摘要
目的了解2009—2018年武汉市居民慢性阻塞性肺疾病(COPD)死亡情况及其变化趋势。方法从武汉市死因监测信息系统收集2009—2018年武汉市居民COPD死亡情况,计算武汉市居民不同地区、不同性别以及不同年龄之间COPD粗死亡率和标化死亡率,并分析变化趋势。采用SAS 9.4进行线性回归分析,并计算年度变化百分比(APC)。结果2009—2018年武汉市居民COPD粗死亡率为33.01/10万,标化死亡率为23.03/10万,粗死亡率APC为4.08%,呈逐年上升趋势(P<0.05)。男性粗死亡率为41.23/10万,高于女性(24.47/10万)(χ^(2)=6.37,P<0.05),远城区粗死亡率为35.29/10万,高于中心城区(32.28/10万),但无统计学意义(χ^(2)=0.20,P>0.05)。男性、中心城区COPD粗死亡率均呈逐年上升趋势(APC=4.08%,APC=5.10%,P<0.05),女性、远城区趋势变化无统计学意义(APC=2.02%,P>0.05)。2009—2018年,除35~<45岁年龄组外,各年龄段死亡率均呈下降趋势。结论2009—2018年武汉市居民COPD死亡率呈缓慢上升趋势,远城区、男性、老年人群应作为重点关注人群。
Objective To analyze the mortality rate of chronic obstructive pulmonary disease(COPD)and its trend in residents in Wuhan from 2009 to 2018.Methods COPD mortality data from 2009 to 2018 were from Wuhan population based mortality surveillance system.The crude and standardized mortality rates of COPD were calculated of different geographic distribution,different gender and different age,and the trend over years were analyzed.The software SAS 9.4 was used for linear regression analysis,and the annual percent change(APC)was calculated.Results The crude mortality rate and the standardized mortality rate of COPD were 33.01/100000 and 23.03/100000 respectively in residents in Wuhan from 2009 to 2018.The crude mortality rate showed an increasing trend from 2009 to 2018 and the APC was 4.08%,(P<0.05).The crude mortality rate was 41.23/100000 in males and 24.47/100000 in females(χ^(2)=6.37,P<0.05).The crude mortality rate was 35.29/100000 in rural areas and 32.28/100000 in urban areas,and there was no statistical significance(χ^(2)=0.20,P>0.05).The crude mortality rate showed increasing trends in males and rural areas,and the APC were 4.08%(P<0.05)and 5.10%(P<0.05)respectively.There was no statistical significance in the trends of females and urban areas,and the APC was 2.02%(P>0.05).Except for those aged 35-45 years old,the standardized mortality rate of COPD in all age groups showed a downward trend from 2009 to 2018.Conclusion The COPD mortality in residents in Wuhan increased from 2009 to 2018.More attention should be paid to reducing COPD mortality in rural residents,males and elderly population.
作者
赵原原
杨念念
代娟
金琦曼
张晓霞
严亚琼
Zhao Yuanyuan;Yang Niannian;Dai Juan;Jin Qiman;Zhang Xiaoxia;Yan Yaqiong(Wuhan Municipal Center for Disease Control and Prevention, Wuhan 430024, China)
出处
《中国医院统计》
2021年第2期101-104,共4页
Chinese Journal of Hospital Statistics
基金
武汉市卫生健康委计划项目(WG17Z05,WG17B05)
武汉市科技局计划项目(2015061701011631)。
关键词
慢性阻塞性肺疾病
死亡率
趋势分析
chronic obstructive pulmonary disease
mortality
trend analysis
