全民健康形势下上海市闵行区居民健康水平分析
发布时间：2018-08-27 16:01
【摘要】：目的通过分析上海市闵行区1993—2015年户籍居民死亡及2002—2015年传染病发病数据,评价居民的健康水平。方法采用描述性流行病学方法对闵行区1993—2015年户籍居民人均期望寿命(average life expectancy,ALE)变化、死亡率水平、死因顺位变化及2002—2015年传染病发病情况、发病趋势进行分析。结果 1993—2015年间,上海市闵行区全人群ALE从71.78岁上升到83.58岁,提高了11.80岁。其中,男性从67.34岁提高到81.37岁,提高了14.03岁;女性从76.22岁提高到85.89岁,提高了9.67岁。2015年上海市闵行区户籍居民粗死亡率为755.35/10万,比1993年上升21.45%,比2014年上升2.71%;同年,全人群标化死亡率为196.07/10万,比1993年下降54.17%,比2014年下降0.51%。2015年上海市闵行区户籍居民前5位死因依次为循环系统疾病,肿瘤,呼吸系统疾病,内分泌、营养和代谢性疾病(简称代谢病)及损伤中毒,占全人群总死亡数的91.33%。2002-2015年上海市闵行区共报告法定传染病23种,累计发病人数62 845例,死亡152例。传染病总报告发病率急剧增长,14年间增长291.98%(Z=10943.83,P0.001),标化后依然呈上升趋势。2015年传染病发病率前5位依次为手足口病(hand foot and mouth disease,HFMD)、猩红热、梅毒、肺结核和乙肝。结论上海市闵行区多年来通过整合区域内各级医疗卫生机构的资源,全方位贯彻"将健康融入所有政策"的要求。居民人均期望寿命处于较高水平,慢性病综合防控和重大传染病的防控仍然是今后一段时期内公共卫生工作的重点。
[Abstract]:Objective to evaluate the health status of residents in Minhang District of Shanghai by analyzing the data of household deaths and infectious diseases from 1993 to 2015. Methods descriptive epidemiological methods were used to analyze the changes of average life expectancy (average life expectancy,ALE), the level of death rate, the cause of death, the incidence of infectious diseases from 2002 to 2015, and the trend of incidence of infectious diseases in Minhang District from 1993 to 2015. Results from 1993 to 2015, the ALE of the whole population in Minhang District of Shanghai increased from 71.78 to 83.58 years old, an increase of 11.80 years. Of these, the male increased from 67.34 to 81.37, an increase of 14.03 years, and the female from 76.22 to 85.89, an increase of 9.67 years. In 2015, the crude death rate of residents registered in Minhang District in Shanghai was 755.35 / 10 million, an increase of 21.4545% over 1993 and 2.71% higher than that of 2014; in the same year, The standardized mortality rate of the whole population is 196.07% / 100 000, which is 54.17% lower than 1993, 0.51% lower than 2014. In 2015, the top five causes of death among residents of Minhang District in Shanghai were circulatory diseases, tumors, respiratory diseases, endocrine, etc. Nutritional and metabolic diseases (metabolic diseases) and injury poisoning accounted for 91.33% of the total deaths in the whole population. 23 kinds of statutory infectious diseases were reported in Minhang District of Shanghai from 2002 to 2015. The cumulative number of cases was 62,845 cases and 152 cases of death. The total reported incidence of infectious diseases increased by 291.98% (ZT10943.83 P0.001) in 14 years, and still showed an upward trend after standardization. In 2015, the top five infectious diseases were hand, foot and mouth disease (hand foot and mouth disease,HFMD), scarlet fever, syphilis, tuberculosis and hepatitis B. Conclusion for many years, Minhang District of Shanghai has implemented the requirement of "integrating health into all policies" by integrating the resources of medical and health institutions at all levels in the region. The average life expectancy of residents is at a high level. The comprehensive prevention and control of chronic diseases and the prevention and control of major infectious diseases are still the focus of public health work in the future.
【作者单位】： 上海市闵行区疾病预防控制中心;上海市闵行区卫生和计划生育委员会;
【基金】：上海市研究生教育创新计划 上海市公共卫生与预防医学Ⅰ类高峰学科建设计划~~
【分类号】：R181.3
[Abstract]:Objective to evaluate the health status of residents in Minhang District of Shanghai by analyzing the data of household deaths and infectious diseases from 1993 to 2015. Methods descriptive epidemiological methods were used to analyze the changes of average life expectancy (average life expectancy,ALE), the level of death rate, the cause of death, the incidence of infectious diseases from 2002 to 2015, and the trend of incidence of infectious diseases in Minhang District from 1993 to 2015. Results from 1993 to 2015, the ALE of the whole population in Minhang District of Shanghai increased from 71.78 to 83.58 years old, an increase of 11.80 years. Of these, the male increased from 67.34 to 81.37, an increase of 14.03 years, and the female from 76.22 to 85.89, an increase of 9.67 years. In 2015, the crude death rate of residents registered in Minhang District in Shanghai was 755.35 / 10 million, an increase of 21.4545% over 1993 and 2.71% higher than that of 2014; in the same year, The standardized mortality rate of the whole population is 196.07% / 100 000, which is 54.17% lower than 1993, 0.51% lower than 2014. In 2015, the top five causes of death among residents of Minhang District in Shanghai were circulatory diseases, tumors, respiratory diseases, endocrine, etc. Nutritional and metabolic diseases (metabolic diseases) and injury poisoning accounted for 91.33% of the total deaths in the whole population. 23 kinds of statutory infectious diseases were reported in Minhang District of Shanghai from 2002 to 2015. The cumulative number of cases was 62,845 cases and 152 cases of death. The total reported incidence of infectious diseases increased by 291.98% (ZT10943.83 P0.001) in 14 years, and still showed an upward trend after standardization. In 2015, the top five infectious diseases were hand, foot and mouth disease (hand foot and mouth disease,HFMD), scarlet fever, syphilis, tuberculosis and hepatitis B. Conclusion for many years, Minhang District of Shanghai has implemented the requirement of "integrating health into all policies" by integrating the resources of medical and health institutions at all levels in the region. The average life expectancy of residents is at a high level. The comprehensive prevention and control of chronic diseases and the prevention and control of major infectious diseases are still the focus of public health work in the future.
【作者单位】： 上海市闵行区疾病预防控制中心;上海市闵行区卫生和计划生育委员会;
【基金】：上海市研究生教育创新计划 上海市公共卫生与预防医学Ⅰ类高峰学科建设计划~~
【分类号】：R181.3
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