2010-2016年上海市某社区心血管病死亡及寿命损失分析  

Mortality and life loss of cardiovascular disease among registered population,a community of Shanghai,2010-2016

作　　者：罗峥 廖献琴 邓阳 LUO Zheng;LIAO Xian-qin;DENG Yang(Department of Neurology, Shanghai University of Medicine and Health Sciences Affiliated Zhoupu Hospital, Pudong District, Shanghai 201318 , China)

机构地区：[1]上海健康医学院附属周浦医院神经内科,上海201318 [2]上海市浦东新区王港社区卫生服务中心,上海201201 [3]山东第一医科大学(山东省医学科学院)公共卫生学院,山东泰安271016

出　　处：《现代预防医学》2019年第19期3531-3534,共4页Modern Preventive Medicine

基　　金：山东省自然科学基金(ZR2017PH012)

摘　　要：目的了解2010-2016年上海市某社区居民心血管病(CVD)死亡趋势及寿命损失情况,为制定相应的干预措施提供参考。方法利用2010-2016年上海市浦东新区某社区户籍人口死因监测数据,采用死亡率、标化死亡率、年度变化百分比(APC)、潜在减寿年数(PYLL)、平均减寿年数(AYLL)和潜在减寿率(PYLLR)等指标对心血管病死亡及减寿情况进行分析。结果 2010-2016年该社区共报告CVD死亡病例253例,粗死亡率为103.46/10万,标化死亡率为31.70/10万。男性粗死亡率为83.00/10万,标化死亡率为36.40/10万,男性粗死亡率和标化死亡率均无明显变化趋势(APC(粗死亡率)=7.98%,Z(粗死亡率)=1.131,P=0.258;APC(标化死亡率)=3.56%,t(标化死亡率)=0.493,P=0.643)。女性粗死亡率为121.94/10万,标化死亡率为29.75/10万,女性粗死亡率和标化死亡率均显著上升(APC(粗死亡率)=15.86%,Z(粗死亡率)=5.420,P=0.001;APC(标化死亡率)=11.40%,t(标化死亡率)=4.550,P=0.006)。男性CVD粗死亡率低于女性(U=-3.016,P<0.01),而标化死亡率高于女性。2010-2016年该社区男性居民因CVD死亡造成的PYLL为283.27人年,PYLLR为2.33‰,AYLL为2.13年/人,而女性PYLL为80.21人年,PYLLR为0.64‰,AYLL为0.43年/人。结论近年来该社区居民女性CVD死亡率呈现显著上升趋势,CVD对65岁以上老年人造成严重的寿命损失,应加强针对高危人群的防控措施。Objective To investigate the trend and life loss of cardiovascular disease(CVD)mortality in a community of Shanghai from 2010 to 2016,and to provide references for developing relevant interventions.Methods The death-cause monitoring data between 2010 and 2016 from registered residents in a community of Pudong New Area were collected.The mortality,standardized mortality,annual change percentage(APC),potential years of life lost(PYLL),average years of life lost(AYLL),rate of potential years of life lost(PYLLR)and other indicators were used to analyze the mortality and life lost for CVD.Results A total of 253 death cases were reported in this community from 2010 to 2016,with a crude mortality rate of 103.46/100 000 and a standardized mortality rate of 31.70/100 000.The crude mortality and standardized mortality were 83.00/100 000 and 36.40/100 000 in males,respectively.There were no significant changes in crude mortality(APC=7.98%,Z=1.131,P=0.258)and standardized mortality(APC=3.56%,t=0.493,P=0.643).The crude mortality and standardized mortality were 121.94/100 000 and 29.75/100 000 in females,respectively.Both crude mortality(APC=15.86%,Z=5.420,P=0.001)and standardized mortality(APC=11.40%,t=4.550,P=0.006)increased significantly.The crude mortality was lower in males than that in females(U=-3.016,P<0.01),while the standardized mortality was higher in males.The PYLL,PYLLR and AYLL caused by CVD in males in this community from 2010 to 2016 were 283.27 person-years,2.33‰,and 2.13 years/person,while the PYLL,PYLLR and AYLL in females were 80.21 person-years,0.64‰,and 0.43 year/person,respectively.Conclusion The mortality of CVD in female residents in this community shows a significantly increasing trend in recent years.The elderly over 65 years old are suffering from serious life lost due to CVD.Effective prevention and control measures should be strengthened for the high-risk populations.

关 键 词：心血管病 死亡率 趋势分析 潜在减寿年数 

分 类 号：R181.23[医药卫生—流行病学]