Ding X B, Tang W W, Mao D Q, Jiao Y, Shen Z Z
Institute of Non-communicable Disease Prevention and Control, Chongqing Center for Disease Prevention and Control, Chongqing 400042, China.
Zhonghua Yu Fang Yi Xue Za Zhi. 2017 Nov 6;51(11):1033-1037. doi: 10.3760/cma.j.issn.0253-9624.2017.11.015.
To analyze the premature death probability and cause-eliminated life expectancy of cardiovascular disease, cancer, chronic respiratory disease and diabetes in Chongqing residents in 2016 so as to provide recommendation for non-communicable diseases (NCDs) prevention and control in Chongqing. Death cases of Chongqing Municipality between January 1(st) and December 31(st), 2016 were reported through death case registry system of national center for disease prevention and control. Death cases were sorted by international classification of disease (ICD-10). Mortality rate, standardized mortality rate, constituent ratio, premature death probability, life expectancy, and cause-eliminated life expectancy of four major NCDs were analyzed. A total of 218 004 death cases were reported in Chongqing, 2016, and the mortality rate was 731.73/100 000. Of them, a total of 179 637 death cases of the four major NCDs including cardiovascular disease, cancer, chronic respiratory disease and diabetes were reported, accounting for 82.40% of all death cases. The mortality rate and standardized mortality rate of four major NCDs was 602.95/100 000 and 455.82/100 000, respectively. The premature death probability of four major NCDs was 15.96%, and males (25.39%) had a higher premature death probability than females (10.78%). The premature death probability of cardiovascular disease, cancer, chronic respiratory disease, and diabetes were 6.01%, 8.32%, 2.05%, and 0.43%, respectively. Life expectancy would increase by 6.02, 3.19, 1.89, and 0.19 years, after eliminating cardiovascular disease, cancer, chronic respiratory disease and diabetes respectively. The premature death probability of major NCDs was high in Chongqing, and males had a higher premature death probability than females did. Intervention and health management of the population should be conducted according to different gender-based risk factors to reduce the premature death probability.
分析2016年重庆市居民心血管疾病、癌症、慢性呼吸系统疾病和糖尿病的过早死亡概率及去除病因后的期望寿命，为重庆市非传染性疾病的防控提供建议。通过国家疾病预防控制中心死亡病例报告系统收集重庆市2016年1月1日至12月31日的死亡病例，按照国际疾病分类（ICD - 10）进行死因分类，分析四大类非传染性疾病的死亡率、标准化死亡率、构成比、过早死亡概率、期望寿命及去除病因后的期望寿命。2016年重庆市共报告死亡病例218004例，死亡率为731.73/10万。其中，心血管疾病、癌症、慢性呼吸系统疾病和糖尿病等四大类非传染性疾病共报告死亡病例179637例，占全部死亡病例的82.40%。四大类非传染性疾病的死亡率和标准化死亡率分别为602.95/10万和455.82/10万。四大类非传染性疾病的过早死亡概率为15.96%，男性（25.39%）的过早死亡概率高于女性（10.78%）。心血管疾病、癌症、慢性呼吸系统疾病和糖尿病的过早死亡概率分别为6.01%、8.32%、2.05%和0.43%。去除心血管疾病、癌症、慢性呼吸系统疾病和糖尿病后，期望寿命将分别增加6.02年、3.19年、1.89年和0.19年。重庆市主要非传染性疾病过早死亡概率较高，男性高于女性，应根据不同性别风险因素对人群进行干预和健康管理，降低过早死亡概率。
