扬州市主要慢性病早死率及潜在寿命损失分析
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摘要
目的分析扬州市2017年恶性肿瘤、心脑血管疾病、慢性呼吸系统疾病和糖尿病这四类主要慢性病早死率和潜在寿命损失情况,为制定慢性病防控政策提供依据。方法从中国疾病预防控制信息系统中导出扬州市2017年户籍人口死亡数据,统计分析粗死亡率、标化死亡率、早死率、潜在寿命损失年(PYLL)、标化潜在寿命损失年(SPYLL)、潜在减寿率(PYLLR)和平均减寿年数(AYLL)等指标。结果 2017年扬州市共报告死亡个案35 960例,粗死亡率和标化死亡率分别为778.68/10万和430.18/10万。四类主要慢性病早死率为11.30%,其中恶性肿瘤、心脑血管疾病、慢性呼吸系统疾病和糖尿病的早死率分别为7.10%、3.64%、0.57%和0.34%;四类主要慢性病的PYLL为132 719人年,SPYLL为94 518人年,PYLLR为28.74‰,SPYLLR为20.47‰,AYLL为4.38年。恶性肿瘤、心脑血管疾病、慢性呼吸系统疾病和糖尿病的PYLLR分别为17.61‰、9.09‰、1.19‰和0.85‰,AYLL分别为6.93年、2.93年、1.59年和4.71年。结论四类主要慢性病早死率、PYLLR、SPYLLR和AYLL等指标男性均高于女性,应以男性居民为重点,加强对这四类主要慢性病及其危险因素进行干预。
OBJECTIVE To analyze the premature mortality and potential years of life lost caused by cancer, cardiovascular disease,chronic respiratory disease and diabetes and provide the basis for formulating preventive policy of non-communicable diseases(NCDs)in Yangzhou. METHODS The registered population of Yangzhou died in 2017 were derived from the China Disease Prevention and Control Information System. The crude mortality,standardized mortality,premature mortality,potential years of life lost(PYLL),potential years of life lost rate(PYLLR),standardized potential years of life lost(SPYLL)and average years of life lost(AYLL)were used as indices to analyze. RESULTS A total of 35960 death cases of 2017 in Yangzhou were reported. The crude mortality and standardized mortality were 778.68/105 and 430.18/105,respectively. The premature mortality caused by four NCDs was 11.30%. The premature mortality caused by cancer,cardiovascular disease,chronic respiratory disease and diabetes were 7.10%,3.64%,0.57% and 0.34%,respectively. PYLL,SPYLL,PYLLR,SPYLLR and AYLL caused by four NCDs were 132719 person-years,94518 person-years,28.74‰,20.47‰ and 4.38 years,respectively. PYLLR caused by cancer,cardiovascular disease,chronic respiratory disease and diabetes were17.61‰,9.09‰,1.19‰ and 0.85‰,respectively. AYLL caused by cancer,cardiovascular disease,chronic respiratory disease and diabetes were 6.93,2.93,1.59 and 4.71 years. CONCLUSIONS The premature mortality,PYLLR,SPYLLR and AYLL caused by four NCDs were higher in males than in females. The intervention of four NCDs and their risk factors should be strengthened,especially in males.
OBJECTIVE To analyze the premature mortality and potential years of life lost caused by cancer, cardiovascular disease,chronic respiratory disease and diabetes and provide the basis for formulating preventive policy of non-communicable diseases(NCDs)in Yangzhou. METHODS The registered population of Yangzhou died in 2017 were derived from the China Disease Prevention and Control Information System. The crude mortality,standardized mortality,premature mortality,potential years of life lost(PYLL),potential years of life lost rate(PYLLR),standardized potential years of life lost(SPYLL)and average years of life lost(AYLL)were used as indices to analyze. RESULTS A total of 35960 death cases of 2017 in Yangzhou were reported. The crude mortality and standardized mortality were 778.68/105 and 430.18/105,respectively. The premature mortality caused by four NCDs was 11.30%. The premature mortality caused by cancer,cardiovascular disease,chronic respiratory disease and diabetes were 7.10%,3.64%,0.57% and 0.34%,respectively. PYLL,SPYLL,PYLLR,SPYLLR and AYLL caused by four NCDs were 132719 person-years,94518 person-years,28.74‰,20.47‰ and 4.38 years,respectively. PYLLR caused by cancer,cardiovascular disease,chronic respiratory disease and diabetes were17.61‰,9.09‰,1.19‰ and 0.85‰,respectively. AYLL caused by cancer,cardiovascular disease,chronic respiratory disease and diabetes were 6.93,2.93,1.59 and 4.71 years. CONCLUSIONS The premature mortality,PYLLR,SPYLLR and AYLL caused by four NCDs were higher in males than in females. The intervention of four NCDs and their risk factors should be strengthened,especially in males.
引文
[1]国家卫生计生委疾病预防控制局.中国居民营养与慢性病状况报告[M].北京:人民卫生出版社,2015:33-45.
[2]World Health Organization.Global status report on noncommunicable diseases 2014[M].Geneva:World Health Organization,2014.
[3]解晔,胡晓抒,钱晓勤,等.扬州市35岁以上居民慢性非传染性疾病现况和影响因素分析[J].江苏卫生保健,2009,11(4):1-4.
