Analysis of Death Causes and Time Trend of Urban Residents in Shenyang during 1992 to 2008

Objective To find out the main death causes,regular pattern of death and time trend of mortality rate in the urban residents from 1992 to 2008.Methods Data from the Death Cause Surveillance in Shenyan during 1992 to 2008 was used to analyze the proportion of death cause,mortality rates and its changing trend.Results The mortality rate of residents was 662.4/105,the standardized mortality rate was 615.7/105,and presented the trend of crude death rate(CDR)increasing and standardized mortality rate decreasing,resulted in 1.8%for CDR and 2%for standardized mortality rate;the time trend was statistically significant;The standardized one in male was higher than in female.The first five kinds of death causes were malignant neoplasm,cardiovascular disease,cerebrovascular disease,diseases of respiratory system and diabetes,which accounted for 83.7%of all causes;Decreasing rates were observed for Infectious disease,malignant neoplasm,cardiovascular disease,cerebrovascular disease,diseases of respiratory system,diseases of the digestive system,disease of pregnancy and parturition,disease of muscle and bones,and disease of the nervous system.The increasing rates included injury and poisoning,diabetes among both men and women.The changes of above mortality rates over time were statistically significant(P0.05 or P0.1).Conclusion The proportion of non-communicable disease was highest in total death;it was the main death causes that endanger the health of urban residents of the city,and age and mortality rate of injury and poisoning were increasing.So it is urgent to strengthen the prevention and control on non-communicable disease.The government should be paid more attention to elder,and bring injure into the disease control and prevention planning as soon as possible.