2002-2015年上海市浦东新区育龄妇女死亡原因分析

发布时间：2019-06-25 12:09

【摘要】：目的了解2002-2015年浦东新区育龄妇女死亡情况,为制定相应的干预措施提供参考。方法对2002-2015年上海市浦东新区育龄妇女死亡资料进行流行病学分析,采用国际疾病分类标准第10版(ICD-10)对死因资料进行统一编码,利用死亡率、死因顺位、死因构成比、年度变化百分比(APC)描述育龄妇女死亡状况。结果 2002-2015年浦东新区育龄妇女死亡率为54.93/10万,死亡率随年龄增长而增高;肿瘤、损伤中毒以及循环系统疾病是育龄妇女的主要死因,合计占总死亡数的79.55%;15~29岁年龄组首位死因为损伤中毒,30~39岁年龄组以及40~49岁年龄组首位死因为肿瘤。14年间,育龄妇女死亡率呈现逐年下降趋势(APC=-4.47%,Z=15.37,P0.001),女性生殖器官恶性肿瘤死亡率呈现逐年上升的趋势(APC=6.50%,Z=2.90,P=0.013);结论浦东新区育龄妇女死亡率呈现降低趋势,不同年龄组死亡原因存在差异,应采取差异化的预防措施,尤其应注重针对女性生殖器官恶性肿瘤干预。
[Abstract]:Objective to investigate the mortality of women of childbearing age in Pudong New area from 2002 to 2015, and to provide reference for the formulation of corresponding intervention measures. Methods Epidemiological analysis of death data of women of childbearing age in Pudong New area of Shanghai from 2002 to 2015 was carried out. The death data of women of childbearing age were uniformly encoded by the 10th edition of the International Classification of Diseases (ICD-10). The mortality rate, cause of death order, constituent ratio of cause of death and annual percentage of death were used to describe the death status of women of childbearing age. Results from 2002 to 2015, the mortality rate of women of childbearing age in Pudong New area was 54.93 / 100000, and the mortality rate increased with the increase of age. Tumor, injury poisoning and circulatory system diseases were the main causes of death among women of childbearing age, accounting for 79.55% of the total deaths. The first death in the 15 age group was due to injury poisoning, the first death in the 30 age group and the 49 age group was tumor. During the 14 years, the mortality rate of women of childbearing age showed a decreasing trend year by year (APC=-4.47%,Z=15.37,P0.001), and the mortality rate of malignant tumors of female reproductive organs increased year by year (APC=6.50%,Z=2.90,P=0.013). Conclusion the mortality rate of women of childbearing age in Pudong New area shows a decreasing trend, and there are differences in the causes of death among different age groups. Differential preventive measures should be taken, especially attention should be paid to the intervention of malignant tumors of female reproductive organs.
【作者单位】：上海市浦东新区疾病预防控制中心复旦大学浦东预防医学研究院;复旦大学公共卫生学院;
【基金】：上海市浦东新区卫生系统重点专科(病)建设项目(PWZz2013-15)
【分类号】：R173

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