2012—2021年北京市通州区户籍居民心脑血管疾病早死概率及减寿分析  

Probability of premature mortality and years of life lost caused by cardiovascular and cerebrovascular diseases among registered residents in Tongzhou District in Beijing,2012-2021

作　　者：孙晓伟[1] 苏彦萍[1] 张国峰 吴芹[1] SUN Xiaowei;SU Yanping;ZHANG Guofeng;WU Qin(Big Data Center Ofice,Beijing Tongshou Center for Disease Control and Prevention,Beijing 10l10o,China)

机构地区：[1]北京市通州区疾病预防控制中心大数据中心办公室,北京101100

出　　处：《中国预防医学杂志》2024年第9期1207-1212,共6页Chinese Preventive Medicine

摘　　要：目的分析北京市通州区户籍居民心脑血管疾病导致的早死概率及寿命损失,为制定防控策略提供依据。方法收集2012—2021年北京市通州区户籍居民的死亡资料,采用Excel 2013和SPSS 21.0软件对资料进行处理与分析,计算居民心脑血管疾病死亡率及年度变化百分比(annual percent change,APC)、早死概率、潜在减寿年数(potential years of life lost,PYLL)、潜在减寿率(potential years of life lost rate,PYLLR)、标化潜在减寿率(standardized potential years of life lost rate,SPYLLR)、平均减寿年数(average years of life lost,AYLL)等指标。结果2012—2021年北京市通州区户籍居民累计报告心脑血管疾病死亡25627例,年平均死亡率为343.16/10万、标化死亡率为215.84/10万,男性标化死亡率(232.39/10万)高于女性(200.65/10万),差异有统计学意义(χ^(2)=205.747,P<0.01);心脑血管疾病死亡率为317.22/10万~364.38/10万(APC=0.53%,P=0.388),标化死亡率呈现下降趋势,差异有统计学意义(APC=-2.84%,P<0.05)。心脑血管疾病死因顺位前三位的是脑血管疾病(47.49%)、缺血性心脏病(42.72%)和高血压(3.55%)。30~69岁居民心脑血管疾病死亡比例呈下降趋势,差异有统计学意义(APC=-2.97%,P<0.01),早死概率呈下降趋势,差异有统计学意义(APC=-5.02%,P<0.01)。2012—2021年北京市通州区户籍居民心脑血管疾病PYLL为188553.49人年,PYLLR为25.25‰,SPYLLR为18.14‰,AYLL为12.17年,历年PYLLR和SPYLLR呈现下降趋势,差异有统计学意义(APC=-2.77%、-4.51%,P<0.01)。结论心脑血管疾病导致北京市通州区户籍居民的寿命损失较大,严重影响居民健康状况,应针对危险因素采取综合防治措施。Objective To analyze probability of premature mortality and years of life lost caused by cardiovascular and cerebrovascular diseases among registered residents in Tongzhou District of Beijing,so as to provide scientific evidence for formulating prevention strategy.Methods The mortality data of registered residents in Tongzhou District of Beijing from 2012 to 2021 were collected.Excel 2013 and SPSS 21.0 were used to analyze the data,estimating the mortality rate,annual percent change(APC),probability of premature deaths(deaths before the age of 70),potential years of life lost(PYLL),potential years of life lost rate(PYLLR),standardized potential years of life lost rate(SPYLLR),average years of life lost(AYLL).Results A total of25627 deaths from cardio-cerebrovascular diseases were reported among registered residents in Tongzhou District of Beijing during 2012 to 2021.The average crude annual mortality rate was 343.16/100000,and the standardized mortality rate was 215.84/100000.Males(232.39/100000)had a higher standardi mortality rate than females(200.65/100000)(χ^(2)=205.747,P<0.01).The annual mortality of cardio-cerebrovascular diseases fluctuated between 317.22/10~5 and 364.38/100000 during 2012 to 2021(APC=0.53%,P=0.388).The age-standardized mortality showed a downward trend(APC=-2.84%,P<0.05).The top 3 causes of death from cardio-cerebrovascular diseases were cerebrovascular diseases(47.49%),ischemic heart disease(3.55%),and hypertension(3.55%).The proportion of deaths before the age of between 30 and 69 caused by cardio-cerebrovascular diseases showed a decreasing trend(APC=-2.97%,P<0.01),so did the probability of premature mortality(APC=-5.02%,P<0.01).The PYLL,PYLLR,SPYLLR and AYLL of cardiocerebrovascular diseases among the registered residents in Tongzhou District in Beijing during 2012 to 2021 were188553.49 person-years,25.25‰,18.14‰and 12.17 years,respectively.The annual PYLLR and SPYLLR showed a declining trend(APC=-2.77%and-4.51%,respectively,P<0.01).Conclusions Cardiocerebrovascular diseases have

关 键 词：心脑血管疾病 早死概率 潜在减寿年 

分 类 号：R195[医药卫生—卫生统计学]