目的 了解2016—2020年芜湖市镜湖区居民死因分布、期望寿命、死亡率变化趋势。方法 根据2016—2020年芜湖市镜湖区居民死因监测资料,统一采用《国际疾病分类方法》(ICD-10)进行编码,将根本死因编码分成3大类和19小类进行分析,分析2016—2020年芜湖市镜湖区居民死亡率(MR)、标化死亡率(SMR)、年龄别死亡率(ASDR)、死因顺位、人均期望寿命(LE₀)、去死因期望寿命(LE^－e₀)等指标。结果 2016—2020年芜湖市镜湖区居民MR为567.38/10万,SMR为519.21/10万。前5位死因依次为恶性肿瘤、脑血管病、心脏病、呼吸系统疾病、伤害。前5位死因中,脑血管病和心脏病对女性LE₀影响大于男性LE₀,其他3位死因对男性LE₀影响大于女性LE₀。结论 慢性非传染性疾病(简称慢性病)已成为居民的主要死因,在制定卫生政策时应根据性别、年龄等变量制定相应的防控措施,同时应将男性和老年人群做为后期防控工作的重点关注对象。

Objective To understand the trend of death cause distribution,life expectancy and mortality in Jinghu District of Wuhu City from 2016 to 2020. Methods According to the 2016—2020 monitoring data on the causes of death of residents in Jinghu District,Wuhu City,the International Classification of Diseases (ICD-10) was used for coding,and the codes of fundamental death causes were divided into 3 categories and 19 subcategories for analysis.The mortality rate (MR),standardized mortality rate (SMR),age-specific mortality rate (ASDR),order of death causes,life expectancy per capita(LE₀) and cause-free life expectancy (LE^－e₀) and other indicators in Jinghu District,Wuhu City from 2016 to 2020 were analyzed. Results From 2016 to 2020,the MR and SMR of Jinghu District residents were 567.38/100,000 and 519.21/100,000,respectively.The top five causes of death were malignant tumor,cerebrovascular disease,heart disease,respiratory disease and injury.Among the top five causes of death,cerebrovascular disease and heart disease had greater influence on female LE₀ than male LE₀,and the other three causes of death had greater influence on male LE₀ than female LE₀. Conclusion Chronic non-communicable diseases have become the main causes of death for residents.Health policies should be developed with prevention and control measures based on variables such as gender and age.At the same time,male and elderly people should be the focus of the later prevention and control work.