甘肃省16年疾病死亡率及传染病发病率趋势性研究
发布时间：2019-05-30 00:48
【摘要】：目的：分析1992至2007年甘肃居民总死亡率变化趋势、人群死亡原因分布特点,找出甘肃省居民死亡的主要病种及顺位,各主要系统疾病死亡率及变化趋势、主要单病种死亡率及趋势,以及在人群分布特点；分析1978-2007年甲乙类法定传染病发病率及趋势,传染病发病顺位及主要传染病发病趋势,人群分布特点,为未来甘肃省居民健康战略的制定提供依据。 方法：甘肃省人口疾病死亡资料来源于1992年-2007年甘肃省疾病监测点年度报表及监测点居民死亡医学证明书；传染病疾病资料来源于甘肃省疾病预防控制中心1978-2007年法定传染病疫情监测资料；采用年估计百分比变化(EAPC)来衡量各种率的变化趋势。 结果： 1.甘肃省16年全死因趋势变化状况 1.1甘肃省16年疾病死亡率趋势及死因顺位变化情况 1.1.1甘肃省居民粗死亡率及其趋势：1992-2007年,甘肃省居民及男女人群总死亡率略有下降,变化趋势无统计学差异,男性死亡率高于女性人群。0-4岁、5-14岁组居民死亡率呈现下降趋势,其死亡率EAPC分别为-4.30%、-4.40%,其他年龄组死亡率变化趋势没有统计学意义,0-4岁及60岁以上居民死亡率最高。 1.1.2甘肃省居民死亡的主要疾病类型：1992-2007年呼吸系统疾病、循环系统疾病、肿瘤、损伤中毒及外部原因四大类疾病死亡人数占全死因的75%以上,为影响甘肃省居民健康的主要疾病类型。 1.2甘肃省16年主要系统疾病死亡率变化趋势 1.2.1呼吸系统疾病死亡率趋势：呼吸系统疾病死亡率波动较大,变化趋势无统计学意义(P0.05)。男性呼吸系统疾病死因别死亡率高于女性,慢性下呼吸道疾病和肺炎死亡人数共占呼吸系统疾病死亡人数96.59%,为主要呼吸系统疾病致死原因。肺炎死亡率呈现下降趋势,EAPC=-9.79%,肺炎死亡的居民主要集中在0-4岁及60岁以上年龄组,慢性下呼吸道疾病死亡居民集中在45岁-59岁年龄组,60岁以上人群。 1.2.2循环系统疾病死亡率趋势：1993-2007年,全省居民循环系统疾病男女及总人群死亡率波动较大,变化趋势均无统计学差异,男性死亡率明显高于女性。脑血管疾病和心脏疾病死亡人数共占91.86%,为循环致死的主要疾病种类；1992-2007年脑血管疾病死亡率表现为增长趋势EAPC为2.43%,其中男性脑血管疾病死亡率EAPC为2.33%增长低于女性EAPC的2.53%,心脏病死亡率EAPC=5.97%,其中男性脑血管疾病死亡率EAPC=6.72%高于女性EAPC=5.23%;16年合计脑血管疾病和心脏疾病死亡率,男性死亡率175.33/10万高于女性的150.43/10万,脑血管病死亡和因心脏病死亡居民均主要集中在45岁以上人群,其中60岁以上人群所占比例最大,均占到全人群的60%以上。 1.2.3肿瘤死亡率趋势：1992-2007年男女及全人群肿瘤死亡率变化趋势较平稳,趋势变化无统计学意义。男性肿瘤疾病死因别死亡率高于女性,各年份男性肿瘤死亡率均高于女性。消化器官肿瘤为肿瘤致死的主要病种,男女及全人群消化器官肿瘤死亡率变化趋势无统计学意义,各年份男性消化器官肿瘤死亡率均高于女性,各年份消化器官肿瘤死亡居民均主要集中在60岁以上年龄组。 1.2.4损伤、中毒及外部原因死亡率趋势：男性损伤、中毒及外部原因死亡率均低于女性,无意识意外死亡人数和有意识意外死亡人数合计为8763人,占到全部的97.04%,为损伤、中毒及外部原因死亡致死的主要类型；各年份无意识死亡率男性均高于女性,有意识意外死亡率的女性略高于男性,差异无统计学意义；无意识意外死亡和有意识意外死亡的居民均集中在以15-44岁年龄组,其次为45-59岁及60岁以上年龄组。 2.甘肃省30年法定传染病发病率变化趋势状况 2.1传染病总体发病趋势,主要传染病顺位及种类 2.1.1传染病总体发病情况：1978-2007年,甘肃省传染病发病率EAPC=-4.11%,乙肝、肺结核和丙肝发病率处于逐年上升趋势,其中丙肝发病率增长最快EAPC=20.56%,其次为肺结核发病率EAPC=9.97%,乙肝发病率EAPC=7.86%。同时痢疾和甲肝发病率有逐年下降趋势,甲肝发病率EAPC=-11.40%,下降快于痢疾发病率EAPC=-9.34%,而麻疹发病率EAPC=-7.50%,但是波动较大,变化趋势无统计学意义。 2.1.2主要传染病种类：肠道传染病中痢疾发病最高占到了总的70.27%,呼吸道传染病主要是肺结核占到全部的95.57%,血源性及性传播传染病主要是乙肝占89.91%。 2.2各主要传染病发病趋势和人群分布特征 2.2.1乙肝发病情况：甘肃省乙肝发病率呈增长趋势EAPC=11.18%,幅度高于全国乙肝发病率EAPC=8.44%。乙肝发病多集中在青壮年,即15-44岁年龄组,平均占全省发病总数的69.77%。发病以农民、学生为主,占总报告病例数的67.20%,,特别是农民占49.87%。 2.2.2肺结核发病情况：1997-2007年甘肃省与全国肺结核发病均表现为上升趋势,其中甘肃省肺结核发病率EAPC=8.44%,上升速度快于全国肺结核发病率EAPC=8.00%,男性发病率高于女性,2007年肺结核报告病例数较多的为60岁-、65岁-、70岁-年龄段。农民、学生、离退人员、家政和工人为主,占总报告病例数的91.00%,其中农民占73.90%。 2.2.3菌痢发病情况：1991-2007年甘肃省及全国菌痢发病率呈现逐年下降趋势,但甘肃省菌痢发病率波动较大,趋势不明显,发病主要集中在0-20岁年龄段,占总发病数的65.76%,发病数以农民、散居儿童为主,占发病总数的53.75%,其次为学生和幼托儿童,占发病总数的30.48%。 2.2.4艾滋发病情况：自1997年至2007年,艾滋病、HIV感染者和死亡病例的年平均增长速度分别为48.17%、39.94%和40.97%。HIV感染者传播途径以经注射毒品感染为主,占38.41%。经受(供)血感染者占19.53%,经异性间性传播途径感染者占21.46%,同性传播占4.94%,母婴传播占2.79%,传播途径不详占12.88%。同时,2007年新发现感染者经性接触感染占33.33%,成为主要的传播方式。感染者以青壮年为主,20-49岁占全省感染者的86.48%；男女差别逐步缩小,以文化程度较低的农民、民工和无业人员为主。 3.居民平均期望寿命情况：2007年甘肃省居民平均期望寿命为72.10岁,其中男性为70.38岁,女性为74.08岁,1995平均期望寿命为71.21岁,其中男性69.48岁,女性为73.24岁。2007年与1995年相比有所提高,居民平均期望寿命增加了0.89岁,提高1.26%,男性平均期望寿命提高0.90岁提高了1.30%,女性平均期望寿命提高0.84岁提高了1.15%。结论：甘肃省居民总死因死亡率略微下降,2007年与1995年相比居民的平均期望寿命提高0.89岁,居民健康状况得到改善；慢性下呼吸道疾病、循环系统疾病、肿瘤尤其是消化器官、损伤、中毒及外部原因仍然是影响居民健康的主要系统疾病,慢性病如循环系统疾病死亡率仍然表现为上升的趋势,上升速度较快的为心脏病,其次为脑血管疾病。肺炎等一些感染性疾病的到控制,呈现出下降趋势；传染病整体发病率表现为下降趋势,但是丙肝、肺结核、乙肝及艾滋病增长速度较快,农民及学生是乙肝、艾滋病等一些疾病发病的主要人群。针对以上居民全死因及传染病的的特点,提示我们在未来政策制定时,应该逐步建立其对肿瘤、循环系统疾病等慢性疾病的监测登记制度,加强社区卫生网络建设,采用社区防治的方法,开展对慢性疾病的防控。同时应当进一步加强传染病的监控力度,提高监测数据质量,针对疾病重点人群开展有效干预措施,遏制乙肝、丙肝、艾滋病等传染病的增长势头,降低疾病发病及死亡率,加强对农村、经济水平及卫生水平较差地区的卫生投入,关注低收入、儿童和老人等弱势群体的健康状况。
