Analysis On Major Causes Of Death Among Local Residents In Jinzhong Sub-district,Dongli District,Tianjin,from 2007 To 2016

ObjectiveTo understand the distribution of main cause death causes and time trend of mortality rate of the among local residents,and to understand the factors affecting the residents'health,in order to provide scientific basis for further improving the key disease prevention measures and health promotion strategies and extending the life expectancy of the residents.MethodsTaking residents of Jinzhong Sub-district as the research object,the death monitoring data of residents in Jinzhong Sub-district from 2007 to 2016 were derived from the population death Information Registration and Management system in China Disease Prevention and Control Information system.The fundamental cause of death was coded according to the International Classification of Disease Standard(ICD-10).The software"data cleaning and Analysis tool for cause of death Surveillance",which was developed by the China Centers for Disease Prevention and Control based on the grass-roots death monitoring unit,was used.Data cleaning and logic error processing were carried out.The data were sorted and checked by Excel 2010 SPSS 17.0software.Excel 2010 and software SPSS 17.0 are used to collate and test the data.Based on the national census data of 2010,the standardized rate was calculated,and the factors such as death ratio,mortality rate,life expectancy,potential years of life lost(PYLL)and so on were analyzed by using the data of the death of residents in Jinzhong Sub-district during 2007 to 2016.The linear regression model was fitted to logarithmic transformation of standardized mortality rate.The annual percent change(APC)in mortality rate and statistical test results were estimated from the regression coefficient?and the time trend of mortality rate was shown with APC.Results1.During the 10 years from 2007 to 2016,the cause of death surveillance work covered 386173 people,including 189242 males and 196931 females.The ratio of male to female was 0.96:1.Among the whole population,the proportion of the population aged 0 to 4 years or 5 to 14 years or 15 to 44 years old or 45 to 64 years old or 65 years old or over were 5.15%,9.90%,44.31%,30.48%,10.17 respectively.By 2016,the proportion of child and adolescent,proportion of old population and depend ratio increased to 19.97%,16.18%and 36.15%respectively.2.The average mortality rate of local residents in 2007~2016 was 566.59/10~5,the average standardized mortality rate was 516.12/10~5.The average mortality rate of male was 602.93/10~5,and the average standardized mortality rate was 561.71/10~5;The average mortality rate for famale was 531.66/10~5,and the average standardized mortality rate was 474.99/10~5.The trend of standardized mortality rate of the total population and men were decreased,the APC was resulted in-2.566%and-3.052%,the time trend was statistically significant(P<0.05).The standardized mortality rate of male was higher than that of female in 2008,2010 and 2015,the difference was statistically significant(P<0.05).From the age of death level,the average infant mortality rate of 1.20/10~3.The mortality curve of each age group increased slowly after the age of 55,and continued to rise after 75 years of age.From 2007 to 2016,the crude mortality rate above 85 years of age increased from 135.59/10~5 to 151.08/10~5.3.Between 2007 and 2016,7 people died due to the first class of diseases,accounting for 0.32%of the total number of deaths;2041 deaths due to the second category of diseases,accounting for 93.28%of the total number of deaths;77 people due to the third category Disease deaths,accounting for 3.52%of the total deaths.Another 63 people died due to unknown,accounting for the total death of 2.88%.Starting from the age of 15,chronic non-communicable diseases become the main cause of death,the higher the proportion of the older.4.The first five kind of death causes were cardiopathy,malignancy neoplasm,cerebrovascular disease,respiratory disease and injury,accounting for 91.13%of the total number of deaths.The first five causes of male death were malignancy neoplasm,cardiopathy,cerebrovascular disease,respiratory disease,injury.The first five causes of female death were cardiopathy,malignancy neoplasm,cerebrovascular disease,respiratory disease,diagnosis of unknown disease.65 years of age and older deaths accounted for 71.98%of the total number of deaths,the first cause of death is cardiopathy,followed by malignancy neoplasm,mainly lung cancer,liver cancer and other diseases,the third cause of death is cerebrovascular disease.5.A increasing standardized mortality rate among the total population was observed for pancreatic carcinoma,while the standardized mortality rates decreased for cerebrovascular disease,digestive system disease,and diseases of urogenital system.The standardized mortality rate of lung cancer among men showed an upward trend,the standardized mortality rate of cerebrovascular disease showed a downward trend.The standardized mortality rate of pancreatic carcinoma among women showed an increasing trend,the standardized mortality rate of digestive system disease and injury showed a decreasing trend.6.From 2007 to 2016,the average life expectancy of the whole population was 77.27years old,and was 78.89 years old for male and 80.79 years old for female.Females life expectancy longer than males.7.According to the analysis of potential years of lifel ost,malignancy neoplasm has been the leading cause of premature death,the potential life loss rate among the first major cause of death.In addition,AYLL sequencing showed that the impact of injury on the low age population highlights.ConclusionChronic non-communicable diseases,such as cardiovascular and cerebrovascular diseases,tumors,injuries and other diseases,are becoming public health problems affecting the health of residents of Jinzhong Sub-district,so much attention should be paid for their prevention.At the same time,it is recommended to attach importance to the intervention of chronic diseases in the elderly and male,and adopt the comprehensive prevention and control measures combining the whole population and the high risk crowd as an effective means to reduce the burden of disease.Through the popularization of health knowledge,to carry out chronic disease screening,early detection and early treatment,delay the progress of the disease,reduce complications and disability,reduce the incidence of major chronic diseases and mortality,reduce social health burden,improve the health of the residents of the work objectives.