Analysis and evaluation on the causes of deaths and PYLL among adolescents in Cixi City from 2004 to 2013

Objective To understand the causes of death in children and adolescents at 5- 19 years of age from 2004 to 2013 in Cixi City. Method According to data of diseases surveillance in Cixi City during the 10 years, the health indexes of mortality, potential years of life lost (PYLL), potential years of life lost rate (PYLL‰), standardized potential years of life lost (SPYLL), standardized potential years of life lost rate (SPYLL‰) were applied to analyze the causes of death and evaluate the burdens of mortality. Result The total mortality of the children and adolescents was 25.56/105, and standardized mortality was 25.26/105. Boys had higher mortality (33.20/105) than girls (17.91/105), and there was statistical significance in the prevalence between male and female. Death of injury & poisoning (13.77/105) and tumors (5.78/105) respectively ranked at the first two leading causes, accounting for 76.46% of total deaths. PYLL was 24 624 years, standardized PYLL was 37 417.02 years, and the rate of PYLL was 2.59‰ . Conclusion Injury, poisoning and tumors were the major risk factors among children and adolescents aged 5-19 years in Cixi City. Therefore, effective measures should be taken to strengthen the preventive force and promote the development of comprehensive mental and physical pediatric care. Key words: Child; Adolescents; Mortality; Cause of death