[Abstract]:Objective: To analyze the change trend of total mortality in Gansu Province from 1992 to 2007, the distribution of the cause of death in the population, to find out the main disease and the trend of the death of the residents in Gansu province, the mortality and trend of the main diseases, the mortality and the trend of the main diseases, and the distribution of the population. To analyze the incidence and trend of the legal infectious diseases of the class A and B in 1978-2007, the incidence of infectious diseases and the trend of the main infectious diseases, the distribution of the population, and provide the basis for the development of the health strategy of the residents in Gansu. Method: The data of the death of the population in Gansu Province is from the annual report of the disease monitoring point of Gansu Province from 1992 to 2007 and the medical certificate of the death of the resident of the monitoring point. The data of the infectious disease is derived from the surveillance of the disease surveillance of the disease in Gansu Province from 1978 to 2007 Material; annual estimated percentage change (EAPC) to measure the trend of various rates Potential. Results:1. The whole cause of death in Gansu Province in 16 years The Trend of the Trend of the 16-year Disease Mortality in Gansu Province and the Trend of the Trend of the Trend The change of the cause of death:1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1. The mortality rate of the group was-4.30%,-4.40% and the mortality of other age groups. The trend is not statistically significant,0-4 years and 60 years The death rate of the above-mentioned residents is the highest. 1.1.2 The main disease types of the death of the residents in Gansu Province: respiratory disease, circulatory system disease, tumor, injury poisoning and external cause of the four major diseases in Gansu Province, the total cause of death is more than 75% of the total cause of death, in order to affect the Gansu province. The main type of disease in the health of the population. Trends in mortality of major system diseases in the year of 1.2.1. Trends in mortality in the respiratory system: large fluctuations in mortality in the respiratory system, change There was no statistical significance in the trend (P0.05). The death rate of the cause of death of the male respiratory system was higher than that of the female, the number of deaths in the chronic lower respiratory tract and the number of deaths in the case of pneumonia accounted for 96.59. %, for the cause of death for major respiratory diseases. The mortality rate of the pneumonia is decreasing, EAPC =-9.79%, and the population of the death of the pneumonia is mainly concentrated in the age group of 0-4 years and above, and the death population of the chronic lower respiratory disease is concentrated at the age of 45 -59-year-old age group, population above 60 years of age. 1.2.2.2.2.2.2.2.2.2.2.2.2.2.2.2.2.2.2.2.2.2.2.2.2.2.2.2.2.2. The mortality of cerebrovascular disease and heart disease in 1992-2007 was 2.43%, among which, the mortality rate of cerebrovascular disease in men was 2.33%, which was lower than 2.53% of EAPC in female. The mortality rate of heart disease (EAPC) was 5.97%, among which, the death rate of cerebral vascular disease (EAPC) was 6.72% higher than that of female EAPC (5.23%); in 16 years, the death rate of cerebrovascular disease and heart disease was higher than that of female (175.33/10,000), and the mortality of cerebrovascular disease was higher than that of female (150.43/ 100,000), and the death of cerebrovascular disease and the cause of heart disease The death population is mainly concentrated in the population of over 45 years, of which the population of over 60 years of age The proportion is the largest, accounting for more than 60% of the whole population. 