Death pattern of residents in Guangdong Province,2004—2005

Objective To understand the level of mortality,causes of death and trends of urban and rural residents in Guangdong Province,to grasp the main cause of death and population distribution.Methods Thirteen counties are selected to conduct death retrospective survey by cluster random sampling method.Data from 12 counties were analyzed.The indicators included death rate,standard death rate,and order of death causes.Results The crude death rate was 658.6/100 000,while the standard death rate 436.3/100 000.The standard death rate was 549.4/100 000 in male,higher than that(334.0/100 000) in female(P0.01);and was 458.6/100 000 in rural area,higher than that(387.2/100 000) in urban area(P0.01).Chronic non-communicable diseases,injury and poisoning,infectious diseases and maternal and child disease death rates were 560.6/100 000,50.9/100 000 and 34.1/100 000,respectively,accounting for 85.1%,7.7% and 5.2% of the total cause of death.The top five causes of death were cancer,cerebrovascular disease,cardiovascular disease,respiratory disease,injury and poisoning.The mortality rate of perinatal diseases was the highest for the age under 5 years,accounting for 35.1% of the total death cause.For 5-14 years old children,the top cause of death was injuries and poisoning(55.8%).Cancer(38.1 %) was the first cause of death for 15-59 years old people.The top cause of death was circulation system disease(44.5%) for old people aged 60 years old and above.Average life expectancy of residents was 75.5 years.The total years of potential life loss(YPLL) was about 3 406 thousand person-years,2 079 thousand person-years in male,1 327 thousand person-years in female,and 1 426 thousand person-years in urban area,1 980 thousand person-years in rural area.YPLL induced by chronic non-communicable diseases,injury and poisoning,infectious diseases and maternal and infant disease were 1 641 thousand person-years,1 163 thousand person-years,492 thousand person-years,respectively,accounting for 48.2%,34.1%,14.5%,respectively.Conclusion Death rate in Guangdong was higher than average lever.Chronic non-communicable diseases have become the main cause of death,and mainly jeopardized residents' health.It is high time to take comprehensive measures to curb the progressive tend.