Title：Analysis of the causes of death of the residents around the mining area in Chenzhou City, Hunan Province, 2013-2017
作者：朱韩武,周虹,曹慧芳,何兢,谭徽
关键词：矿区,周边居民,死因监测
论文类型：期刊论文
论文来源：中国卫生产业 2019
摘要：目的通过对郴州矿区周边居民死亡原因的分析，为制定特定环境下的疾病防治策略提供科学依据。方法以2013-2017年石柱源矿区、黄沙坪矿区、马潭矿区居民死亡病例为研究对象，对基本死亡原因进行调查和分类，采用描述性流行病学方法对死亡原因资料进行分析。结果2013-2017年，矿区所在乡镇（白鹿塘镇、黄沙坪镇、马潭镇）共报告死亡3042例，年平均粗死亡率504.75/10万。每年的粗死亡率依次为373.73/100000、395.89/100000、464.38/100000、626.84/100000和637.25/100000。各年粗死亡率差异有统计学意义（x2=153.50，P<；0.01）。死亡原因前五位依次为：心脏前五位死亡原因占总死亡原因的85.73%。死因前五位的死亡率有统计学意义（x2=597.59，P&L）T；0.01）；死因前五位的恶性肿瘤依次为肺癌（24.23/10万）、其他恶性肿瘤（17.26/10万）、肝癌（16.92/10万）、胃癌（9.79/10万）、白血病（5.31/10万）；慢性病矿区三种主要疾病，总死亡率为4.4353/10万，占全部死亡疾病的87.87%。结论郴州矿区居民主要死亡疾病为慢性非传染性疾病。要进一步加强健康教育和健康促进，落实健康行为规范。。。
Abstract：Objective to provide scientific basis for making disease prevention and control strategy under specific environment by analyzing the causes of death of residents around Chenzhou Mining Area. Methods the death cases of the residents in Shizhuyuan mining area, Huangshaping mining area and Matan mining area from 2013 to 2017 were selected as the research objects, the basic causes of death were investigated and classified, and the data of the causes of death were analyzed by descriptive epidemiological method. Results from 2013 to 2017, 3042 cases of death were reported in the towns where the mining area is located (bailutang Town, Huangshaping town and Matan town), with an average annual crude mortality of 504.75/100000. The crude mortality of each year in turn was 373.73/100000, 395.89/100000, 464.38/100000, 626.84/100000 and 637.25/100000. The difference of the crude mortality of each year was statistically significant (χ 2 = 153.50, P & lt; 0.01). The top five causes of death were: heart The mortality of the first five causes of death accounted for 85.73% of the total. The mortality of the top five causes of death was statistically significant (χ 2 = 597.59, P & L) T; 0.01); the top five malignant tumors in the death cause diseases were lung cancer (24.23 / 100000), other malignant tumors (17.26 / 100000), liver cancer (16.92 / 100000), gastric cancer (9.79 / 100000), leukemia (5.31 / 100000); chronic diseases were the main three kinds of diseases in the mining area, with a total mortality of 4.4353/100000, accounting for 87.87% of all death diseases. Conclusion the main death diseases of the residents around Chenzhou Mining Area are chronic non communicable diseases. It is necessary to further strengthen health education and health promotion, implement health behavior intervention strategy, continuously improve health risk factors, and improve residents' self-protection awareness and behavior.
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