[4]解晔,许婕.吸烟对心血管疾病影响的流行病学调查研究[J].中国初级卫生保健,2013,27(4):66-67.
[5]解晔,周国榆.扬州市居民高血压患病情况及主要行为危险因素变化趋势分析[J].中国初级卫生保健,2017,31(2):20-22.
[6]李刚,苏健婷,韦再华,等.北京市2010-2015年慢性非传染性疾病早死概率研究[J].中华流行病学杂志,2016,37(9):1268-1271.
[7]潘东霞,谢开婿,陈玲琍,等.桐乡市主要慢性病早死亡概率及对期望寿命的影响[J].预防医学,2018,30(6):586-589.
[8]丁贤彬,唐文革,毛德强,等.重庆市主要慢性病早死率及潜在寿命损失分析[J].中国慢性病预防与控制,2017,25(5):329-333.
[9]YANG F,QIAN D,HU D,et al.Prevalence of cardiovascular disease risk factor clustering in Chinese adults[J].Clinical trials®ulatory science in cardiology,2016(15):1-6.
[10]王德征,张辉,徐忠良,等.天津市1999-2015年慢性非传染性疾病过早死亡趋势分析[J].中华流行病学杂志,2017,38(12):1672-1676.
[11]曾新颖,李镒冲,刘世炜,等.1990-2015年中国四类慢性病早死概率与”健康中国2030”下降目标分析[J].中华预防医学杂志,2017,51(3):209-214.
[12]罗鹏飞,俞浩,韩仁强,等.江苏省居民2012年恶性肿瘤死亡率和潜在减寿分析[J].中国肿瘤,2015,24(7):547-553.
[13]刘丽丽,冯振翼,刘维珍.我国慢性病危险因素分析[J].中国煤炭工业医学杂志,2011,14(7):1077-1080.
[14]KONTIS V,MATHERS C D,BONITA R,et al.Regional contributions of six preventable risk factors to achieving the 25×25 noncommunicable disease mortality reduction target:a modelling study[J].Lancet global health,2015,3(12):e746-e757.
[15]俞浩,武鸣,林萍,等.2012年江苏省居民死因顺位及主要疾病潜在寿命损失分析[J].江苏预防医学,2015,26(3):26-29.
[16]徐康,王涤,石小玲,等.2010-2015年淮安市30~69岁居民主要慢性病死亡状况及变化趋势分析[J].现代预防医学,2018,45(2):196-200.
[2]World Health Organization.Global status report on noncommunicable diseases 2014[M].Geneva:World Health Organization,2014.
[3]解晔,胡晓抒,钱晓勤,等.扬州市35岁以上居民慢性非传染性疾病现况和影响因素分析[J].江苏卫生保健,2009,11(4):1-4.
[4]解晔,许婕.吸烟对心血管疾病影响的流行病学调查研究[J].中国初级卫生保健,2013,27(4):66-67.
[5]解晔,周国榆.扬州市居民高血压患病情况及主要行为危险因素变化趋势分析[J].中国初级卫生保健,2017,31(2):20-22.
[6]李刚,苏健婷,韦再华,等.北京市2010-2015年慢性非传染性疾病早死概率研究[J].中华流行病学杂志,2016,37(9):1268-1271.
[7]潘东霞,谢开婿,陈玲琍,等.桐乡市主要慢性病早死亡概率及对期望寿命的影响[J].预防医学,2018,30(6):586-589.
[8]丁贤彬,唐文革,毛德强,等.重庆市主要慢性病早死率及潜在寿命损失分析[J].中国慢性病预防与控制,2017,25(5):329-333.
[9]YANG F,QIAN D,HU D,et al.Prevalence of cardiovascular disease risk factor clustering in Chinese adults[J].Clinical trials®ulatory science in cardiology,2016(15):1-6.
[10]王德征,张辉,徐忠良,等.天津市1999-2015年慢性非传染性疾病过早死亡趋势分析[J].中华流行病学杂志,2017,38(12):1672-1676.
[11]曾新颖,李镒冲,刘世炜,等.1990-2015年中国四类慢性病早死概率与”健康中国2030”下降目标分析[J].中华预防医学杂志,2017,51(3):209-214.
[12]罗鹏飞,俞浩,韩仁强,等.江苏省居民2012年恶性肿瘤死亡率和潜在减寿分析[J].中国肿瘤,2015,24(7):547-553.
[13]刘丽丽,冯振翼,刘维珍.我国慢性病危险因素分析[J].中国煤炭工业医学杂志,2011,14(7):1077-1080.
[14]KONTIS V,MATHERS C D,BONITA R,et al.Regional contributions of six preventable risk factors to achieving the 25×25 noncommunicable disease mortality reduction target:a modelling study[J].Lancet global health,2015,3(12):e746-e757.
[15]俞浩,武鸣,林萍,等.2012年江苏省居民死因顺位及主要疾病潜在寿命损失分析[J].江苏预防医学,2015,26(3):26-29.
[16]徐康,王涤,石小玲,等.2010-2015年淮安市30~69岁居民主要慢性病死亡状况及变化趋势分析[J].现代预防医学,2018,45(2):196-200.