The Analysis Of Death Cause Of One District In Suzhou From 2008 To 2013

Objective We studied the death cause monitoring data of one district in Suzhou to understand the main threatening diseases to the health of local residents at present, evaluate their health status and the harmful levels of various diseases. It also provides a scientific basis for developing measures and policies of disease prevention and control.Methods We collected the dead Individuals between January 1,2008 and December 31,2013,who were governed by this district. Registered demographic data issued by the Statistics Department was used as the population base. The data was analyzed to discuss the feature of the mortality with local residents, including the demographic characteristics, the constitution of death spectral, mortality trends, the main death cause. We use DeathRe software to collect the death data sorting by ICD-10, sort out and encode into databases. Spss17.0 software was used to perform the descriptive statistical analysis of the death cause monitoring data.Results There were 8353 death cases in this district during six years. The average crude and standardized mortality rates were 539.51/100,000 and 280.55/100,000, respectively. Male’s crude mortality rate was 584.21/100,000, higher than female’s 495.67 /100,000 (χ2=56.54, P<0.05). Top ten death causes cumulative 8050 death cases, accounting for 96.37% of all deaths. Circulatory diseases, malignant tumor and respiratory diseases are three main causes of death for residents, accounting for 82.02% of all death causes.3120 of them were died from circulatory diseases, ranking first of all death causes, the proportion is 37.35%. The average crude mortality rate was 201.52/100,000, male’s was 200.47/100,000 and female’s was 202.54/100,000. Stroke, cerebral hemorrhage, pulmonary heart disease, cerebrovascular disease and unspecified heart disease performed higher significantly.Malignant tumors rank second of all death causes, leading to 2528 deaths.the proportion is 30.26%. The average crude mortality rate was 163.28/100,000, male’s was 213.91/100,000 and female’s was 113.62/100,000. Stomach cancer, lung cancer, liver cancer, esophageal cancer and pancreatic cancer performed higher significantly.Deaths due to respiratory diseases ranked third in all death causes, the number was 1203, accounting for 14.40%. The average crude mortality rate was 77.70/100,000, male’s was74.87/100,000 and female’s was 80.48/100,000. Chronic bronchitis, asthma, emphysema, chronic asthmatic bronchitis and pneumonia performed higher significantly.The deaths of the three main causes were relatively lower before the age of 40. Then, there was an obvious rising trend. A significant increase appeared in the number of deaths especially over 65 years,In general, male’s mortality rate was higher than female’s from 2008 to 2013. The types of male’s top ten death causes were same as female’s. However, there was a little difference between them in ranks and composition ratios. According to the registered population information, we divided the crowd into O～14,15～39,40～64, over 65 with ages. The composition ratio of deaths were 0.29%,1.47%,16.01% and 78.61%. The crude mortality rate was 11.08/100,000,21.33/100,000,236.18/100000 and 3475.93/ 100,000.Conclusion No matter viewing from the mortality or the structure of death cause, chronic noninfectious diseases like circulatory diseases, malignant tumor and respiratory diseases, have been the main death causes and burdens of local residents, when infectious diseases dropped to the secondary position. Chronic noninfectious diseases have been the major public health problem of this district in Suzhou. Concerning that chronic noninfectious diseases mainly act as a group of lifestyle disease, taking comprehensive interventions for a variety of risk factors of chronic diseases is a major prevention and control measures for chronic disease.