1.2.3 The trend of tumor mortality: the deaths of both men and women and all-people in 1992-2007 The trend of the rate of death was stable and the change of the trend was not statistically significant. The death rate of the cause of death of the male tumor was high. In the female, the death rate of the male tumor in all years was higher than that of the female. The cancer of the digestive organs was the main disease of the tumor. The trend of the death rate of the digestive organs of the male and female and the whole population was not statistically significant. The cancer mortality of the digestive organs in each year was higher than that of the female, and the digestive organs in each year were swollen. The death population of the tumor was mainly concentrated in the age group of over 60 years of age. 1.2.4 The trend of death, poisoning and external causes of death: male injury, poisoning and external cause and death rate were lower than that of women, the number of unintentional accidental deaths and the number of intentional accidental deaths were 8763 people, accounting for 97.04% of the total, are the main types of death for injury, poisoning and external causes; in each year, the unconsciousness of the male is higher than that of the female, the female with the conscious accidental death rate is slightly higher than that of the male, the difference is not statistically significant; the unintentional accidental death and the conscious The population of the accidental death was concentrated in the age of 15-44 Age group, followed by age group of 45-59 years and over 60 years. 2. The trend of the incidence of legal infectious diseases in Gansu Province in 30 years State 2.1 General incidence of infectious diseases, major infectious diseases, and type 2.1.1 overall incidence of infectious diseases:1978-20 In 2007, the incidence of infectious disease in Gansu province, EAPC, was-4.11%, and the incidence of hepatitis B, tuberculosis and hepatitis C increased year by year, among which, the incidence of hepatitis C was the fastest, EAPC was 20.56%, followed by the incidence of pulmonary tuberculosis. The rate of EAPC was 9.97%, and the incidence of hepatitis B (EAPC) was 7.86%. The incidence of dysentery and hepatitis A decreased year by year, and the incidence of hepatitis A (EAPC) was-11.40%, which was lower than that of the incidence of dysentery (EAPC =-9.34%), while the incidence of measles was EA. PC =-7.50%, but the fluctuation is large, the change trend is not statistical significance. 2.1.2 Main infectious diseases: the highest incidence of dysentery in the intestinal infectious disease is 70.27%, and the respiratory infectious disease is mainly tuberculosis, accounting for all 95.57%, blood-borne and sexually transmitted infectious diseases are mainly Hepatitis B (89.91%). 2.2 The incidence of major infectious diseases and the distribution of the population. 2.2.1 The incidence of hepatitis B: The incidence of hepatitis B in Gansu is increasing. EAPC = 11.18%, with an amplitude higher than that of the national hepatitis B (EAPC = 8.44%). In the young and middle-aged, that is, the age group of 15 to 44, the average of the total number of the whole province is 69.77%. The incidence of pulmonary tuberculosis in Gansu and the whole country was higher than that of the whole country in 1997-2007. The incidence of tuberculosis in Gansu province was 8.44%, and the rate of increase was faster than that of the national tuberculosis incidence EAPC = 8. 00%, male rate higher than female In 2007, the number of cases of tuberculosis reported was 60,65 and 70. Farmers, students, and retired persons The incidence of bacillary dysentery in Gansu and the whole country is decreasing year by year in 1991-2007, but the incidence of bacillary dysentery in Gansu Province is large, the trend is not obvious, and the main set of disease is the main disease. In the 0-20-year-old age group, 65.76% of the total number of patients and the number of peasants and the scattered children are the main ones. The incidence of AIDS, HIV infection and death was 48.17%,39. 