张艳, 刘庆敏, 付文, 刘冰, 任艳军, 徐珏. 2006-2018年浙江省杭州市居民慢性阻塞性肺疾病死亡率变化趋势分析[J]. 疾病监测, 2020, 35(5): 446-450. DOI: 10.3784/j.issn.1003-9961.2020.05.017
引用本文: 张艳, 刘庆敏, 付文, 刘冰, 任艳军, 徐珏. 2006-2018年浙江省杭州市居民慢性阻塞性肺疾病死亡率变化趋势分析[J]. 疾病监测, 2020, 35(5): 446-450. DOI: 10.3784/j.issn.1003-9961.2020.05.017
Yan Zhang, Qingmin Liu, Wen Fu, Bing Liu, Yanjun Ren, Jue Xu. Trend of the mortality rate of chronic obstructive pulmonary disease in residents in Hangzhou, 2006–2018[J]. Disease Surveillance, 2020, 35(5): 446-450. DOI: 10.3784/j.issn.1003-9961.2020.05.017
Citation: Yan Zhang, Qingmin Liu, Wen Fu, Bing Liu, Yanjun Ren, Jue Xu. Trend of the mortality rate of chronic obstructive pulmonary disease in residents in Hangzhou, 2006–2018[J]. Disease Surveillance, 2020, 35(5): 446-450. DOI: 10.3784/j.issn.1003-9961.2020.05.017

2006-2018年浙江省杭州市居民慢性阻塞性肺疾病死亡率变化趋势分析

Trend of the mortality rate of chronic obstructive pulmonary disease in residents in Hangzhou, 2006–2018

  • 摘要:
    目的了解2006 — 2018年浙江省杭州市居民慢性阻塞性肺疾病(COPD)死亡率及其变化趋势,为进一步制定COPD防控策略提供依据。
    方法从浙江省慢性病监测信息管理系统收集2006 — 2018年杭州市死因监测资料,计算COPD粗死亡率、标化死亡率,采用年度变化百分比(APC)分析杭州市居民COPD死亡率变化趋势。
    结果2006 — 2018年杭州市居民COPD粗死亡率为74.17/10万,标化死亡率为44.55/10万,标化死亡率的APC为–9.52%,呈逐年下降趋势(P<0.001)。 男性COPD粗死亡率为82.65/10万,高于女性的65.67/10万(χ2=860.713,P<0.001),男性和女性标化死亡率的APC分别为−9.24%和−9.88%,均呈逐年下降趋势(P<0.001)。 农村标化死亡率为49.14/10万,城市为41.54/10万,APC分别为−8.06%和−10.15%,均呈逐年下降趋势(P<0.001),且农村高于城市(χ2=8 487.052,P<0.001)。 2006 — 2018年,除<35岁和35~44岁组以外,各年龄段死亡率均呈下降趋势(P<0.001)。
    结论2006 — 2018年期间杭州市居民COPD死亡率呈明显下降趋势,应将农村、男性、老年人群作为COPD死亡重点关注人群。

     

    Abstract:
    ObjectiveTo analyze the mortality rate of chronic obstructive pulmonary disease (COPD) and its trend in residents in Hangzhou from 2006 to 2018, and provide scientific basis for COPD prevention and control.
    MethodsThe data of death cause surveillance in Hangzhou from 2006 to 2018 were collected from the chronic diseases surveillance system of Zhejiang to calculate the crude mortality rate and the standardized mortality rate of COPD in residents in Hangzhou. The annual percentage change (APC) was used to analyze the changing trend of COPD mortality.
    ResultsThe crude mortality rate and the standardized mortality rate of COPD were 74.17/100 000 and 44.55/100 000 respectively in residents in Hangzhou from 2006 to 2018. The standardized mortality rate showed a decreasing trend from 2006 to 2018 and the APC was −9.52% (P<0.001). The crude mortality rate was 82.65/100 000 in males and 65.67/100 000 in females(χ2=860.713, P<0.001). The standardized mortality rate showed decreasing trends in both males and females, the APC were −9.24% and −9.88%, respectively. The standardized mortality rate was 49.14/100 000 in rural areas and 41.54/100 000 in urban areas ( χ2=8 487.052, P<0.001), showing decreasing trends, the APC were −8.06% and −10.15%, respectively. Except those aged below 35 years and 35–44 years, the standardized mortality rate of COPD in all age groups showed a downward trend from 2006 to 2018 (P<0.001).
    ConclusionThe COPD mortality in residents in Hangzhou decreased from 2006 to 2018. More efforts are needed to reduce COPD mortality in rural residents, males and elderly population.

     

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