摘要
目的分析我国2018年0~19岁人群哮喘死亡情况及2008年至2018年哮喘死亡人数的变化趋势,以期指导我国哮喘控制管理和预防策略的研究,降低我国儿童哮喘死亡率。方法应用全国疾病监测系统(DSPs)的数据。计算我国0~19岁人群2008年至2018年不同年龄组、性别、居住地、地理区域人群哮喘死亡率,结合中国统计年鉴的全国人口数估算全国的哮喘死亡人数,计算哮喘死亡率年度变化百分比(APC)和哮喘死亡率平均年度变化百分比(AAPC),分析我国2018年0~19岁哮喘人群死亡情况及2008年至2018年哮喘死亡率变化趋势。结果 2018年中国0~19岁人群哮喘死亡率在不同年龄、居住地、地理区域的性别差异均无统计学意义(均P>0.05)。2008年至2018年我国0~19岁哮喘死亡率为0.023/10万~0.046/10万,2009年、2012年哮喘死亡率最高,2018年最低。估算全国范围内0~19岁哮喘人群死亡人数,2009年最高(148例),2018年最低(70例)。估算全国2008年至2018年0~19岁哮喘死亡人数为1 158例。2008年至2018年中国0~19岁人群哮喘合计死亡率明显下降(AAPC=-7.6%,95%CI:-10.4%~-4.7%)。各组别中,男性组(AAPC=-7.4%,95%CI:-12.5%~-2.0%)、女性组(AAPC =-7.5%,95%CI:-12.7%~-2.0%)、1~<5岁组(AAPC=-11.4%,95%CI:-17.9%~-4.5%)、15~19岁组(AAPC=-14.4%,95%CI:-24.8%~-2.6%)、农村(AAPC=-9.0%,95%CI:-13.1%~-4.8%)及中部地区(AAPC=-13.1%,95%CI:-24.0%~-0.5%)人群哮喘死亡率均明显下降,差异均有统计学意义(均P<0.05)。结论我国0~19岁人群哮喘合计死亡率在2008年至2018年间明显下降,在全球范围内处于较低水平。
Objective To analyze the death rate of asthma among Chinese people aged 0-19 years in 2018 and the trend of asthma mortality between 2008 and 2018,in order to guide the research of asthma control management and prevention strategy,and reduce the mortality of childhood asthma in China.Methods Data from the national disease surveillance points system(DSPs)was adopted.The mortality rates of 0-19-year-old people in different age groups,genders,places of residence and geographical regions from 2008 to 2018 were calculated,and the national death toll of asthma was estimated as well.The annual percentage change(APC)and average annual percentage change(AAPC)were calculated,and the death rate of asthma among Chinese people aged 0-19 years in 2018 and change trend of asthma mortality from 2008 to 2018 were analyzed.Results In 2018,there was no significant gender diffe-rence in asthma mortality among Chinese people aged 0-19 years among different age groups,places of residence and geographical regions(all P>0.05).From 2008 to 2018,the mortality rate of people aged 0-19 fluctuated from 0.023/100000 to 0.046/100000,the highest mortality rate was in 2009 and 2012,and the lowest was in 2018.It was estimated that the total number of deaths among people aged 0-19 years reached the highest in 2009(148 cases)and the lowest in 2018(70 cases).It is estimated that the total number of deaths among people aged 0-19 years in China from 2008 to 2018 was 1158 cases.From 2008 to 2018,the total mortality rate of asthma in Chinese population aged 0-19 years decreased significantly(AAPC=-7.6%,95%CI:-10.4%--4.7%).There was a significant decrease in male group(AAPC=-7.4%,95%CI:-12.5%--2.0%),female group(AAPC=-7.5%,95%CI:-12.7%--2.0%),1-<5 years old group(AAPC=-11.4%,95%CI:-17.9%--4.5%),15-19 years old group(AAPC=-14.4%,95%CI:-24.8%--2.6%),rural group(AAPC=-9.0%,95%CI:-13.1%--4.8%)and central areas(AAPC=-13.1%,95%CI:-24.0%--0.5%),with statistical significance(all P<0.05).Conclusions The total mortality of asthma in 0-19-year old population decrea
作者
刘婷婷
齐金蕾
殷菊
高琦
许巍
殷鹏
周脉耕
申昆玲
Liu Tingting;Qi Jinlei;Yin Ju;Gao Qi;Xu Wei;Yin Peng;Zhou Maigeng;Shen Kunling(National Center for Children′s Health,Respiratory Department of Beijing Children′s Hospital,Capital Medical University,China National Clinical Research Center of Respiratory Diseases,Beijing 100045,China;National Center for Chronic and Non-Communicable Disease Control and Prevention,Chinese Center for Disease Control and Prevention,Beijing 100050,China)
出处
《中华实用儿科临床杂志》
CAS
CSCD
北大核心
2021年第6期471-475,共5页
Chinese Journal of Applied Clinical Pediatrics
基金
国家重点研究发展计划(2016YFC0901103)。