2.4% of the total incidence and 30.48% of the total number of children, and the average annual growth rate of AIDS, HIV-infected persons and deaths from 1997 to 2007 was 48.17%,39. The transmission route of HIV-infected persons was mainly caused by the injection of drug, accounting for 38.41%. The infected persons accounted for 19.53% of the infected persons and 21% of the infected persons. 46%, 4.94% of same-sex transmission, 2.79% of mother-to-child transmission and 12.88 for transmission %. At the same time, in 2007, it was found that the infection of the infected persons accounted for 33.33%, becoming the main mode of transmission. The majority of the infected people were the young and the middle-aged and the 20-49 years of age account for the whole province. The average life expectancy of the residents in Gansu Province in 2007 is 72.10 years. The average life expectancy of the male is 70.38, the female is 74.08, the average life expectancy in 1995 is 71.2. In 2007, compared with 1995, the average life expectancy of the population increased by 0.89, the increase of 1.26%, and the average male's expectation. The life expectancy was increased by 1.30%, the average life expectancy of women was increased by 0.84, and the average life expectancy of the population was increased by 1.15%. Conclusion: The total death rate of the residents in Gansu is slightly lower, and the average life expectancy of the residents in 2007 and 1995 is 0.89. The health status of the residents is improved; chronic lower respiratory diseases, circulatory diseases, tumors, in particular digestive organs, injuries, poisoning and external causes, are the main system diseases affecting the health of the population, and chronic diseases The mortality rate of the circulatory system is still a rising trend, the rising speed is the heart disease, and the second is the cerebrovascular disease. The control of some infectious diseases, such as the pneumonia, presents a downward trend; the overall incidence of the infectious disease is shown to be a descending trend, but the hepatitis C, The rate of tuberculosis, hepatitis B and AIDS is fast, and the farmers and students are the main population of some diseases, such as hepatitis B and AIDS. In view of the causes of the cause of death and infectious diseases of the above-mentioned residents, it is suggested that we should gradually set up their response to the swelling in the development of future policies Chronic disease, such as tumor, circulatory system disease, etc. The system of monitoring and registration of the disease, strengthening the construction of the community health network, adopting the method of community prevention and control, and carrying out prevention and control of the chronic diseases, meanwhile, the monitoring of the infectious diseases should be further strengthened, the quality of the monitoring data can be improved, and the effective drying is carried out on the disease focal groups. Pre-measures to stop the growth of infectious diseases such as hepatitis B, hepatitis C and AIDS, reduce the morbidity and mortality of the disease, and strengthen the rural areas
【学位授予单位】：兰州大学
【学位级别】：硕士
【学位授予年份】：2010
【分类号】：R195;R181.3
本文编号：2488366
