目的 了解苏州市2011—2020年慢性阻塞性肺疾病(COPD)死亡特征,分析COPD死亡及所致早死寿命损失的变化趋势。方法 通过苏州市居民死因监测系统收集2011—2020年苏州市COPD死亡资料,运用描述流行病学方法,计算COPD死亡率、分性别死亡率、早死寿命损失年(YLL)、平均每千人健康寿命年损失(YLL率,‰),死亡率采用2010年全国标准人口进行标化;采用年度变化百分比(Annual Percent Change,APC)分析COPD死亡和早死寿命发展趋势。结果 2011—2020年苏州市COPD年均粗死亡率为72.42/10万,年均标化死亡率为40.07/10万,均呈下降趋势,APC分别为-4.80%(t=-7.341,P＜0.001)和-7.73%(t=-14.042,P＜0.001);YLL总计414 473.06人年,男性占比是女性的1.82倍,YLL、YLL 率均呈下降趋势,全人群APC分别为-3.78%(tYYL=6.264,PYYL=0.001)和-5.42%(tYYL率=8.062,PYYL率＜0.001),女性下降幅度高于男性;YLL、YLL 率均随着年龄增加而增加,且在80岁及以上达到最高峰。结论 2011—2020年苏州市COPD死亡率和所致早死寿命损失均呈下降趋势,男性、老年人为高危人群,需针对性实施COPD防控措施。
Abstract
Objective To understand the death characteristics of chronic obstructive pulmonary disease (COPD) in Suzhou from 2011 to 2020,and analyze the change trend of COPD death and life loss caused by premature death. Methods The death data of COPD in Suzhou from 2011 to 2020 were collected through the death cause monitoring system of residents in Suzhou.The mortality rate of COPD,sex-specific mortality rate,years of early death life loss (YLL),and the average annual loss of health life per thousand people (YLL rate,‰) were calculated by using descriptive epidemiological method.The mortality rate was standardized by the national standard population in 2010.The annual percentage change (APC) was used to analyze the development trend of death and premature death of COPD. Results From 2011 to 2020,the average annual crude mortality rate of COPD in Suzhou was 72.42/100 000,and the average annual standardized mortality rate was 40.07/100 000,both of which showed a downward trend.APC was-4.80% (t=-7.341,P<0.001) and-7.73% (t=-14.042,P<0.001) ,respectively.The total number of YLL is 414 473.06 person-years,and the proportion of men is 1.82 times that of women.The rates of YLL and YLL are both in the download trend.The APC of the whole population are-3.78% (tYYL =6.264,PYYL=0.001) and-5.42% (tYYL rate =8.062,PYYL rate<0.001),respectively.The decline rate of women is higher than that of men.The YLL and YLL rates increased with age,and reached the peak at the age of 80 and above. Conclusion From 2011 to 2020,the mortality rate of COPD and the loss of life caused by premature death in Suzhou showed a downward trend.Men and the elderly were high-risk groups,and targeted measures for prevention and control of COPD were needed.
关键词
慢性阻塞性肺疾病 /
死亡率 /
早死寿命损失 /
趋势分析
Key words
COPD /
Mortality /
Life lost from premature death /
Trend analysis
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基金
江苏省科技计划(BE2019674);苏州市卫生科技项目(GWZX201905);苏州市科技局项目(SS201807,SYS2018098,SYS2020197,SS202010 );江苏省预防医学课题(Y2018032);姑苏卫生人才计划培养项目(GSWS2020098)
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