关键词: 死亡率, 死因, Fulfillment指数, 慢性非传染性疾病

Abstract: Objective　To explore the level and causes of death and its characteristics among community residents in Xihu district of Nanchang in 2014，in order to provide a scientific basis for appropriate disease prevention and control strategies and improve the level of life and health.Methods　We obtained deaths and population data for community residents in Xihu district in 2014 from Xihu District Center for Disease Control and Prevention.The international classification of diseases（ICD-10） was adopted to classify the underlying causes of death.Using indicators such as mortality，proportion of deaths，and etc，for descriptive analysis on level and causes of death cis-position.Fulfillment index was calculated based on abridged and cause-eliminated life tables.Results　A total of 2 428 deaths occurred among community residents of Xihu district of Nanchang in 2014.The figure translated into a crude mortality rate of 535.40/100 000 and a standardized mortality rate of 463.06/100 000，respectively.The top 5 causes of death were circulatory diseases，cancer，respiratory diseases，accidents and endocrinology and nutrition and metabolic diseases，which accounted for 2 210 residents deaths.This figure represented 91.02% of all deaths.The leading cause of death were some certain conditions originating in the perinatal period and accidents in the 0-14 year-old age group，tumors and accidents in the 15-44 year-old age group，tumors and circulatory diseases in the 45-64 year-old age group，circulatory diseases，tumors and respiratory diseases in the age 65 and older group.Fulfillment index distribution was as follows：circulatory diseases mainly occurred at age 65 and older，Fulfillment index was more than 30.00%.The occurrence of tumors focused on the age of 20 to 69 year-old，Fulfillment index was 18.17% to 44.78%.Respiratory diseases focused on age 60 and older，Fulfillment index was 9.30% to 17.76%.Accidents mainly occurred in 10-24 year-old group，Fulfillment index was up to 66.66% in the 15-19 year-old group.Fulfillment index of endocrinology and nutrition and metabolic diseases was up to 49.99% at the age of 10-14 year-old.Circulatory diseases mainly included cerebrovascular disease，heart disease and hypertension，which accounted for 99.01% of all circulatory diseases.As for the tumors，the top 3 most frequent malignancies were cancer of lung，liver and gastric，which accounted for 56.63%.Respiratory diseases were mainly chronic obstructive pulmonary diseases，which accounted for 67.73%.Accidents were mainly traffic accidents，falls or drops，which accounted for 65.93%.The diabetes was the most frequent endocrinology and nutrition and metabolic diseases and accounted for 87.69%.Conclusion　Chronic non-communicable diseases and accidents are major conditions that affected the health of residents in Xihu district of Nanchang city.It is suggested to intervene mainly different types of diseases for different population age groups in order to reduce the morbidity and mortality of the whole residents and improve population health.

Key words: Mortality, Death causes, Fulfillment index, Noncommunicated chronic disease