可持续发展目标 3.4.1 (SDG3.4.1) 的目标是到 2030 年（相对于 2015 年）将 30-69 岁非传染性疾病 (NCD) 死亡率降低三分之一。指导干预措施以实现这一目标需要对根本死因（UCoD）进行可靠的估计。当心血管疾病（CVD）和糖尿病同时存在时，由于此类死亡的证明缺乏一致性，这可能会出现问题。我们根据经验估计斐济 2013-17 年非传染性疾病死亡率，按性别和种族划分，包括 CVD、糖尿病、癌症和慢性下呼吸道疾病 (CRD)，并汇总为 NCD4。UCoD 根据死因医学证明确定（ MCCD）由斐济卫生部在对存在糖尿病和/或高血压的死亡率数据进行预处理后生成，以生成具有国际可比性的 UCoD。如果 MCCD 第 I 部分（直接原因）中的这些原因没有伴随糖尿病或高血压的潜在致命并发症，则这些情况将重新分配到第 II 部分（促成原因）。按原因计算了 30 岁的人在 70 岁之前死亡的概率 (PoD30-70)。 2013-17 年 NCD4 的 PoD30-70 因性别和种族而异：女性为 36 i-Taukei 为 % (95%CI 35-37%)，印度裔斐济人 (FID) 为 27% (26-28%)；男性中，i-Taukei 和 FID 中的这一比例均为 41% (40-42%)。女性中 CVD、糖尿病、癌症和 CRD 的 PoD30-70 比例为：18%、10%、13% 和 1·0% i-Taukei； FID 中为 13%、10%、5·6% 和 1·1%；男性中 i-Taukei 的比例为：28%、8.4%、7·6% 和 2·2%； FID 为 31%、8.3%、3.5% 和 3·1%。为了到 2030 年在斐济实现 SDG3.4.1 目标，需要针对多种非传染性疾病采取有效的全民和特定种族干预措施，以将 PoD30-70 从 NCD4 减少：从 36 i-Taukei 女性为 % 至 24%，FID 女性为 27% 至 18%； i-Taukei 和 FID 男性中的比例从 41% 降至 27%。不适用。© 2024 作者。由爱思唯尔公司出版

Sustainable Development Goal 3.4.1 (SDG3.4.1) targets a one-third reduction in non-communicable disease (NCD) mortality in ages 30-69-years by 2030 (relative to 2015). Directing interventions to achieve this aim requires reliable estimates of underlying cause of death (UCoD). This may be problematic when both cardiovascular diseases (CVD) and diabetes are present due to a lack of consistency in certification of such deaths. We estimate empirically 2013-17 NCD mortality in Fiji, by sex and ethnicity, from CVD, diabetes, cancer, and chronic lower respiratory diseases (CRD), and aggregated as NCD4.UCoD was determined from Medical Certificates of Cause-of-Death (MCCD) from the Fiji Ministry of Health after pre-processing of mortality data where diabetes and/or hypertension were present in order to generate internationally comparable UCoD. If no potentially fatal complications from diabetes or hypertension accompanied these causes in Part I (direct cause) of the MCCD, these conditions were re-assigned to Part II (contributory cause). The probability of a 30-year-old dying before reaching age 70-years (PoD30-70), by cause, was calculated.The PoD30-70 from NCD4 over 2013-17 differed by sex and ethnicity: in women, it was 36% (95%CI 35-37%) in i-Taukei and 27% (26-28%) in Fijians of Indian descent (FID); in men, it was 41% (40-42%) in both i-Taukei and FID.PoD30-70 from CVD, diabetes, cancer and CRD in women was: 18%, 10%, 13% and 1·0% in i-Taukei; 13%, 10%, 5·6% and 1·1% in FID; in men was: 28%, 8.4%, 7·6% and 2·2% in i-Taukei; 31%, 8.3%, 3.5% and 3·1% in FID.To achieve SDG3.4.1 goals in Fiji by 2030, effective population wide and ethnic-specific interventions targeting multiple NCDs are required to reduce PoD30-70 from NCD4: from 36% to 24% in i-Taukei, and 27% to 18% in FID women; and from 41% to 27% in i-Taukei and FID men.Not applicable.© 2024 The Authors. Published by Elsevier Inc.