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. 2022 May 17;12(1):8119.
doi: 10.1038/s41598-022-12256-8.

The top 5 causes of death in China from 2000 to 2017

Haiyin Zou  1   2 , Zheng Li  1 , Xinjie Tian  3 , Yongcheng Ren  4   5
Affiliations

The top 5 causes of death in China from 2000 to 2017

Haiyin Zou et al. Sci Rep. .

Abstract

Limited information is available on the epidemiological characteristics of major causes of death in the last 18 years. In this study, we investigated the epidemiological characteristics of the top 5 causes of death in China from 2000 to 2017. Data were obtained from the 18-year reports of Ministry of Health and analyzed by Grid Search Method, Permutation test, and log-linear regression model. The top 5 consistent causes of death, malignant tumor, cerebrovascular disease, heart trouble, respiratory disease, trauma and toxicosis accounted for 82.6% in 2000, 86.49% in 2017 in urban areas and 83.31% in 2000, 88.34% in 2017 in rural areas. The increasing trends (P < 0.05) of proportions of death of malignant tumor, cerebrovascular disease, and heart trouble have average annual percent change (AAPC) = 0.5%, 0.3%, 2.4% in urban areas and 1.7%, 1.5%, 4.3% in rural areas. The AAPCs of respiratory disease are - 1.4% in urban areas and - 3.6% in rural areas. Cardio-cerebrovascular disease increased (Urban: 39.02% to 43.56%, AAPC = 1.3%, P < 0.05; Rural: 32.03% to 45.91%, AAPC = 2.7%, P < 0.05) steeply from 2000 to 2017 which are higher than that of malignant tumor (P < 0.05). The top 5 causes of death in China accounted for more than 85% of all deaths in 2017, in which cardio-cerebrovascular disease accounted for the largest proportion with the steepest increasing trend.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Figure 1
Figure 1
Comparison of trends for malignant tumor and cardio-cerebrovascular disease as causes of death in urban areas of China from 2000 to 2017. Note A all; M male; F female; 1 line chart based on raw data; 2 Joinpoints graph for malignant tumor; 3 Joinpoints graph for cardio-cerebrovascular disease; APC Annual Percent Change; AAPC Average Annual Percent Change; *Indicates that AAPC or APC is significantly different from zero at the alpha = 0.05 level. x-axis: year; y-axis: the proportion of deaths.
Figure 2
Figure 2
Comparison of trends for malignant tumor and cardio-cerebrovascular disease as causes of death in rural areas of China from 2000 to 2017. Note A all; M male; F female; 1 line chart based on raw data; 2 Joinpoints graph for malignant tumor; 3 Joinpoints graph for cardio-cerebrovascular disease; APC Annual Percent Change; AAPC Average Annual Percent Change; *Indicates that AAPC or APC is significantly different from zero at the alpha = 0.05 level. x-axis: year; y-axis: the proportion of deaths.
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