Research On The Death Of Jining Urban And Rural Residents In 2007

ObjectiveThrough the epidemiological transect analysis todescribe the death of Jining urban and rural residents in 2007, this study is aimed to understand the death situation of Jining urban and rural residents, to evaluate the health status of the residents, to make suggestions on prevention and control of epidemic diseases and to provide scientific basis for the prevention and control of epidemic diseases in future. Through the statistical analysis to the death of Jining urban and rural residents, this study is aimed to understand the harm degree that different causes of death can do to the residents'health and the life loss time caused by different causes of death, and provide the objective gist for Jining to establish the policy for urban and rural medical treatment and health care, for the sanitation department to progress sanitation planning and the sanitary resources'rational allocation.MethodsThe cluster sampling method was adopted. Taked Jining down town residents as the urban sample (they were urban residents in 2007), and Wenshang county residents as the rural sample (agricultural population more than 80%). The death toll from January 1, 2007 to December 31, 2007 was studied. Population data were mainly gained from the Public Security Bureau, Statistics Bureau, and etc. Death data were mainly obtained from Disease Control and Prevention Center, Public Security Bureau, Civil Affairs Bureau, and Population and Family Planning Commission.The causes of death of Jining urban and rural residents were classified according to the "International Classification of Diseases" ICD-10, and the descriptive analysis for the death situation was done. Statistical calculation, analysis and specifications in terms of Jining urban and rural residents' population, structure, population death characteristics, the main causes of death in different age-span, the death structure of leading death causes and life loss time weremade.The statistical software SAS8.1,PEMS3.1and EXCEL were used.The following indices were analyzed.1.Demographic index: Level of Population Urban and Rural, Constituent ratio of age,Dependeney ratio, The ratio of the aged to the younger,Sex ratio,Crude birth rate(CBR),Crude death rate(CDR);2.Index of mortality: Crude death rate of urban and rural residents,standardized mortality rate,age- specific death rate, sex- specific death rate, causes- specific death rate;3.Index of proportion and sequence of death causes: Proportion and Seque- nce of death causes indifferent age,gender and causes, urban and rural;4.Life expectancy;People life expectancy, caused eliminated life expcetan- cy,Potential years of life lost(PYLL),PYLL%.Results1. The demographic composition of Jining urban and rural residents,the ratio of people over 65 years old took up 10.34% of the total population. City population total burden coefficient was 45.36% , children's burden coefficient was 34.15%, the burden of old age coefficient was 18.14% , the old age and children ratio was 66.62% ; in rural areas population total burden coefficient was 36.46% , children's burden coefficient was 20.58%, the burden of old age coefficient was 15.87% , the ratio of the old age to children was 77.10%.2. Urban residents crude death rate was 6.70‰, standardized mortality rate 6.34‰; Rural residents crude death rate was 6.42‰, standardized mortality rate 6.66‰,Urbanmale crude death rate was 7.74‰, Standardized mortality rate 7.10‰;Rural male crude death rate was 6.99‰, Standardized mortality rate 7.42‰;Urban female crude death rate was 5.61‰, Standardized mortality rate 5.35‰; Rural female crude death rate was 5.82‰, Standardized mortality rate 5.92‰.3. The curve of total age-specific mortality rate of urban and rural residents fit with the word "√", regardless male or female. Mortality rate of 0-age group was the highest before the age of fifteen, and mortality rate increased with age before fifteen,and mortality rate increased with age after fifteen. 4. The five leading causes of death of urban residents were malignant neoplasm, cerebrovascular disease,cardiovascular disease, respiratory disease, injury and poisoning.The five leading death causes of rural residents were mali- gnant neoplasm,cerebrovascular disease,respiratorydisease,cardiovascular dise- ases, injury and poisoning.5. Thefirst mortality cause of Children was injury and poisoning; the first 2 mortality causes amone young adults were malignant neoplasm and injury and poisoning;and among the old age was cerebrovascular disease and respiratory disease.6.Among urban residents,malignant neoplasm death rate was166.43/100000. Among rural residents, malignant neoplasm death rate was 144.56/100000. The five leading malignant tumors were cancers of the lung, liver, stomach, rectum and esophagus.7. The five leading cardiovascular diseases which cause death of urban residents and rural residents were the same. They were coronary heart disease, acute myocardial infarction, pulmonary heart disease and hypertensive heart disease and others.8. Life expectancy of urban residents was 79.03: male 76.07 and female 81.52; Life expectancy of rural residents was 78.3: male 76.6 and female 80.07.9. Anlysis of cause eliminated life,The leading death causes of urban residents were malignant neoplasm(3.71years),cerebrovascular diseases (2.13 years),cardiovascular,diseases(1.93years),,respiratorydiseases(1.92years),injury and poisoning(1.06years); The leading death causes of rural residents were malignant neoplasm(3.05years), cerebrovascular diseases (2.68 years), respirea- tory diseases(2.58 years) , cardiovascular diseases(1.93 years), injury and poiso- ning(1.74 years).10.Anlysis of PYLL showed that the main causes that leads to local residents"premature death"of were malignant neoplasm,injuries and poisoning, cerebrovascular disease,cardiovascular disease and respiratory diseases, and they were the major health problems of the impact on the health of residents in urban and rural areas of Jining City.Conclusion:1. The population age composition of Jining shows that Jining has become an aging society. 2. Standardized mortality rate of urban residents is lower than that of rural residents; urban male and female standardized mortality rate are lower than those of rural residents respectively; the age-specific mortality rate of urban and rural residents shows that after the first rising, it falls; in the same period, male's mortality rate is higher than female's.3. Mortality death causes vary greatly with age and gender.4. The five leading death causes of urban and rural residents were malignant neoplasm,cerebrovascular diseases cardiovascular diseases, respireto- ry diseases, injury and poisoning. And malignant neoplasm is the first cause of death causes of all residents.5. The life expectancy in the urban was higher than that in the rural, higher in males than in females.6. PYLL of injuries and poisoning and malignant neoplasm was higher than other diseases.They were the major causes that lead to local residents "premature death".Suggestions:1. Establish and perfect the network of community health service, promote and develop the functions of Community Health Service in such fields as prevention, medical treatment, health care, rehabilitation, health education and technical services in family planning.2. Establish and perfect health education and health promotion mechanisms, further enhance the awareness of the health of residents.3. Strengthen the surveillance of chronic diseases such as malignant neoplasm, cerebrovascular disease, injury and poisoning, probe the causes and main risk factors in order to realize effective intervention, carry out short- and long-term evaluation and adjust health policies.4. Establish and perfect work quality and improving the registration and reporting system of birth and mortality.5. Establish and improve the integration of urban and rural medical and health service system, gradually narrow the urban-rural gap in public health services, and continuously meet the demand for health services in urban and rural residents, improve the use of health services in urban and rural residents.