| 韦再华,谢学勤,刘菲,王苹,王晶,高燕琳,苏健婷,杜婧,刘庆萍,邓小虹.北京市1965-1974年居民死因分析[J].中华流行病学杂志,2016,37(7):977-980 |
| 北京市1965-1974年居民死因分析 |
| Analysis on causes of death of residents in Beijing, 1965-1974 |
| 收稿日期:2016-01-11 出版日期:2016-07-15 |
| DOI：10.3760/cma.j.issn.0254-6450.2016.07.014 |
| 中文关键词: 居民死亡率 死因顺位 意外伤害 自杀 |
| 英文关键词: Mortality rate Cause of death Accidental injury Suicide |
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| 中文摘要: |
| 目的 填补1965-1974年北京市居民死亡资料的历史空白，为其他地区死亡数据的补充提供参考。方法 通过专家咨询了解北京市居民死亡资料保存情况，采用分层抽样方法采集北京市城区该期间死亡居民户个案信息。应用死亡率、死亡构成、死因顺位等指标进行描述性分析。结果 收集1965-1974年北京市城区10个派出所保存的死亡居民户个案信息11 668条。该时期北京市城区居民前十位死亡原因依次为心脏病、肿瘤、脑血管病、意外伤害、呼吸系统疾病、消化系统疾病、传染病和寄生虫病、神经系统疾病、泌尿生殖系统疾病、内分泌、营养代谢类疾病，占全死因的84.19%。意外伤害占总死亡的13.22%，高于1964年与1975年水平，差异有统计学意义（P<0.01），自杀占全部意外伤害死亡的54.47%，位居意外伤害死亡的首位。男性前三位死因分别为意外伤害、肿瘤和心脏病，女性为心脏病、肿瘤和脑血管病。结论 1965-1974年北京市城区居民死亡的主要疾病从传染病向慢性非传染性疾病过渡。受历史原因影响，意外伤害成为该时期影响人群健康的主要原因之一。 |
| 英文摘要: |
| Objective To fill up the absence of data on causes of death of urban residents in Beijing during 1965-1974 and provide evidence for the similar study in other areas. Methods All possible sources for death data during 1965-1974 were identified through expert consultations and record search. Stratified sampling was conducted to collect the death data of urban residents during this period in Beijing. The mortality rate, death cause constituent and rank of death causes were used in this descriptive analysis. Results A total of 11 668 records of deaths from 1965 to 1974 were collected from 10 local police stations in urban area of Beijing. The top 10 death causes in the urban residents were heart disease, tumor, cerebrovascular disease, accidental injury, respiratory system disease, digestive system disease, communicable disease and parasitic disease, nervous system disease, urogenital and reproductive system disease, endocrine and nutrition metabolic diseases. The deaths caused by these diseases accounted for 84.19% of the total deaths. Accidental injury accounted for 13.22% of the total deaths, which was significantly higher than that in either 1964 or 1975, two years before and after this period (P<0.01). Suicide accounted for 54.47% of the total accidental injury deaths. For men, accidental injury was the leading death cause, followed by cancer and heart disease; for women, heart disease, cancer and cerebrovascular disease were the top three death causes. Conclusion The major death cause in urban residents changed from infectious diseases to chronic and non-communicable diseases during 1965-1974. A remarkable high proportion of deaths caused by accidental injury was due to the historical background during that period in Beijing, China. |
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