CAJ | 학술논문

目的分析1990-2010年福建省居民出生期望寿命的变化,探讨不同年龄、死因对期望寿命年代差异的影响.方法利用卫生部死因监测系统中福建省1990-2010年人群的死亡数据估算出生期望寿命,应用Arriaga因素分解法估计期望寿命改变的年龄别、死因别贡献.结果 20年间福建省城乡居民期望寿命分别增长了5.82岁和11.67岁,城市人群出生期望寿命高于农村,但农村人群增幅高于城市,两者差距逐步缩小.低年龄组对出生期望寿命增加的贡献率减小,＜14岁儿童对农村地区期望寿命的贡献率由78.29％下降至31.23％,使城市居民出生期望寿命降低,高年龄组逐渐成为影响出生期望寿命变化的主体.恶性肿瘤、呼吸系统疾病及脑血管病对城市居民期望寿命增量的影响在减弱,传染病和寄生虫病、神经系统疾病及心血管病的影响增大,分别使城市居民期望寿命增加1.54岁、0.67岁和0.49岁,呼吸系统疾病、消化系统疾病及损伤和中毒对农村居民期望寿命影响也在逐渐减少,而恶性肿瘤、脑血管病、心血管病的影响在逐渐增加,三者使农村居民期望寿命增加了1.23岁；不同死因对各年龄人群期望寿命增量的作用不同.结论福建省居民应降低高年龄组死亡率,提高慢性非传染性疾病的防治水平,有助于提高人群期望寿命.
목적 분석1990-2010년복건성거민출생기망수명적변화,탐토불동년령、사인대기망수명년대차이적영향.방법 이용위생부사인감측계통중복건성1990-2010년인군적사망수거고산출생기망수명,응용Arriaga인소분해법고계기망수명개변적년령별、사인별공헌.결과 20년간복건성성향거민기망수명분별증장료5.82세화11.67세,성시인군출생기망수명고우농촌,단농촌인군증폭고우성시,량자차거축보축소.저년령조대출생기망수명증가적공헌솔감소,＜14세인동대농촌지구기망수명적공헌솔유78.29％하강지31.23％,사성시거민출생기망수명강저,고년령조축점성위영향출생기망수명변화적주체.악성종류、호흡계통질병급뇌혈관병대성시거민기망수명증량적영향재감약,전염병화기생충병、신경계통질병급심혈관병적영향증대,분별사성시거민기망수명증가1.54세、0.67세화0.49세,호흡계통질병、소화계통질병급손상화중독대농촌거민기망수명영향야재축점감소,이악성종류、뇌혈관병、심혈관병적영향재축점증가,삼자사농촌거민기망수명증가료1.23세；불동사인대각년령인군기망수명증량적작용불동.결론 복건성거민응강저고년령조사망솔,제고만성비전염성질병적방치수평,유조우제고인군기망수명.
Objective To analyze the change of life expectancy (LE) among residents of Fujian province over the past two decade and to evaluate the impact of age and causes of death on the differences related to LE.Methods Mortality data from Causes of Death Surveillance System of Ministry of Health in Fujian province during 1990-2010 were used to calculate the life expectancy,and Arriaga decomposition method was applied to quantitatively evaluate its changes,based on the age-specific and cause-specific mortality.Results The LE in urban and rural residents of Fujian province had an increase of 5.82 and 11.67 years during the past two decade,respectively,which were higher in urban residents than in rural residents.Although the increment of LE was higher in rural populations than in urban population,the difference of LE between urban and rural was seen narrowed.The contribution rate of children on LE was reducing and the contribution rate of children below 14 years old to LE in rural resident declined from 78.29％ to 31.23％.Middle age and elderly populations had become the major ones that causing the change of LE.The impact of cancer,respiratory diseases and cerebrovascular diseases on LE in urban residents was reducing,while the influence of infectious disease,nervous system disease and cardiac disease was increasing,causing the LE of urban resident increased 1.54,0.67 and 0.49 years,respectively.The impact of respiratory diseases,digestive system diseases,as well as injury and poisoning on LE in the rural residents was reducing,while the effect of cancer,cerebrovascular and cardiac disease increased,causing the LE in the rural resident increased 1.23 years.Different causes of death had different impact on the LE in each age group.Conclusion To reduce the mortality rate in the middle-aged and elderly population and to control the incidence of non-communicable diseases could help to improve the LE in the residents of Fujian province.