抄録
Up to now, there have been few studies on the mortality patterns in China. The objective of the study is to investigate the mortality pattern in the recent years in Tianjin, China, and to provide useful data and scientific evidence for decision making to prevent diseases in the various districts of Tianjin and its surrounding counties. Using the 1995 mortality data provided by the Department of Health, Tianjin, China, the mortality rates of Tianjin population were calculated by causes-of-death based on the International Classification of Diseases, 9th Revision (ICD-9). The mortality rates were compared with those of the urban areas of China and of Japan. In addition, SMRs for all causes and the three leading causes of death (Heart diseases, Cerebrovascular diseases, and Malignant neoplasms) in Tianjin were calculated by the districts and counties to examine the geographic differences of mortality. The total number of death was 48,983 in Tianjin. 30,592 deaths(62.5%) were attributed to the three leading causes of death, heart diseases (23.2%) had become the first cause of death in Tianjin. The age-specific mortality rates of heart diseases were higher in Tianjin than in the urban areas of China and Japan for both male and female. Especially, the rates of the people aged 45 years and older were much remarkable. Meanwhile, a lower mortality rates from malignant neoplasms were found for both sexes in Tianjin compared with the two regions mentioned above. The wide variation of SMRs from all causes of death and the three leading causes of death amongst regions within Tianjin were clearly observed. The study described the age-specific mortality rates of the three leading causes of death, and pointed out a higher rates from heart diseases in Tianjin relative to the Urban areas of China and Japan. The geographic differences of mortality from all causes and the three leading causes of death were cleared at first in Tianjin.