2002-2019年上海市浦东新区居民慢性阻塞性肺疾病死亡特征与减寿率分析

目的 分析2002-2019年浦东新区居民慢性阻塞性肺疾病死亡特征与寿命损失,为制定相应的慢性阻塞性肺疾病防控策略提供依据.方法 慢性阻塞性肺疾病死亡数据由浦东新区死因监测系统中提取,分别计算浦东新区居民慢性阻塞性肺疾病的粗死亡率、标化死亡率、潜在减寿年数(PYLL)、平均减寿年数(AYLL)、年度变化百分比(APC)...

Analysis of the mortality and years of life lost from chronic obstructive pulmonary disease among residents in Pudong New Area of Shanghai in 2002-2019

Objective To explore the death characteristics and the potential years of life lost from chronic obstructive pulmonary disease(COPD)among residents in Pudong New Area of Shanghai from 2002 to 2019,so as to provide a reference for formulating corresponding prevention and control strategies for chronic obstructive pulmonary disease.Methods The death data of chronic obstructive pulmonary disease was extracted from the Pudong New Area′s death surveillance system.Crude mortality,age-standardized mortality,potential years of life lost(PYLL),average years of life lost(AYLL)and annual percent change(APC)of chronic obstructive pulmonary disease deaths were calculated to analyze the situation of COPD death in Pudong New Area.Results The crude mortality and age-standardized mortality of chronic obstructive pulmonary disease among residents in Pudong New Area between 2002 and 2019 were 64.94/100000 and 21.04/100000,respectively.The chronic obstructive pulmonary disease showed a downward trend(APC=-2.05%,Z=-5.342,P<0.001),and the standardized mortality rate decreased year by year(APC=-6.23%,Z=-13.052,P<0.001).The crude mortality and age-standardized rates in male residents were both higher than those in females(Z crude mortality=46.471,P<0.001,Z standardized mortality=-48.961,P<0.001).The PYLL of chronic obstructive pulmonary disease was 16997 years,the PYLL rate was 0.34‰,and the AYLL was 0.53 years per person.Conclusion From 2002 to 2019,the mortality of chronic obstructive pulmonary disease among residents in Pudong New Area was relatively high and caused serious life loss.Both crude mortality and age-standardized rate showed a downward trend during the study period.Comprehensive prevention and control measures should be further developed.