1990—2017年中国城市和农村循环系统疾病死亡率变化趋势分析  

Trend analysis on the mortality of circulatory system diseases in urban and rural areas in China, 1990-2017

作　　者：孙维伟[1,2] 岑兴族 张庄 曹丽敏[1] 史廷明[3] 陈卫红[1] SUN Weiwei;CEN Xingzu;ZHANG Zhuang;CAO Limin;SHI Tingming;CHEN Weihong(Department of Occupational and Environmental Health,Key Laboratory of Environment and Health, Ministry of Education & Ministry of Environmental Protection,and State Key Laboratory of Environmental Health (Incubating), School of Public Health,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China;Examining Division for Materials Engineering Inventions,State Intellectual Property Office of China,Beijing 100088,China;Hubei Provincial Center for Disease Control and Prevention,Wuhan 430079,China)

机构地区：[1]华中科技大学同济医学院公共卫生学院劳动卫生与环境卫生学系,环境与健康教育部重点实验实验室,武汉430030 [2]国家知识产权局专利局材料工程发明审查部 [3]湖北省疾病预防控制中心

出　　处：《公共卫生与预防医学》2019年第4期1-7,共7页Journal of Public Health and Preventive Medicine

基　　金：国家自然科学基金重大研究计划集成项目(91843302);中央高校基本科研业务费专项资金资助(HUST2016YXZD044)

摘　　要：目的探讨近三十年来我国循环系统疾病死亡率变化趋势及其影响因素,应用早死所致的寿命损失年(Years of life lost, YLLs)对1990—2017年中国城市和农村循环系统疾病负担进行综合评价。方法以中国年鉴的数据为基础,采用Joinpoint回归分析计算死亡率年度变化百分比,采用标准方法计算循环系统疾病YLL,根据我国2010年人口普查结果的年龄别构成比对粗死亡率以及YLL率进行标化。结果1990—2017年中国城市和农村居民的循环系统疾病粗死亡率均呈上升趋势,城市标化死亡率有明显下降趋势。1990—2017年,随着年龄的增长,城市和农村居民循环系统疾病的死亡率增加;1990年城市循环系统疾病年龄别死亡率总体上高于农村,而2017年农村循环系统疾病年龄别死亡率已经超过了城市。1990—2017年城市和农村的YLLs分别增长了211.6%和26.1%,城市和农村标化YLL率分别下降了37.9%和12.8%。结论1990—2017年中国城市居民循环系统疾病标化死亡率呈明显下降趋势,而城市和农村居民的循环系统疾病YLLs均增加。Objective To analyze the trend of mortality rate from circulatory diseases in the last three decades, and evaluate the burden of circulatory diseases from 1990 to 2017 in China′s urban and rural areas by the Years of life lost (YLLs). Methods Data used in this study were obtained from Chinese yearbooks. Joinpoint regression analysis was employed to estimate the annual percent change (APC) of mortality rates from circulatory system diseases. YLLs due to circulatory system diseases were calculated by a standard method. Age-standardized mortality rates and YLL rates were calculated by using a direct method based on the population census in 2010. Results The crude mortality rate of circulatory diseases in urban and rural areas kept on rising from 1990 to 2017, while age-standardized mortality rates of urban residents showed a downward trend. From 1900 to 2017, circulatory mortality of urban and rural residents rose with age. In general, age-specific mortality rate of circulatory diseases among urban residents was higher than that of rural residents in 1990, while the rural age-specific mortality outstripped that of urban residents in 2017. During the study period, YLLs of urban and rural residents increased by 211.6% and 26.1% respectively. However, standardized YLL rates of urban and rural residents decreased by 37.9% and 12.8% respectively. Conclusion From 1990 to 2017, the age-standardized mortality rate of circulatory diseases for urban residents decreased significantly, while the YLLs increased for both urban and rural residents.

关 键 词：循环系统疾病 死亡率 早死所致的寿命损失年 疾病负担 变化趋势 

分 类 号：R195[医药卫生—卫生统计学]