[Abstract]:Objective: To analyze the change trend of total mortality in Gansu Province from 1992 to 2007, the distribution of the cause of death in the population, to find out the main disease and the trend of the death of the residents in Gansu province, the mortality and trend of the main diseases, the mortality and the trend of the main diseases, and the distribution of the population. To analyze the incidence and trend of the legal infectious diseases of the class A and B in 1978-2007, the incidence of infectious diseases and the trend of the main infectious diseases, the distribution of the population, and provide the basis for the development of the health strategy of the residents in Gansu. Method: The data of the death of the population in Gansu Province is from the annual report of the disease monitoring point of Gansu Province from 1992 to 2007 and the medical certificate of the death of the resident of the monitoring point. The data of the infectious disease is derived from the surveillance of the disease surveillance of the disease in Gansu Province from 1978 to 2007 Material; annual estimated percentage change (EAPC) to measure the trend of various rates Potential. Results:1. The whole cause of death in Gansu Province in 16 years The Trend of the Trend of the 16-year Disease Mortality in Gansu Province and the Trend of the Trend of the Trend The change of the cause of death:1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1. The mortality rate of the group was-4.30%,-4.40% and the mortality of other age groups. The trend is not statistically significant,0-4 years and 60 years The death rate of the above-mentioned residents is the highest. 1.1.2 The main disease types of the death of the residents in Gansu Province: respiratory disease, circulatory system disease, tumor, injury poisoning and external cause of the four major diseases in Gansu Province, the total cause of death is more than 75% of the total cause of death, in order to affect the Gansu province. The main type of disease in the health of the population. Trends in mortality of major system diseases in the year of 1.2.1. Trends in mortality in the respiratory system: large fluctuations in mortality in the respiratory system, change There was no statistical significance in the trend (P0.05). The death rate of the cause of death of the male respiratory system was higher than that of the female, the number of deaths in the chronic lower respiratory tract and the number of deaths in the case of pneumonia accounted for 96.59. %, for the cause of death for major respiratory diseases. The mortality rate of the pneumonia is decreasing, EAPC =-9.79%, and the population of the death of the pneumonia is mainly concentrated in the age group of 0-4 years and above, and the death population of the chronic lower respiratory disease is concentrated at the age of 45 -59-year-old age group, population above 60 years of age. 1.2.2.2.2.2.2.2.2.2.2.2.2.2.2.2.2.2.2.2.2.2.2.2.2.2.2.2.2.2. The mortality of cerebrovascular disease and heart disease in 1992-2007 was 2.43%, among which, the mortality rate of cerebrovascular disease in men was 2.33%, which was lower than 2.53% of EAPC in female. The mortality rate of heart disease (EAPC) was 5.97%, among which, the death rate of cerebral vascular disease (EAPC) was 6.72% higher than that of female EAPC (5.23%); in 16 years, the death rate of cerebrovascular disease and heart disease was higher than that of female (175.33/10,000), and the mortality of cerebrovascular disease was higher than that of female (150.43/ 100,000), and the death of cerebrovascular disease and the cause of heart disease The death population is mainly concentrated in the population of over 45 years, of which the population of over 60 years of age The proportion is the largest, accounting for more than 60% of the whole population. 