Qian Peng1, Na Zhang2,3,4, Hongjie Yu1, Yueqin Shao1, Ying Ji1, Yaqing Jin1, Peisong Zhong1, Yiying Zhang1, Yingjian Wang2,3,4, Shurong Dong2,3,4, Chunlin Li2,3,4, Ying Shi2,3,4, Yingyan Zheng2,3,4, Feng Jiang2,3,4, Yue Chen5, Qingwu Jiang2,3,4, Yibiao Zhou6,7,8. 1. Jiading District Center for Disease Control and Prevention, Shanghai, 201800, China. 2. Fudan University School of Public Health, Building 8, 130 Dong'an Road, Xuhui District, Shanghai, 200032, China. 3. Key Laboratory of Public Health Safety, Fudan University, Ministry of Education, Building 8, 130 Dong An Road, Xuhui District, Shanghai, 200032, China. 4. Fudan University Center for Tropical Disease Research, Building 8, 130 Dong'an Road, Xuhui District, Shanghai, 200032, China. 5. School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, Canada. 6. Fudan University School of Public Health, Building 8, 130 Dong'an Road, Xuhui District, Shanghai, 200032, China. ybzhou@fudan.edu.cn. 7. Key Laboratory of Public Health Safety, Fudan University, Ministry of Education, Building 8, 130 Dong An Road, Xuhui District, Shanghai, 200032, China. ybzhou@fudan.edu.cn. 8. Fudan University Center for Tropical Disease Research, Building 8, 130 Dong'an Road, Xuhui District, Shanghai, 200032, China. ybzhou@fudan.edu.cn.
Abstract
BACKGROUND: Improvements of population health in China have been unevenly distributed among different sexes and regions. Mortality Registration System provides an opportunity for timely assessments of mortality trend and inequalities. METHODS: Causes of death were reclassified following the method of Global Burden of Disease Study (GBD). Age-standardized mortality rate (ASMR) and ring-map of the rate by town were used to describe inequalities in changing mortality. Life expectancy (LE) and cause-deleted LE were calculated on the basis of life table technique. RESULTS: The burden of death from 2002 to 2018 was dominated by cardiovascular diseases (CVD), neoplasms, chronic respiratory diseases and injuries in Jiading district, accounting for almost 80% of total deaths. The overall ASMR dropped from 407.6/100000 to 227.1/100000, and LE increased from 77.86 years to 82.31 years. Women lived about 3.0-3.5 years longer than men. Besides, a cluster of lower LE was found for CVD in the southeast corner and one cluster for neoplasms in the southern corner of the district. The largest individual contributor to increment in LE was neoplasms, ranged from 2.41 to 3.63 years for males, and from 1.60 to 2.36 years for females. CONCLUSIONS: Improvement in health was mainly attributed to the decline of deaths caused by CVD and neoplasms, but was distributed with sex and town. This study served as a reflection of health inequality, is conducive to formulate localized health policies and measures.
BACKGROUND: Improvements of population health in China have been unevenly distributed among different sexes and regions. Mortality Registration System provides an opportunity for timely assessments of mortality trend and inequalities. METHODS: Causes of death were reclassified following the method of Global Burden of Disease Study (GBD). Age-standardized mortality rate (ASMR) and ring-map of the rate by town were used to describe inequalities in changing mortality. Life expectancy (LE) and cause-deleted LE were calculated on the basis of life table technique. RESULTS: The burden of death from 2002 to 2018 was dominated by cardiovascular diseases (CVD), neoplasms, chronic respiratory diseases and injuries in Jiading district, accounting for almost 80% of total deaths. The overall ASMR dropped from 407.6/100000 to 227.1/100000, and LE increased from 77.86 years to 82.31 years. Women lived about 3.0-3.5 years longer than men. Besides, a cluster of lower LE was found for CVD in the southeast corner and one cluster for neoplasms in the southern corner of the district. The largest individual contributor to increment in LE was neoplasms, ranged from 2.41 to 3.63 years for males, and from 1.60 to 2.36 years for females. CONCLUSIONS: Improvement in health was mainly attributed to the decline of deaths caused by CVD and neoplasms, but was distributed with sex and town. This study served as a reflection of health inequality, is conducive to formulate localized health policies and measures.
Entities:
Keywords:
Age-standardized mortality rate; Cause of death; Health inequality; Life expectancy
Authors: G Alicandro; G Sebastiani; P Bertuccio; N Zengarini; G Costa; C La Vecchia; L Frova Journal: Public Health Date: 2018-08-30 Impact factor: 2.427