Analysis On Death Causes Among Residents In Feicheng City From 2014 To 2017

ObjectiveAccording to the monitoring data of death causes of residents in Feicheng city from 2014 to 2017,the death level of residents,the composition of death causes,rank of death causes and the trend of mortality rate of major diseases were analyzed.To understand the health level of residents,and provide a reference for Feicheng City to formulate reasonable medical care and disease prevention and control measures.MethodsThe data of all household registration deaths in the city from January 1,2014 to December 31,2017 was collected.Based on the household registration data of the local Bureau of public security,the mortality rate level in Feicheng city was systematically analyzed.Coding and classifying of all kinds of diseases were based on the classification standard of ICD-10.Excel 2010 and SPSS 20.0 software were used for data collation and analysis.The statistical indicators include:population coefficient,burden coefficient.mortality rate,composition of death causes,rank of death causes and so on.The standardized mortality rate was calculated by China's standard population in 2010.The mortality rate was compared by X2 test,and the trend of mortality rate was tested by linear trend X2 test,and the test level is a=0.05.Resultsl.From 2014 to 2017,The number of children(0-14 years old)in Feicheng city accounted for 15.48%of the whole population,the number of adults(15?64 years old)accounted for 72.08%of the whole population,the number of the elderly people(65 years old and above)account for 12.44%of the whole population.The population coefficient of the elderly in this city were 11.40%,12.19%,12.83%and 13.35%respectively from 2014 to 2017.The population coefficient of the elderly increased year by year(P<0.01).2.A total of 29048 people died in Feicheng city from 2014 to 2017,with an average crude death rate of 732.90/105 and standardized mortality rate of 559.77/105.The average crude death rate of males and females were 825.26/105 and 639.27/105 respectively,and the standardized mortality rate were 729.80/105and 414.87/105 respectively.The average crude death rate of males was higher than that of females(P<0.01).The mortality rate of 0-year-old group was slightly higher(287.83/105),and then began to decline,The mortality rate of the 5?9 years old group dropped to the lowest level,which was 12,22/105.Then the mortality rate increased rapidly with age.The mortality rate of 85-year-old group and above reached the highest level 14,469.01/105.Among the three major causes of death from 2014 to 2017,chronic diseases accounted for the highest proportion(91.94%),followed by injury(6.31%).3.The top five causes of death in the city from 2014 to 2017 were malignant tumors(226.50/105),heart diseases(200.11/105),cerebro vascular diseases(160.22/105),respiratory diseases(54.65/105)and injuries(46.22/105)in turn.The top five causes of death accounted for 93.83%of all deaths.The categories and rank in the top five death causes of males were the same as that of the whole population,accounting for 94.32%of all male deaths.The top five causes of death in females were the same as the whole population,and their ranks were different,accounting for 93.19%of all female deaths.The mortality rate of malignant tumors,cerebrovascular diseases,respiratory diseases and injuries in males was higher than that in females(P<0.01),The mortality rate of heart disease in females was higher than that in males(P<0.01).The main causes of death in 0?4 age group were perinatal diseases,congenital abnormalities,injuries and respiratory diseases in turn.The main causes of death in the 5?14 age group were injuries and malignant tumors.The main causes of death in the 15?44 age group were injuries,malignant tumors in turn;the main causes of death in the age group of 45-year-old and above were malignant tumors,heart disease and cerebrovascular diseases.4.Malignant tumors are the leading cause of death in all deaths from 2014 to 2017.The top five causes of death in malignant tumors are esophageal cancer(56.01/105),lung cancer(54.22/105),gastric cancer(3 5.10/1O5),li ver cancer(25.03/105)and colorectal cancer(9.44/105)in turn.The top four causes of death in malignant tumors in males and females are the same as that in the whole population,the mortality rate of the top four cancer in males were higher than those in females(P<0.01).the fifth cancer in males and females are colorectal cancer(10.63/105)and breast cancer(1 0.57/105).5.From 2014 to 2017,heart disease was the second leading cause of death in the city,and its mortality rate increased year by year(P<0.05).As the third leading cause of death,cerebrovascular disease had a low mortality rate before the age of 50,which rised rapidly after the age of 50,and reached the maximum in the 85-year-old group(3424.50/105).Respiratory diseases,as the fourth leading cause of death,had a slightly higher mortality rate in the 0-1 age group,and then remained at a low level,which rised rapidly after the age of 55,and reached the maximum in the 85-year-old group(1830.08/105).6.Injuries were the fifth leading cause of death among residents from 2014 to 2017.The top three causes of injury were traffic accidents(1 6.05/105),suicides(12.46/105)and accidental falls(7.34/105).The mortality rate caused by traffic accidents and accidental falls was higher in males than in females(P<0.01).Conclusion1.Feicheng city has entered an aging society,Chronic non-communicable diseases and injuries are the main death causes of residents.2.The average crude death rate of males is higher than that of females.The main causes of death were different in different age groups.3.Malignant tumor is the first cause of death in the whole population.The top four causes of which were esophagus cancer,lung cancer,stomach cancer and liver cancer in turn.Heart disease,cerebrovascular disease and respiratory diseases were the second,third and fourth causes of death in the city.Injury is the fifth cause of death,The top three causes of which are traffic accidents,suicides and accidental falls in turn.Suggestion1.We should improve the city's understanding of the aging problem,strengthen the prevention and control of diseases among the elderly people,actively carry out health education,and improve the quality of life of the elderly people gradually.2.Males should pay more attention to their health and develop a good lifestyle.According to different causes of death in different age groups,targeted health education and health promotion measures should be adopted.3.The comprehensive prevention and treatment of chronic diseases and injuries should be strengthened.We should popularize healthy lifestyle of the whole population,focus on early diagnosis and treatment of cancer,promote early screening of major chronic diseases,and enhance residents' awareness of various injuries.