俞浩, 武鸣, 罗鹏飞, 韩仁强, 周金意. 1990 — 2017年江苏省居民慢性阻塞性肺疾病的疾病负担分析[J]. 疾病监测, 2020, 35(6): 478-482. DOI: 10.3784/j.issn.1003-9961.2020.06.006
引用本文: 俞浩, 武鸣, 罗鹏飞, 韩仁强, 周金意. 1990 — 2017年江苏省居民慢性阻塞性肺疾病的疾病负担分析[J]. 疾病监测, 2020, 35(6): 478-482. DOI: 10.3784/j.issn.1003-9961.2020.06.006
Hao Yu, Ming Wu, Pengfei Luo, Renqiang Han, Jinyi Zhou. Disease burden of chronic obstructive pulmonary disease in Jiangsu province, 1990–2017[J]. Disease Surveillance, 2020, 35(6): 478-482. DOI: 10.3784/j.issn.1003-9961.2020.06.006
Citation: Hao Yu, Ming Wu, Pengfei Luo, Renqiang Han, Jinyi Zhou. Disease burden of chronic obstructive pulmonary disease in Jiangsu province, 1990–2017[J]. Disease Surveillance, 2020, 35(6): 478-482. DOI: 10.3784/j.issn.1003-9961.2020.06.006

1990 — 2017年江苏省居民慢性阻塞性肺疾病的疾病负担分析

Disease burden of chronic obstructive pulmonary disease in Jiangsu province, 1990–2017

  • 摘要:
    目的估计江苏省居民1990 — 2017年慢性阻塞性肺疾病(COPD)的疾病负担程度及其归因危险因素的定量水平。
    方法利用2017年全球疾病负担研究资料,分析1990 — 2017年江苏省居民COPD的患病率、死亡率、伤残调整寿命年(DALY)、过早死亡率的变化趋势,运用人群归因危险百分比估计不同危险因素导致COPD疾病负担的比例。
    结果1990 — 2017年江苏省COPD的标化患病率、标化死亡率、标化DALY率和过早死亡率都呈下降趋势(P<0.001),仅女性的标化患病率未见下降(P=0.157)。 40岁以后DALY率随着年龄增加而快速上升。 伤残损失寿命年在DALY中所占的比例上升,吸烟导致了40.70%的DALY,已成为引起江苏省COPD疾病负担的首位原因。
    结论江苏省COPD疾病负担总体呈下降趋势,但仍不可忽视,应重点关注中老年、女性人群,将控烟作为防控的重要手段,注重预防因COPD导致的伤残。

     

    Abstract:
    ObjectiveTo analyze the disease burden of chronic obstructive pulmonary disease (COPD) of Jiangsu province from 1990 to 2017, and quantify the attributable risk factors.
    MethodsThe estimation for the Global Burden of Disease Study 2017 was used to analyze the change trend of the prevalence rate, mortality rate, disability adjusted life years (DALY) and the premature mortality rate of COPD in residents in Jiangsu, during 1990—2017. Population attributable fractions (PAF) was used to estimate the proportion of different risk factors in causing burden of disease.
    ResultsFrom 1990 to 2017, the standardized prevalence rate, standardized mortality rate, standardized DALY rate and premature mortality rate of COPD in Jiangsu showed significant downward trend (P<0.001),but the standardized prevalence rate in female showed no decrease trend (P=0.157). After 40 years old, the DALY rate increased rapidly with age. The proportion of years lived with disability in DALY increased in recent years. Smoking had become the first cause of COPD disease burden, the PAF was 40.70%.
    ConclusionThe disease burden of COPD is decreasing in Jiangsu. However, the situation is still challenging. It is necessary to pay close attention to middle-aged and elderly people and women, take tobacco control as the key prevention and control measure and strengthen the prevention of disability caused by COPD.

     

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