上海市虹口区居民2004-2022年主要慢性病死亡状况分析OA
A Study on the Mortality of Main Chronic Diseases Among Residents in Hongkou District of Shanghai from 2004 to 2022
目的 分析 2004-2022年上海市虹口区户籍居民心脑血管疾病、癌症、慢性呼吸系统疾病和糖尿病4类主要慢性病死亡率及早死概率的变化趋势,为进一步完善慢性病综合防控体系提供参考依据.方法 收集 2004-2022年上海市虹口区户籍居民4类主要慢性病的死因监测数据,计算粗死亡率、构成比、标化死亡率、早死概率等指标,并采用Joinpoint 回归模型分析时间变化趋势.结果 2004-2022年虹口区户籍居民 4类主要慢性病的粗死亡率及构成比呈上升趋势,标化死亡率在 2004-2021年呈下降趋势.其中,恶性肿瘤、糖尿病、心脑血管疾病的粗死亡率均呈上升趋势,慢性呼吸系统疾病的粗死亡率呈下降趋势;标化死亡率中恶性肿瘤、慢性呼吸系统疾病呈下降趋势,糖尿病、心脑血管疾病的变化趋势无统计学意义(P>0.05).全人群 4类主要慢性病的早死概率由10.73%下降到 9.75%;其中,恶性肿瘤和慢性呼吸系统疾病的早死概率呈下降趋势,心脑血管疾病和糖尿病的早死概率变化趋势无统计学意义.结论 2004-2022年上海市虹口区户籍居民4类主要慢性病的构成比及粗死亡率呈上升趋势,标化死亡率与早死概率呈下降趋势.应将男性作为虹口区慢性病早诊、早治及管理的重点关注人群,男性心脑血管疾病、糖尿病的过早死亡更应予以重视.
Objective To analyze the changing trends in mortality rates and years of probability of premature death due to four types of chronic diseases(cardiovascular diseases,cancer,chronic respiratory diseases,and diabetes)among registered residents in Hongkou District of Shanghai from 2004 to 2022,to provide reference for further improving the comprehensive prevention and control system of chronic diseases.Methods The four main causes of death from chronic diseases among registered residents in Hongkou District of Shanghai from 2004 to 2022 were collected,with indicators such as crude mortality rate,composition ratio,standardized mortality rate,and probability of premature death calculated.A Joinpoint regression model was used to analyze temporal trends.Results From 2004 to 2022,the crude mortality rates and proportions of four major chronic diseases among registered residents in Hongkou District showed an upward trend,while the standardized mortality rates exhibited a downward trend from 2004 to 2021.Specifically,the crude mortality rates for malignant tumors,diabetes,and cardiovascular and cerebrovascular diseases all increased,whereas the crude mortality rate for chronic respiratory diseases decreased.Among the standardized mortality rates,malignant tumors and chronic respiratory diseases showed a decline,while the trends for diabetes and cardiovascular and cerebrovascular diseases were statistically insignificant(P>0.05).The early mortality probability for the four major chronic diseases in the general population decreased from 10.73%to 9.75%,with malignant tumors and chronic respiratory diseases showing a downward trend in early mortality probability,while the trends for cardiovascular and cerebrovascular diseases and diabetes were statistically insignificant.Conclusion From 2004 to 2022,the composition ratio of four chronic diseases and crude mortality rates among registered residents in Hongkou District of Shanghai showed an upward trend,while standardized mortality rates and the probability of premature death exhibited a downward trend.Males should be prioritized as key populations for early diagnosis,treatment,and management of chronic diseases in Hongkou District,with particular emphasis on addressing premature deaths from cardiovascular and cerebrovascular diseases and diabetes among males..
龙家茹;龚盼;计维;田娟娟;叶景虹
上海市虹口区疾病预防控制中心(上海市虹口区卫生健康监督所),上海,200434上海市虹口区疾病预防控制中心(上海市虹口区卫生健康监督所),上海,200434上海市虹口区疾病预防控制中心(上海市虹口区卫生健康监督所),上海,200434上海市虹口区疾病预防控制中心(上海市虹口区卫生健康监督所),上海,200434上海市虹口区疾病预防控制中心(上海市虹口区卫生健康监督所),上海,200434
慢性病死亡率标化死亡率早死概率趋势
Chronic diseasesMortality rateStandardized mortality rateProbability of premature deathTrend
《健康教育与健康促进》 2026 (2)
111-115,5
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