摘要
目的了解中国2012—2021年0~14岁儿童慢性病死亡的流行特征及趋势,为制定儿童慢性病预防策略提供科学依据。方法对《中国死因监测数据集》中的2012—2021年0~14岁儿童慢性病死亡资料进行描述流行病学分析,并采用Joinpoint回归模型分析儿童慢性病死亡率的平均年度变化百分比(AAPC)。结果2012—2021年中国0~14岁儿童慢性病死亡率(23.33/10万,19.54/10万,19.27/10万,17.69/10万,16.87/10万,16.44/10万,14.49/10万,13.79/10万,11.61/10万,9.43/10万)总体呈下降趋势(AAPC=-7.94%,P<0.01)。男童、女童、城市儿童、乡村儿童慢性病死亡率总体均呈下降趋势(AAPC分别为-8.44%,-7.05%,-8.42%,-6.77%,P值均<0.05)。男童慢性病年均死亡率(16.81/10万)高于女童(13.96/10万)(χ^(2)=526.44,P<0.01);中部地区城市儿童慢性病年均死亡率(15.98/10万)高于乡村(13.46/10万),西部地区乡村(19.75/10万)高于城市(15.96/10万)(χ^(2)值分别为117.63,190.25,P值均<0.01)。除恶性肿瘤外,儿童先天异常、神经系统和精神障碍疾病、心血管疾病、消化系统疾病总体死亡率均呈下降趋势(AAPC分别为-11.48%,-2.92%,-7.82%,-12.51%,P值均<0.05)。结论中国儿童慢性病死亡率2012—2021年总体呈下降趋势,但慢性病防控形势依然严峻。应采取针对性的预防策略,重点关注男童和5岁以下儿童的预防保健工作。
Objective To analyze the epidemiological characteristics and trends of chronic disease mortality among children aged 0-14 in China during 2012-2021,so as to provide scientific basis for the formulation of prevention strategies for chronic diseases in children.Methods The descriptive epidemiological analysis was conducted for chronic disease mortality among children aged 0-14 during 2012 to 2021 from China Cause of Death Surveillance Data Set,and the Joinpoint regression models were used to analyze the average annual percentage change(AAPC)of child chronic disease mortality.Results From 2012 to 2021,the mortality rates of chronic diseases among children aged 0-14 years in China(23.33/100000,19.54/100000,19.27/100000,17.69/100000,16.87/100000,16.44/100000,14.49/100000,13.79/100000,11.61/100000,9.43/100000)showed a decreasing trend(AAPC=-7.94%,P<0.01).The overall mortality rates for boys and girls and for chronic diseases were decreasing in both urban and rural areas(AAPC=-8.44%,-7.05%,-8.42%,-6.77%,P<0.05).The average annual mortality rate of chronic diseases was higher in boys(16.81/100000)than in girls(13.96/100000)(χ^(2)=526.44,P<0.01).The average annual mortality rate from chronic diseases among children was higher in urban(15.98/100000)than in rural areas(13.46/100000)in the central region,and higher in rural(19.75/100000)than in urban areas(15.96/100000)in the western region(χ^(2)=117.63,190.25,P<0.01).Except for malignant tumors,the trend of overall mortality rates of congenital abnormalities,neurological and mental disorders,cardiovascular diseases,and digestive system diseases were all decreasing(AAPC=-11.48%,-2.92%,-7.82%,-12.51%,P<0.05).Conclusions The overall mortality rate of chronic diseases in children in China shows a downward trend during 2012-2021,but the situation of chronic disease prevention and control is still severe.Targeted prevention strategies should be adopted,focusing on the prevention and health care of males,children under 5 years old.
作者
汤鑫
朱焱
张悦羚
聂颖
方雪
TANG Xin;ZHU Yan;ZHANG Yueling;NIE Ying;FANG Xue(School of Public Health,Guizhou Medical University,Guiyang(561113),Guizhou Province,China;不详)
出处
《中国学校卫生》
CAS
北大核心
2023年第12期1873-1877,共5页
Chinese Journal of School Health
基金
贵州省卫生健康委科学技术基金项目(gzwkj2021-405)
贵阳市社科基金项目([2021]102号)。
关键词
慢性病
死亡率
流行病学研究
回归分析
儿童
Chronic disease
Mortality
Epidemiologic studies
Regression analysis
Child
