2007-2016年中国劳动力人口全死因及慢性非传染性疾病死亡水平与变化趋势

张珊; 姜莹莹; 董文兰; 毛凡; 董建群

Abstract

张珊,姜莹莹,董文兰,毛凡,董建群.2007-2016年中国劳动力人口全死因及慢性非传染性疾病死亡水平与变化趋势[J].Chinese journal of Epidemiology,2018,39(12):1582-1588

2007-2016年中国劳动力人口全死因及慢性非传染性疾病死亡水平与变化趋势

Trend on mortalities in all-cause and chronic non-communicable diseases among the labor force population in China, 2007-2016

Received:June 28, 2018

DOI：10.3760/cma.j.issn.0254-6450.2018.12.009

KeyWord: 死亡率劳动力人口趋势死因监测慢性非传染性疾病

English Key Word: Mortality Labor force Trend Mortality surveillance Non-communicable diseases

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Author Name	Affiliation	E-mail
Zhang Shan	Division of Comprehensive Prevention and Evaluation, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China
Jiang Yingying	Division of Comprehensive Prevention and Evaluation, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China
Dong Wenlan	Division of Comprehensive Prevention and Evaluation, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China
Mao Fan	Division of Comprehensive Prevention and Evaluation, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China
Dong Jianqun	Division of Comprehensive Prevention and Evaluation, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China	workdong@163.com

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Abstract:

目的分析2007-2016年中国劳动力人口全死因死亡、慢性非传染性疾病死亡及变化趋势。方法利用中国死因监测系统收集的2007-2016年居民死因监测数据，分析我国劳动力人口不同性别、城乡、地区的全死因死亡率、慢性非传染性疾病死亡的未标化率、年龄标化死亡率及其变化趋势；分析3大类疾病（传染病、母婴疾病、营养缺乏性疾病；慢性非传染性疾病；伤害）的未标化死亡率及死亡构成比的变化趋势；分析不同性别恶性肿瘤、COPD、心脑血管疾病标化死亡率的变化趋势；依据2010年第六次人口普查的人口构成计算年龄标化死亡率；采用加权最小二乘法拟合Joinpoint回归模型分析时间变化趋势。结果 2016年中国劳动力人口年龄标化死亡率为217.23/10万；2007-2016年，中国劳动力人口全死因年龄标化死亡率呈现下降趋势，平均每年下降幅度为-2.8%（95% CI：-3.8%~-1.7%），不同性别、城乡、地区之间差距逐渐缩小；慢性非传染性疾病死亡构成比上升，平均每年上升幅度为0.8%（95% CI：0.7%~0.9%）；2016年中国劳动力人口慢性非传染性疾病年龄标化死亡率为171.89/10万；2007-2016年，慢性非传染性疾病年龄标化死亡率呈现下降趋势，平均每年变化幅度为-2.4%（95% CI：-3.3%~-1.4%），女性下降趋势最明显，平均每年变化幅度为-3.3%（95% CI：-4.0%~-2.5%）。全国恶性肿瘤、COPD、心血管疾病、脑血管疾病均呈现下降趋势，10年间平均下降幅度分别为-2.0%（95% CI：-2.6%~-1.3%），-8.0%（95% CI：-8.9%~-7.1%），-1.5%（95% CI：-2.9%~-0.1%），-2.3%（95% CI：-2.8%~-1.8%）。结论 2007-2016年中国劳动力人口全死因与慢性非传染性疾病导致的年龄标化率均呈现下降趋势，但慢性非传染性疾病构成比逐年上升，成为必须高度关注的影响我国劳动力人口健康的公共卫生问题。

English Abstract:

Objective To analyze the trends on mortalities of all-cause and deaths caused by chronic and non-communicable diseases (NCDs) among Chinese labor force population during 2007 to 2016. Methods Data on cause-of-death that collected from the National Mortality Surveillance System was used to analyze the age and area-related specific crude mortality rates, age-standardized mortality rates and component ratios of NCDs, among the Chinese labor force population, during 2007 to 2016. Trend of crude mortality rates and mortality component ratios of the three major diseases (infectious diseases, maternal and infant diseases, nutritional deficiency diseases; NCDs; injuries) were analyzed. Age-standardized mortality of cancer, COPD, cardiovascular and cerebrovascular diseases were also analyzed by gender. Age-standardized mortality was calculated based on the Year 2010 Population Census of China. Joinpoint regression model was used to obtain annual percentage change and 95% CI was set for assessing the trend. Results In 2016, the age-standardized all-cause mortality rate was 217.23 per 100 000 among the Chinese labor force population, but decreased by -2.8% (95% CI:-3.8%--1.7%) annually from 2007 to 2016. The gap between different gender and regions gradually narrowed. The proportion of deaths caused by NCDs increased annually by 0.8% (95% CI:0.7%-0.9%). The age-standardized mortality rate of NCDs appeared as 171.89/100 000, among the Chinese labor force population in 2016, showing a downward trend by -2.4% (95% CI:-3.3%--1.4%). However, in females, there appeared the greatest decrease, with an average annual change of -3.3% (95% CI:-4.0%--2.5%). Diseases as cancer, COPD, cardiovascular and cerebrovascular diseases all showed downward trends in the whole country, with an average range of -2.0% (95% CI:-2.6%--1.3%), -8.0% (95% CI:-8.9%--7.1%), -1.5% (95% CI:-2.9%--0.1%), -2.3% (95% CI:-2.8%--1.8%) in a ten-year period, respectively. Conclusion All-cause and age-standardized mortality rates caused by NCDs among Chinese labor force population were decreasing during 2007 to 2016. However, the constituent ratios appeared increasing, year by year. Close attention needs to be paid on NCDs which affecting the health of the labor force population in China.

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