昆明市城区1998—2003年慢性阻塞性肺病早死疾病负担的时间趋势和地理分布  

Temporal trend and spatial distribution of premature mortality burden due to chronic obstructive pulmonary disease in urban Kunming for the years 1998 - 2003

作　　者：蔡乐[1] 何丽明 许传志[1] 董峻[3] 邵宗体 

机构地区：[1]昆明医学院公共卫生学院卫生信息与卫生经济学教研室,650031 [2]昆明市盘龙区疾病预防控制中心 [3]昆明医学院 [4]云南省地方病防治研究所

出　　处：《中华流行病学杂志》2007年第5期457-459,共3页Chinese Journal of Epidemiology

基　　金：云南省自然科学基金资助项目（2003C0022Q）

摘　　要：目的 分析昆明市某城区1998-2003年慢性阻塞性肺病（COPD）早死所致疾病负担的时间趋势和地理分布。方法 选择盘龙区作为城区的代表,以早死所致生命损失年（YLL）作为COPD疾病负担的测量单位,采用3%的贴现率但不采用年龄权重按年计算标化每千人口YLL率;并应用地理信息系统分析其地理分布的变化趋势。结果 昆明市盘龙区1998-2003年COPD每千人口YLL率随时间呈逐年下降的趋势,男性的每千人口YLL率均高于女性。从地理分布来看,城区中心街道办事处COPD的每千人口YLL率连续6年处于较高水平,而偏远街道办事处COPD每千人口YLL率呈逐年下降趋势。结论 应重点加强对昆明市城区居民COPD的防治工作。Objective To study the temporal trend and spatial distribution of premature mortality burden due to chronic obstructive pulmonary disease（COPD） in terms of years of life lost （YLL） in an urban region of Kunming for the years 1998 2003. Methods Pan Long district was selected as the study region. YLL was used to measure premature mortality burden due to COPD. The tare of YLL per 1000 residents was calculated without age-weighting but with 3 % discounting rate and broken down by year. Geographic information system （GIS） technique was used to display the spatial distribution of premature mortality burden due to COPD during the six years of study. Results During the years from 1998 to 2003, the premature mortality burden due to COPD decreased by years while males seemed to have a higher YLL rate of COPD than females. Central areas remained to have higher YLL/1000 population values of COPD for the six years, whereas remote areas tended to have a decreasing trend of YLL/1000 population values of COPD in the same period. Conclusion Central areas of the city should be emphasized in further control of COPD in the urban region of Kunming.

关 键 词：慢性阻塞性肺病 生命损失年 地理信息系统 时间趋势 

分 类 号：R686[医药卫生—骨科学]