2015-2021年江西省慢性呼吸系统疾病死亡情况及变化趋势  

Mortality trend of chronic respiratory diseases in Jiangxi, 2015-2021

作　　者：朱瑶 颜玮[1] 赵军[1] 陈轶英[1] 徐艳[1] ZHU Yao;YAN Wei;ZHAO Jun;CHEN Yi-ying;XU Yan(Jiangxi Provincial Center for Disease Control and Prevention,Jiangxi 330046,China)

机构地区：[1]江西省疾病预防控制中心,南昌330046

出　　处：《环境卫生学杂志》2023年第8期624-628,634,共6页JOURNAL OF ENVIRONMENTAL HYGIENE

基　　金：江西省卫生健康委科技计划(No.202211283)。

摘　　要：目的分析江西省常住居民慢性呼吸系统疾病死亡情况及其变化趋势,为相关防控措施制定提供依据。方法收集江西省2015-2021年死因监测数据,统计分析慢性呼吸系统疾病粗死亡率、标化死亡率、早死所致寿命损失年(YLL)、平均减寿年数(AYLL)、YLL率和平均年度变化百分比(AAPC)等指标。结果2015-2021年江西省慢性呼吸系统疾病导致死亡41969例,粗死亡率和标化死亡率分别为71.30/10万和61.46/10万。男性粗死亡率(83.60/10万)高于女性(58.47/10万)(χ^(2)=1304.50,P<0.001)。慢性呼吸系统疾病标化死亡率(AAPC=-4.05%,P=0.015)和女性标化死亡率(AAPC=-5.79%,P=0.003)呈下降趋势。慢性阻塞性肺疾病(COPD)是导致慢性呼吸系统疾病死亡的主要原因。江西省慢性呼吸系统疾病YLL为37.98万人年,AYLL为9.05人年,YLL率为6.45‰。结论江西省2015-2021年慢性呼吸系统疾病死亡呈现下降趋势,但死亡率与疾病负担仍然较高,应针对高危人群加强综合防控工作。Objective To investigate the mortality of chronic respiratory diseases and its changing trend in permanent residents of Jiangxi province,China,and to provide a basis for formulating relevant prevention and control measures.Methods Based on the surveillance data of cause of death in Jiangxi from 2015 to 2021,a statistical analysis was performed to calculate the crude mortality,standardized mortality,years of life lost(YLL),average years of life lost(AYLL),YLL rate,and average annual percent change(AAPC)due to chronic respiratory diseases.Results There were 41969 deaths due to chronic respiratory diseases in Jiangxi from 2015 to 2021,with a crude mortality of 71.30/100000 and a standardized mortality of 61.46/100000.The crude mortality in males(83.60/100000)was higher than that in females(58.47/10000)(χ^(2)=1304.50,P<0.001).The standardized mortality(AAPC=-4.05%,P=0.015)and the female standardized mortality(AAPC=-5.79%,P=0.003)of chronic respiratory diseases showed decreasing trend.Chronic obstructive pulmonary disease(COPD)was the main cause of death from chronic respiratory diseases.The YLL of chronic respiratory diseases in Jiangxi Province was 379800 person years,with an AYLL of 9.05 person years and a YLL rate of 6.45‰.Conclusion The death rate of chronic respiratory diseases in Jiangxi Province from 2015 to 2021 shows a downward trend,but the mortality and disease burden are still high.Comprehensive prevention and control measures should be strengthened for high-risk populations.

关 键 词：慢性呼吸系统疾病 死亡率 趋势分析 

分 类 号：R195.3[医药卫生—卫生统计学] R56[医药卫生—卫生事业管理]