(Dept. of General Practice, Yichuan Street Community Health Service Center of Putuo District, Shanghai 200065, China;Dept. of Infectious Disease Surveillance, Shanghai International Travel Healthcare Center, Shanghai 200322, China;Dept. of Neurology, Shanghai University of Medicine & Health Sciences Affiliated Zhoupu Hospital, Pudong New Area, Shanghai 201318, China;Dept. of General Practice, Wanggang Community Health Service Center, Pudong New Area, Shanghai 201201, China;Office of Scientific Research and information Management, Center for Disease Control and Prevention, Pudong New Area, Fudan University Pudong Institute of Preventive Medicine, Shanghai 200136, China)
ObjectiveTo analyze the characteristics and trend of the death of the residents in a suburb of Shanghai. MethodsAccording to the mortality data of residents from 2009 to 2019 in a suburban community of Shanghai Pudong New Area, the crude mortality, age-standardized mortality rate by Chinese standard population(ASMRC), average annual percent change(AAPC) were calculated, and the contribution of demographic and non-demographic factors to all cause death were calculated by the differential decomposition method. ResultsFrom 2009 to 2019, 2751 people died in this community, with a crude mortality rate of 714.37/100000 and ASMRC of 266.45/100000. The ASMRC showed a significant downward trend ［AAPC (95%CI)=-1.71%(-3.01%, -0.40%), P=0.03］. The crude mortality rate showed a significant upward trend ［AAPC (95%CI)=2.42%(0.74%,4.12%), P=0.004］. The crude mortality rate of men showed an upward trend ［AAPC (95%CI)=3.24%(1.31%,5.20%), P=0.02］; and the standardized mortality rate of women showed a significant downward trend ［AAPC (95%CI)=-2.77%(-4.77%,-0.72%), P=0.04］. The crude mortality and standardized mortality of malignant tumors in males were higher than those in females (P<0.05). Based on 2009, the contribution of demographic factors to the added mortality in 2014-2019 was 151.08/100000 with a contribution rate of 73.78%, which was higher than the corresponding data in 2009-2013 (37.55/100000, 61.58%). ConclusionThe increase of crude mortality rate of local residents is mainly related to population aging. Paying attention to the health needs of the elderly in the community will help to improve the health level of local residents.