摘要
目的了解上海黄浦区居民呼吸系统慢性病病死率及寿命情况。方法收集2012-2017年上海黄浦区居民以国际疾病ICD分类,编码为J30-J98呼吸系统慢性病死亡资料,采用粗死亡率、标准化死亡率、构成比、死因顺位、潜在减寿率(PYLL)、标准化减寿率(SPYLL)、平均减寿年数(AYLL)等指标进行综合分析。对慢性病死亡相关数据采用卡方检验,对5年内死亡趋势分析采用卡方趋势检验方式。结果下呼吸道疾病居慢性呼吸道疾病死亡率首位(12.56/10万),其次是肺炎、呼吸系统其它疾病和尘肺;男性呼吸系统慢性疾病粗死亡率、标准化死亡率均高于女性,除尘肺疾病外,构成比均高于女性;呼吸系统慢性病患者粗死亡率随年份增长逐渐增高,由2012年的46.34/10万增至2017年的50.22/10万(χ^2=26.77,P<0.001),标准化死亡率由2012年的25.13/10万降至2017年的20.62/10万(χ^2=34.45,P<0.001),构成比逐渐降低。同年份男性粗死亡率、标准化死亡率均高于女性,构成比均低于女性;男性、女性及全人群呼吸系统慢性病PYLL、SPYLL、AYLL随年份增长逐渐降低,其中全人群的PYLL从0.28%降至0.22%(χ^2=14.75,P<0.001),SPYLL从0.36%降至0.32%(χ^2=10.15,P<0.001),AYLL从9.04%降至8.71%(χ^2=11.44,P<0.001);呼吸系统慢性病患者死亡率在0~60岁无明显差异,60岁后死亡率呈快速上升趋势,呼吸系统慢性病患者早死概率随年份增长逐渐降低,且历年男性早死概率均高于女性。结论上海黄浦区呼吸系统慢性病疾病病死率及寿命情况具有性别、年龄、年份等差异,应采取切实可行预防控制措施,针对婴幼儿、老人和吸烟者等重点人群,加强防治工作,提高人民健康水平。
Objective To investigate mortality and life expectancy of chronic respiratory diseases in Shanghai area.Methods The data of death causes of chronic respiratory diseases coded as J30-J98 by ICD classification were collected in Shanghai from 2012 to 2017.Crude mortality rate,standardized mortality rate,constituent ratio death causes,ranking of death causes,potential years of life lost(PYLL),standardized potential years of life lost(SPYLL),average years of life lost(AYLL)and other indicators were used to analyze the data.Chi-square test was used for analyzing data of death from chronic diseases and chi-square trend test was used for analysis of death trend within 5 years.Results Lower respiratory diseases were the leading cause of mortality in chronic respiratory diseases,followed by pneumonia,other respiratory diseases and pneumoconiosis.The mortality rates of lower respiratory tract diseases,pneumonia,other respiratory diseases,pneumoconiosis and standardized mortality were higher in males than those in females;besides other respiratory diseases,the constituent ratio of males was lower than that of females.The crude mortality rate of chronic respiratory diseases increased gradually with the increase of years,from 46.34/105 in 2012 to 50.22/105 in 2017(χ2=26.77,P<0.001).The standardized mortality rate dropped from 25.13/105 in 2012 to 20.62/105 in 2017(χ2=34.45,P<0.001),and the constituent ratio gradually decreased.In each of those years,the crude mortality rate and standardized mortality rate of males were higher than those of females,and the constituent ratio of males was lower than that of females.The PYLL,SPYLL and AYLL of chronic respiratory diseases gradually decreased with the increase of years.The PYLL,SPYLL and AYLL in males were higher than that in females.The PYLL of the whole population decreased from 0.28%to 0.22%(χ^2=14.75,P<0.001),the SPYLL decreased from 0.36%to 0.32%(χ^2=10.15,P<0.001),and the AYLL decreased from 9.04%to 8.71%(χ^2=11.44,P<0.001).The mortality rate of chronic respiratory diseas
作者
刘春华
谢峰
钟霖
林军
LIU Chunhua;XIE Feng;ZHONG Lin;LIN Jun(Ruijin Hospital Affiliated to The Shanghai Jiao Tong University Medical School,Shanghai 200025,China;Shanghai Beicai Community Health Service Center,Shanghai 200025,China;Health Education Center of Huangpu District,Shanghai 200025,China)
出处
《预防医学情报杂志》
CAS
2020年第6期751-755,共5页
Journal of Preventive Medicine Information
关键词
上海黄浦区
呼吸系统慢性病
病死率
寿命
Shanghai
chronic respiratory diseases
mortality
life expectancy
