摘要
目的探讨中国城市化进程与人群呼吸系统常见疾病病死率的相关性。方法从国家统计数据库检索2003-2009年中国具有代表性的城市化经济指标,筛选出最可能对呼吸系统疾病产生影响的10项指标(工业总产值,能源消费总量,民用汽车总量,铁路营业及民航航线里程,卷烟、纸板、水泥和塑料总产量,商品房销售面积)。从《中国卫生统计年鉴》筛选2003-2009年呼吸系统常见疾病的病死率。采用Spearman秩相关分析,计算出该10项指标与呼吸系统常见疾病病死率的相关系数。结果该10项指标水平、城市居民肺炎、尘肺病死率都随时间增长而增加,慢性下呼吸道疾病及呼吸系统的其它疾病病死率随时间增长而下降。该10项指标与城市肺炎、尘肺呈正相关(rs>0,P<0.05),而与慢性下呼吸道疾病及呼吸系统的其它疾病病死率呈负相关,无统计学意义(rs<0,P>0.05)。按城市级别分层,10项指标仅与大城市肺炎、尘肺显著相关(rs>0,P<0.05),与中小城市肺炎、尘肺的相关性无统计学意义(P>0.05)。结论城市化进程可能是中国城市居民肺炎、尘肺病死率增加的原因之一。
Objective To analyze the association between urbanization and the mortality of common respiratory diseases in China. Methods 10 representative urbanization indicators （total industrial output, energy consumption, civilian automobile, length of railways and civil aviation routes, paper, cement, plastic and cigarette production, selling area of commodity house） which may affect respiratory system were retrieved from the state statistical database （2003 to 2009）. The mortality data of the common respiratory diseases were retrieved from the health statistics Yearbook of China. The correlation between the 10 indicators and mortality of common respiratory diseases was analyzed by using Spearman rank correlation. Results Both levels of the 10 indicators and mortality of pneumonia, pneumoconiosis increased constantly, the mortality of chronic lower respiratory disease and other respiratory disease were downtrend from 2003 to 2009. The 10 indicators were positively correlated to mortality of pneumonia, pneumoconiosis （ rs 〉 0, P 〈 0. 05 ）, but not to the chronic lower respiratory disease and other respiratory disease of city （ P 〉 0. 05 ）. Subgroup analysis showed the 10 indicators have significant correlation with the mortality of pneumonia, pneumoconiosis in large city （rs 〉 0, P 〈 0.05 ）, but not in small-and-medium city （ P 〉 0.05 ）. Conclusion Urbanization may contribute to the increasing mortality of pneumonia, pneumoconiosis in China.
出处
《中华肺部疾病杂志（电子版）》
CAS
2013年第2期7-10,共4页
Chinese Journal of Lung Diseases(Electronic Edition)
