1998-2017年贵州省黔南州慢性阻塞性肺疾病死亡率变化趋势分析

目的 分析1998-2017年贵州省黔南州居民慢性阻塞性肺疾病(COPD)死亡率及其变化趋势。方法 提取贵州省黔南州居民1998-2017年COPD死因监测资料,统计贵州省黔南州居民COPD死亡率,比较不同年龄、性别间的死亡率差异,并分析其变化趋势。结果 贵州省黔南州居民1998-2017年COPD死亡率为67.85/10万~31.38/10万,呈下降趋势年度变化百分比(APC)=-5.13%,Z=-56.37,P<0.001])。标化死亡率为64.02/10万~29.39/10万,呈下降趋势(APC=-8.67%,Z=-87.38,P<0.001);1998-2017年,男性死亡率为63.42/10万~29.54/10万,呈下降趋势(APC=-4.98%,Z=-46.32,P<0.001)。女性死亡率为66.32/10万~30.68/10万,呈下降趋势(APC=-5.21%,Z=-49.72,P<0.001);男性标化死亡率为66.75/10万~16.07/10万,呈下降趋势(APC=-8.47%,Z=-61.48,P<0.001)。女性标化死亡率为64.24/10万~15.36/10万,呈下降趋势(APC=-9.72%,Z=-69.31,P<0.001);1998-2017年贵州省黔南州居民COPD死亡率随着年龄增大而逐渐升高(P<0.001),除≤35岁年龄段以外,36岁以后各年龄段COPD死亡率均呈下降趋势(P<0.001)。结论 1998-2017年期间贵州省黔南州居民COPD死亡率呈明显的下降趋势特点。应将36岁以上年龄段人群作为COPD死亡重点关注人群。

Mortality trend of chronic obstructive pulmonary disease,Qiannan,1998-2017

Objective To explore the mortality trends and distribution of chronic obstructive pulmonary disease(COPD)among the residents with different characteristics from 1998 to 2017 in Qiannan.Methods The mortality data of COPD in Qiannan from 1998 to 2017 were collected from a mortality surveillance system.The mortality rate of COPD,differences in the rate by gender,age,and the trend over the years were analyzed.Results The crude COPD mortality rate in Qiannan decreased from 67.85/105 in 1998 to 31.38/105 in 2017(annual per cent change(APC)=-5.13%,Z=-56.37,P<0.001).The standardized mortality rate decreased from 64.02/105 in 1998 to 29.39/105 in 2017(APC=-8.67%,Z=-87.38,P<0.001).The crude COPD mortality rate of male decreased from 63.42/105 to 29.54/105(APC=-4.98%,Z=-46.32,P<0.001).The crude COPD mortality rate of female decreased from 66.32/105 to 30.68/105(APC=-5.21%,Z=-46.32,P<0.001).The standardized mortality rate of male decreased from 66.75/105 to 16.07/105(APC=-8.47%,Z=-61.48,P<0.001),and the standardized mortality rate of female decreased from 64.24/105 to 15.36/105(APC=-9.72%,Z=-69.31,P<0.001).The mortality rate of COPD in Qiannan increased gradually with age(P<0.001).Except for the age group ≤35 years old,the mortality of COPD in all age groups showed a downward trend at all ages after 36 years old.Conclusion The COPD mortality in Qiannan decreases from 1998 to 2017.More efforts are needed to reduce COPD mortality in Qiannan,and people over 36 years old should be the focus of attention to COPD caused death.