2002 - 2017年上海市浦东新区居民心脏病死亡分析

目的 了解2002 - 2017年浦东新区居民心脏病死亡特征与潜在寿命损失，为制定相应的干预措施提供依据。方法 收集2002 - 2017年浦东新居民心脏病死亡资料，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) 、潜在减寿率(PYLLR)、平均减寿年数(AYLL)等指标对心脏病死亡情况进行分析。运用率差别分解法定量评价人口因素对于浦东新区心脏病死亡率变化的贡献。结果 2002 - 2017年浦东新区居民心脏病粗死亡率为114.42/10万，中国人口标化死亡率为55.45/10万，16年间浦东新区居民心脏病粗死亡率与标化死亡率均呈现逐年上升的趋势(APC粗死亡率 = 5.39%, Z粗死亡率 = 20.002, P＜0.001, APC标化死亡率 = 0.65%, Z标化死亡率 = 2.264, P = 0.040)，人口因素对浦东新区居民心脏病死亡率起到了促进作用，人口老龄化贡献率分别为91.14%。浦东新区心脏病PYLL为65 935年，PYLLR为1.52‰，AYLL为1.33年/人，SPYLL为55 011年，SPYLLR为1.27‰。结论 2002 - 2017年浦东新区居民心脏病死亡率逐年上升并导致严重的寿命损失，人口老龄化因素发挥主要促进作用，应采取综合性的防控措施。

Analysis of the death tendency and potential life lost caused by heart disease among residents in Pudong New Area of Shanghai from 2002 to 2017

Objective To assess the epidemiological characteristics and the potential years of life lost of heart disease among residents in Pudong New Area from 2001 to 2017, so as to provide a reference for developing the relevant intervention measures. Methods Data on heart disease deaths among residents in Pudong New Area between 2002 and 2017 were collected, mortality, standardized mortality, annual percent change(APC), potential years of life lost(PYLL), potential years of life lost rate (PYLLR) and average years of life lost(AYLL) of the heart disease deaths were analyzed. Difference decomposition was applied to estimate the contribution of demographic and non-demographic factors to the contribution of demographic and non-demographic factors to the change of heart disease mortality. Results The crude mortality and standardized mortality of heart disease among residents in Pudong New Area between 2002 and 2017 were 114.42/100 000 and 40.61/100 000, respectively. The crude mortality rate(CMR) and age standardized rate(ASR) of heart disease increased over the years (APCCMR=5.39%, ZCMR=20.002, P<0.001, APCASR=0.65%, ZASR=2.264, P=0.040). The increase in crude mortality of heart disease was mainly due to demographic change, and the proportions of demographic contribution to the mortality were 91.14%．The PYLL and SPYLL of heart disease in the Area were 65935 years and 55011 years, the PYLL rate and SPYLL rate were 1.52‰ and 1.27‰, and the AYLL was 1.33 years per person. Conclusion The heart disease mortality in Pudong New Area increased during 2002-2017, and caused severe life loss. The aging population effect was one of the main enhancement factors and comprehensive intervention is necessary.