Yanji City Residents Cause Of Death And Its Change Research

The pattern of disease and the cause-of-death structure were obviously changed with the development of human civilization. The death cases in Yanji city from January 2001 to December 2002 were retrospectively surveyed. The causes of death were classified and coded according to International Classification Diseases (ICD-9). The indexes of total mortality, cause-specific mortality, the sequence of causes of death and its changed trend were mainly analyzed and evaluated. The surveyed results were as follows: (1) Total Mortality: the total mortality among residents of yanji city was 38,999 per 100,000 populations, the standardized mortality was 48,020 per 10,000. The mortalities of Korean-Chinese and Han-Chinese in male and female were 53,792, 29,810 per 100,000 and were 43,404, 23,919 per 100,000, respectively, and the mortality of Korean-Chinese was higher than that of Han-Chinese (Umale=7.77, Pmale＜0.001; Ufemale ＝6.96, Pfemale＜0.001). In both nationality, the mortality in male was higher than that in female (UKorean-Chinese=3.57, PKorean-Chinese＜0.01; UHan-Chinese ＝2.22, PHan-Chinese＜0.05). (2) Constituents and sequence of the causes of death: the main causes of death in Yanji city was similar to the other cities in China, and constituent ratio of death with the cardio-cerebral vascular diseases was 47.11%, with malignant neoplasm 18.11%, with accidental injury 9.74% and then with the digestive diseases, respiratory diseases and endocrine system, nutritional and metabolic diseases was 6.52%, 4.77% and 3.23%, respectively. The top six causes of death in male of Korean-Chinese were cardio-cerebral vascular diseases, malignant neoplasms, accidental injury, digestive diseases, respiratory diseases and endocrine system, nutritional and metabolic diseases and one in Han-Chinese were cardio-cerebro vascular diseases, malignant neoplasms, accidental injury, respiratory diseases, digestive diseases and Endocrine system, nutritional and metabolic diseases, in witch the top six causes of death were the same in both nationality, but the sequence was slightly different. The top six 4causes of death in female of Korean-Chinese were cardio-cerebrovascular diseases, malignant neoplasms, digestive diseases, accidental injury, endocrine system, nutritional and metabolic diseases and psychosis and one in Han-Chinese were cardio-cerebrovascular diseases, malignant neoplasms, respiratory diseases, accidental injury, endocrine system, nutritional and metabolic diseases and digestive diseases, in witch the top six causes of death and its sequence were different in both nationality. The mortality of cardio-cerebrovascular diseases, malignant neoplasms and accidental injury in male of Korean-Chinese was higher than that in mail of Han-Chinese (The U value was 5.76, 3.58, 3.51 and 2.57, respectively, P＜0.01). The mortality of cardio-cerebrovascular diseases and digestive diseases in female of Korean-Chinese was higher than that of Han-Chinese(The U value was 8.42 and 2.91, P＜0.01), and of respiratory diseases in female of Han-Chinese was significantly higher than that of Korean-Chinese (The U value was 3.54, P＜0.01). In the gender distribution of major causes of death, the mortality of malignant neoplasms, accidental injury and neonatal diseases in Korean-Chinese men were significantly higher than those women(The U value was 4.04, 4.96 and 2.37 respectively, P＜0.01), but the mortality of cardio-cerebrovascular diseases was significant different between the male and female of Han-Chinese (The U value was 2.91, P＜0.01). The trend in cause-of-death change from 1970s to 1990s, the cardio-cerebrovascular diseases were ranked the first place continuously, the sequence cause of death for accidental injury, Endocrine system and nutritional and metabolic diseases ascended from No 5 and No 9 to No. 4 and No. 7, respiratory diseases and infectious diseases descended from No 4, No 5 to No. 6, No. 9. (3) Total mortality and characters of age-specific mortality: The age curve of mortality was sim...