北京市2007-2020年60岁及以上户籍居民死亡率趋势及死亡谱特征分析

苏健婷; 王晶; 杜婧; 王苹; 刘庆萍; 李刚; 韦再华

Abstract

苏健婷,王晶,杜婧,王苹,刘庆萍,李刚,韦再华.北京市2007-2020年60岁及以上户籍居民死亡率趋势及死亡谱特征分析[J].Chinese journal of Epidemiology,2024,45(8):1079-1083

北京市2007-2020年60岁及以上户籍居民死亡率趋势及死亡谱特征分析

Changing trend of mortality rate and death cause spectrum among household-registered residents aged 60 and above in Beijing, 2007-2020

Received:April 11, 2024

DOI：10.3760/cma.j.cn112338-20240411-00188

KeyWord: 死亡率死亡谱老年人

English Key Word: Mortality rate Death cause spectrum Older adults

FundProject:首都卫生发展科研专项（2024-2G-30119）；高层次公共卫生技术人才建设项目（2023-02-13）

Author Name	Affiliation	E-mail
Su Jianting	Department of Statistics and Information, Beijing Center for Disease Prevention and Control, Beijing 100013, China
Wang Jing	Department of Statistics and Information, Beijing Center for Disease Prevention and Control, Beijing 100013, China
Du Jing	Department of Statistics and Information, Beijing Center for Disease Prevention and Control, Beijing 100013, China
Wang Ping	Department of Statistics and Information, Beijing Center for Disease Prevention and Control, Beijing 100013, China
Liu Qingping	Department of Statistics and Information, Beijing Center for Disease Prevention and Control, Beijing 100013, China
Li Gang	Department of Statistics and Information, Beijing Center for Disease Prevention and Control, Beijing 100013, China Public Health School, Capital Medical University, Beijing 100069, China	ligang@bjcdc.com
Wei Zaihua	Department of Statistics and Information, Beijing Center for Disease Prevention and Control, Beijing 100013, China Public Health School, Capital Medical University, Beijing 100069, China

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Abstract:

目的了解2007-2020年北京市≥60岁户籍居民死亡率趋势及死亡谱特征。方法死亡数据来源于北京市人口死亡信息登记管理系统，计算分性别、年龄组、死亡原因的死亡率及构成比等指标，采用Joinpoint 4.3.1软件计算死亡率的变化趋势，并计算平均年变化百分比（AAPC）。结果 2007-2020年北京市≥60岁户籍居民粗死亡率从27.62‰下降至23.55‰（AAPC=-1.18%，P<0.001），标化死亡率从25.39‰下降至19.85‰（AAPC=-1.68%，P<0.001）。前5位死因顺位依次为心脏病、恶性肿瘤、脑血管病、呼吸系统疾病、内分泌营养代谢疾病，前5位死因占总死亡的87.1%；呈下降趋势的为心脏病（AAPC=-1.08%，P=0.024）、脑血管病（AAPC=-3.79%，P<0.001）、恶性肿瘤（AAPC=-0.31%，P=0.006）、呼吸系统疾病（AAPC=-5.56%，P=0.007），呈上升趋势的为损伤中毒（AAPC=1.54%，P=0.001），内分泌营养代谢疾病的死亡率变化无统计学意义（AAPC=-1.46%，P=0.054）。结论 2007-2020年北京市≥60岁户籍居民死亡率呈下降趋势，心脏病、脑血管病、恶性肿瘤、呼吸系统疾病等应作为老年人防控的重点，采取针对性措施，提升老年人口健康水平。

English Abstract:

Objective To investigate the changing trend of mortality rate and death cause spectrum among household-registered residents aged 60 and above in Beijing from 2007 to 2020. Methods The mortality data was collected from the Beijing Death Information Registration and Management System. We calculated the mortality rates and constituent ratios by gender, age groups, and death causes and estimated the changing trend of mortality rate and average annual percent change (AAPC) by Joinpoint 4.3.1. Results The crude mortality rate decreased from 27.62‰ in 2007 to 23.55‰ in 2020 (AAPC=-1.18%, P<0.001), and the standard rate also decreased from 25.39‰ in 2007 to 19.85‰ in 2020 (AAPC=-1.68%, P<0.001) among registered residents aged 60 and above in Beijing. The top 5 causes of death were heart diseases, malignant tumors, cerebrovascular diseases, respiratory diseases, and endocrine and nutritional metabolic diseases, accounting for 87.1% of the total deaths. The mortality rates of heart diseases (AAPC=-1.08%, P=0.024), cerebrovascular diseases (AAPC=-3.79%, P<0.001), malignant tumors (AAPC=-0.31%, P=0.006) and respiratory diseases (AAPC=-5.56%, P=0.007) showed a decreasing trend. The rate of injury and poisoning showed an increasing trend (AAPC=1.54%, P=0.001), while no statistically significant change was found in endocrine and nutritional metabolic diseases mortality rates (AAPC=-1.46%, P=0.054). Conclusions The mortality rate of registered residents aged 60 years and over in Beijing showed a downward trend from 2007 to 2020. Heart diseases, cerebrovascular diseases, malignant tumors, and respiratory diseases should be treated as the key diseases for prevention and control, and targeted measures should be taken to improve the health level of the elderly population.

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