectious diseases, maternal and perinatal diseases, and nutritional deficiencies were 4 913 521,284 811 and 47 161 in 1973 - 1975, 1990 - 1992 and 2004 - 2005, respectively; the crude death rates were 195.45, 84. 96, 33.06 per 100 000, and the standardized death rates were 158.71,70.76, 27.98 per 100 000. Total number of deaths caused by the above diseases in urban and rural areas were 11 752 and 35 409 during 2004 - 2005, respectively; the crude death rates were 24.69 and 37.35 per 100 000 , and the standardized death rates were 19.62 and 32. 12 per 100 000. There were 26 176 deaths due to the above diseases in male and 20 985 in female; the crude death rates were 35.87 and 30.11 per 100 000;the standardized death rates were 35.23 and 26.65 per 100 000. The number of deaths reported in different regions were 13 286, 13 922 and 19 953 in eastern, central and western areas respectively; the crude death rates were 25.28, 27.97 and 49.48 deaths per 100 000;the standardized death rates were 21.33,28.10 and 45.98 per 100 000. The top three causes of death were pneumonia, tuberculosis and virus hepatitis, and the case numbers were 14 265, 8537 and 5771, respectively. The death rates were 10.00,5.98 and 4.05 per 100 000, the standardized death rates were 8.88,5.46 and 3.74 per 100 000. The percentage of total deaths(868 484 cases) of infectious diseases, maternal and perinatal diseases, and nutritional deficiencies was 5.43%, which was decreased 80.52% from 1973-1975 (27.87%, 4 913 521/17 629 350). Conclusions The mortality of infectious diseases, maternal and perinatal dieseases, and nutritional deficiencies were generally consistent with long-term decreasing trends observed, the mortality in urban area was greater than that in rural area, the rate in male was greater than that in female, the rate in western region was greater than that in central and eastern regions.