1.2.3 The trend of tumor mortality: the deaths of both men and women and all-people in 1992-2007 The trend of the rate of death was stable and the change of the trend was not statistically significant. The death rate of the cause of death of the male tumor was high. In the female, the death rate of the male tumor in all years was higher than that of the female. The cancer of the digestive organs was the main disease of the tumor. The trend of the death rate of the digestive organs of the male and female and the whole population was not statistically significant. The cancer mortality of the digestive organs in each year was higher than that of the female, and the digestive organs in each year were swollen. The death population of the tumor was mainly concentrated in the age group of over 60 years of age. 1.2.4 The trend of death, poisoning and external causes of death: male injury, poisoning and external cause and death rate were lower than that of women, the number of unintentional accidental deaths and the number of intentional accidental deaths were 8763 people, accounting for 97.04% of the total, are the main types of death for injury, poisoning and external causes; in each year, the unconsciousness of the male is higher than that of the female, the female with the conscious accidental death rate is slightly higher than that of the male, the difference is not statistically significant; the unintentional accidental death and the conscious The population of the accidental death was concentrated in the age of 15-44 Age group, followed by age group of 45-59 years and over 60 years. 2. The trend of the incidence of legal infectious diseases in Gansu Province in 30 years State 2.1 General incidence of infectious diseases, major infectious diseases, and type 2.1.1 overall incidence of infectious diseases:1978-20 In 2007, the incidence of infectious disease in Gansu province, EAPC, was-4.11%, and the incidence of hepatitis B, tuberculosis and hepatitis C increased year by year, among which, the incidence of hepatitis C was the fastest, EAPC was 20.56%, followed by the incidence of pulmonary tuberculosis. The rate of EAPC was 9.97%, and the incidence of hepatitis B (EAPC) was 7.86%. The incidence of dysentery and hepatitis A decreased year by year, and the incidence of hepatitis A (EAPC) was-11.40%, which was lower than that of the incidence of dysentery (EAPC =-9.34%), while the incidence of measles was EA. PC =-7.50%, but the fluctuation is large, the change trend is not statistical significance. 2.1.2 Main infectious diseases: the highest incidence of dysentery in the intestinal infectious disease is 70.27%, and the respiratory infectious disease is mainly tuberculosis, accounting for all 95.57%, blood-borne and sexually transmitted infectious diseases are mainly Hepatitis B (89.91%). 2.2 The incidence of major infectious diseases and the distribution of the population. 2.2.1 The incidence of hepatitis B: The incidence of hepatitis B in Gansu is increasing. EAPC = 11.18%, with an amplitude higher than that of the national hepatitis B (EAPC = 8.44%). In the young and middle-aged, that is, the age group of 15 to 44, the average of the total number of the whole province is 69.77%. The incidence of pulmonary tuberculosis in Gansu and the whole country was higher than that of the whole country in 1997-2007. The incidence of tuberculosis in Gansu province was 8.44%, and the rate of increase was faster than that of the national tuberculosis incidence EAPC = 8. 