2016-2023年赣州市赣县区居民死亡率与死因谱变化趋势分析OA

Objective:To understand the trends in mortality rates and cause-of-death spectrum among permanent residents in Ganxian District of Ganzhou City from 2016 to 2023,so as to provide a scientific basis for formulating disease prevention and control strategies.Methods:Collect death case data of permanent residents in Ganxian District from 2016 to 2023,and statistical indicators such as crude mortality rate,standardized mortality rate,cause of death order,and annual percentage change(APC)were analyzed.Results:The average annual crude mortality rate for permanent residents of Ganxian district in 2016-2023 was 682.63/100 000 and the standardized mortality rate was 626.38/100 000,with male residents having a higher crude mortality rate and a higher standardized mortality rate than females(P<0.05).Crude mortality rates showed an upward trend across the entire population(APC=3.252,P=0.006),among male residents(APC=2.634,P=0.019),and among female residents(APC=3.977,P=0.003).However,the overall standardized mortality rates for the entire population,male residents,and female residents showed no significant change trend.Age-specific crude mortality rates showed a √ shape from 2016-2023.The top 5 causes of death remained relatively stable,in the following order:cerebrovascular disease,heart disease,respiratory disease,malignant neoplasm,and injury and poisoning.The order of the top 5 causes of death was identical for the whole population and the male population,The top two causes of death among women were reversed,while the order of the 3rd to 5th causes of death remains consistent.On an annual basis,cerebrovascular diseases dropped from the first to the second place,while heart diseases jumped from the second to the first place.At the same time,the crude death rates of respiratory diseases and malignant tumors both showed an upward trend.The crude death rates for lung cancer and liver cancer were both on the rise.The crude mortality rate for pneumonia was on the rise,while that for pneumoconiosis was declining.The crude mortality rate for suicide was also increasing.Conclusion:The crude mortality rate among permanent residents in Ganzian District has shown an upward trend,while the standardized mortality rate has not exhibited a significant overall change.Chronic non-communicable diseases,including cerebrovascular disease,heart disease,respiratory system diseases,and malignant tumors,are the primary conditions affecting the health of residents in Ganzian District.Targeted prevention and control measures for chronic diseases should be implemented to reduce their incidence and mortality,thereby improving the health level of the population.