人口老龄化对中国人群主要慢性非传染性疾病死亡率的影响

何柳; 石文惠

doi:10.16462/j.cnki.zhjbkz.2016.02.004

人口老龄化对中国人群主要慢性非传染性疾病死亡率的影响

doi: 10.16462/j.cnki.zhjbkz.2016.02.004

何柳,
石文惠^,

中国疾病预防控制中心慢性病防治与社区卫生处, 北京 102206

基金项目:

中国疾病预防控制中心青年科研基金（2013B104）

详细信息

作者简介:
何柳(1984-),女,四川成都人,博士,助理研究员。主要研究方向:慢性病预防与控制。

中图分类号: R181
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出版历程
- 收稿日期: 2015-12-30
- 修回日期: 2016-01-24

Quantitative analysis of population aging on mortality disparities for major non-communicable diseases in China

HE Liu,
SHI Wen-hui^,

Division of Non-Communicable Disease Control & Community Health, Chinese Center for Disease Control and Prevention, Beijing 102206, China

摘要

摘要: 目的定量评价人口老龄化对中国人群主要慢性病死亡率的影响。方法利用2006-2013年全国疾病监测系统分病因死亡率资料，采用死亡率差别分解方法，计算主要慢性病死亡率变化受人口老龄化因素的影响程度。结果 2006-2013年中国人群肺癌、肝癌、冠心病、脑血管疾病和道路交通伤害死亡率总体呈上升趋势，其增加幅度分别有76.9%、178.5%、51.2%、105.3%和22.7%归因于人口老龄化；分性别比较，人口老龄化对脑血管疾病、道路交通伤害死亡率增加的影响程度在女性人群中更为明显，对肺癌、肝癌、冠心病死亡率增加的影响程度在男性人群中较为明显；分城乡比较，人口老龄化对肺癌、肝癌、冠心病、脑血管疾病死亡率增加的影响在城市人群较突出，对道路交通伤害死亡率的影响在农村人群更明显。结论人口老龄化是中国人群主要慢性病死亡率增加的重要因素，影响程度存在性别和城乡差异。针对不同人群的老龄化程度，制定相应的预防控制措施并合理配置卫生资源，具有重要的公共卫生学意义。
- 慢性病 /
- 死亡率 /
- 年龄因素
Abstract: Objective To estimate the impact of population aging on mortalities for major non-communicable diseases in China. Methods Mortality data from the National Diseases Surveillance System 2006-2013 were acquired to calculate the contribution of population aging to the increase of deaths for major non-communicable diseases, by decomposing the differences of death rates. Results Generally, the mortality rates showed increasing trends for coronary heart disease, cerebrovascular disease, lung cancer, liver cancer and traffic injury in China from 2006 to 2013. 76.9%, 178.5%, 51.2%, 105.3% and 22.7% of the increase of deaths caused by lung cancer, liver cancer, coronary heart disease, cerebrovascular disease, and traffic injury, respectively, were attributed to population aging; furthermore, the contribution of population aging on increase of deaths for lung cancer, liver cancer and coronary heart disease were greater in men than in women, while those on cerebrovascular disease and traffic injury were more serious in women. In addition, population aging contributed more to the increase of deaths caused by lung cancer, liver cancer, coronary heart disease and cerebrovascular disease in urban population than their rural counterparts. Conclusions This study indicated that population aging in China will result in sizeable increases in mortalities for liver cancer, lung cancer and cardiovascular disease.These disparities may have implications for public health in both non-communicable chronic disease prevention and health service research.
- Chronic disease /
- Mortality /
- Age factors

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参考文献(15)

Yang G, Wang Y, Zeng Y, et al. Rapid health transition in China,1990-2010:findings from the Global Burden of Disease Study 2010 [J]. Lancet, 2013,381(9882):1987-2015.

吴玉韶. 中国老龄事业发展报告(2013) [M]. 北京:社会科学文献出版社, 2013.

中国疾病预防控制中心. 全国疾病监测系统死因监测数据集2006 [M]. 北京:军事医学科学出版社, 2010.

中国疾病预防控制中心. 中国死因监测数据集2013 [M]. 北京:科学普及出版社, 2015.

杨功焕,王俊芳,万霞,等. 影响中国人群疾病死亡因素的定量分析 [J]. 中华流行病学杂志, 2005,26(12):934-938.

周脉耕,王黎君,黄正京,等. 死亡率差别分解法在冠心病死亡率分析中的应用 [J]. 中国卫生统计, 2005,22(2): 92-94.

Robine JM, Michel JP. Looking forward to a general theory on population aging [J]. J Gerontol A Biol Sci Med Sci, 2004,59(6):M590-597.

Feigin VL, Forouzanfar MH, Krishnamurthi R, et al. Global and regional burden of stroke during 1990-2010:findings from the Global Burden of Disease Study 2010 [J]. Lancet, 2014,383 (9913):245-254.

Murray CJ, Atkinson C, Bhalla K, et al. The state of US health,1990-2010:burden of diseases,injuries,and risk factors [J]. JAMA, 2013,310(6):591-608.

陈万青,张思维,郑荣寿,等. 中国2009年恶性肿瘤发病和死亡分析 [J]. 中国肿瘤, 2013,22(1):2-12.

Qu C, Chen T, Fan C, et al. Efficacy of neonatal HBV vaccination on liver cancer and other liver diseases over 30-year follow-up of the Qidong hepatitis B intervention study: a cluster randomized controlled trial [J]. PLoS Med, 2014,11(12):e1001774.

Alzahrani B, Iseli TJ, Hebbard LW. Non-viral causes of liver cancer: does obesity led inflammation play a role [J]. Cancer Lett, 2014,345(2):223-229.

He L, Tang X, Song Y, et al. Prevalence of cardiovascular disease and risk factors in a rural district of Beijing, China: a population-based survey of 58,308 residents [J]. BMC Public Health, 2012,12:34.

Mahmood SS, Levy D, Vasan RS, et al. The Framingham Heart Study and the epidemiology of cardiovascular disease: a historical perspective [J]. Lancet, 2014,383(9921):999-1008.

Kano M, Hotta M, Prasad A. Inequalities in noncommunicable disease mortality in the ten largest Japanese cities [J]. J Urban Health, 2013,90(6):1041-1052.

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