00%, male rate higher than female In 2007, the number of cases of tuberculosis reported was 60,65 and 70. Farmers, students, and retired persons The incidence of bacillary dysentery in Gansu and the whole country is decreasing year by year in 1991-2007, but the incidence of bacillary dysentery in Gansu Province is large, the trend is not obvious, and the main set of disease is the main disease. In the 0-20-year-old age group, 65.76% of the total number of patients and the number of peasants and the scattered children are the main ones. The incidence of AIDS, HIV infection and death was 48.17%,39. 2.4% of the total incidence and 30.48% of the total number of children, and the average annual growth rate of AIDS, HIV-infected persons and deaths from 1997 to 2007 was 48.17%,39. The transmission route of HIV-infected persons was mainly caused by the injection of drug, accounting for 38.41%. The infected persons accounted for 19.53% of the infected persons and 21% of the infected persons. 46%, 4.94% of same-sex transmission, 2.79% of mother-to-child transmission and 12.88 for transmission %. At the same time, in 2007, it was found that the infection of the infected persons accounted for 33.33%, becoming the main mode of transmission. The majority of the infected people were the young and the middle-aged and the 20-49 years of age account for the whole province. The average life expectancy of the residents in Gansu Province in 2007 is 72.10 years. The average life expectancy of the male is 70.38, the female is 74.08, the average life expectancy in 1995 is 71.2. In 2007, compared with 1995, the average life expectancy of the population increased by 0.89, the increase of 1.26%, and the average male's expectation. The life expectancy was increased by 1.30%, the average life expectancy of women was increased by 0.84, and the average life expectancy of the population was increased by 1.15%. Conclusion: The total death rate of the residents in Gansu is slightly lower, and the average life expectancy of the residents in 2007 and 1995 is 0.89. The health status of the residents is improved; chronic lower respiratory diseases, circulatory diseases, tumors, in particular digestive organs, injuries, poisoning and external causes, are the main system diseases affecting the health of the population, and chronic diseases The mortality rate of the circulatory system is still a rising trend, the rising speed is the heart disease, and the second is the cerebrovascular disease. The control of some infectious diseases, such as the pneumonia, presents a downward trend; the overall incidence of the infectious disease is shown to be a descending trend, but the hepatitis C, The rate of tuberculosis, hepatitis B and AIDS is fast, and the farmers and students are the main population of some diseases, such as hepatitis B and AIDS. In view of the causes of the cause of death and infectious diseases of the above-mentioned residents, it is suggested that we should gradually set up their response to the swelling in the development of future policies Chronic disease, such as tumor, circulatory system disease, etc. The system of monitoring and registration of the disease, strengthening the construction of the community health network, adopting the method of community prevention and control, and carrying out prevention and control of the chronic diseases, meanwhile, the monitoring of the infectious diseases should be further strengthened, the quality of the monitoring data can be improved, and the effective drying is carried out on the disease focal groups. Pre-measures to stop the growth of infectious diseases such as hepatitis B, hepatitis C and AIDS, reduce the morbidity and mortality of the disease, and strengthen the rural areas
【学位授予单位】：兰州大学
【学位级别】：硕士
【学位授予年份】：2010
【分类号】：R195;R181.3
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