[福建省1990 - 2010年居民预期寿命比较研究] - Suppr

Ye Ying, Zhong Wenling, Huang Shaofen, Li Xiaoqing

Department of Noncommunicable Chronic Disease Control and Prevention, Fujian Centers for Disease Control and Prevention, Fuzhou 350001, China. Email:

Department of Noncommunicable Chronic Disease Control and Prevention, Fujian Centers for Disease Control and Prevention, Fuzhou 350001, China.

Zhonghua Liu Xing Bing Xue Za Zhi. 2014 Mar;35(3):280-4.

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.

目的

分析福建省居民过去二十年预期寿命（LE）的变化情况，并评估年龄和死因对预期寿命差异的影响。

方法

利用福建省1990 - 2010年卫生部死因监测系统的死亡率数据计算预期寿命，并应用阿利亚加分解法，基于年龄别和死因别死亡率对其变化进行定量评估。

结果

过去二十年福建省城乡居民预期寿命分别增加了5.82岁和11.67岁，城镇居民预期寿命高于农村居民。虽然农村人口预期寿命的增幅高于城市人口，但城乡预期寿命差异呈缩小趋势。儿童对预期寿命的贡献率在降低，农村14岁以下儿童对预期寿命的贡献率从78.29%降至31.23%。中年和老年人群已成为导致预期寿命变化的主要人群。癌症、呼吸系统疾病和脑血管疾病对城镇居民预期寿命的影响在降低，而传染病、神经系统疾病和心脏病的影响在增加，分别使城镇居民预期寿命增加1.54岁、0.67岁和0.49岁。呼吸系统疾病、消化系统疾病以及损伤和中毒对农村居民预期寿命的影响在降低，而癌症、脑血管疾病和心脏病的影响增加，使农村居民预期寿命增加1.23岁。不同死因对各年龄组预期寿命的影响不同。