巴中市巴州区慢性呼吸系统疾病死亡率相关趋势分析

Analysis of mortality rate related trends of chronic respiratory disease in Bazhou district of Bazhong City

目的了解巴中市巴州区慢性呼吸系统疾病(CRD)死亡率、早死寿命损失情况及趋势分析,为开展CRD防治提供建议。方法CRD死亡个案资料来源于2014-2021年四川省巴中市巴州区死因监测系统,统计分析死亡率、标化死亡率(SMR)、早死寿命损失年(YLL)、平均寿命损失年(AYLL),不同性别和地区死亡率的比较采用χ^(2)检验,死亡率的趋势分析采用年度变化百分比(APC)。结果巴州区CRD死亡率由2014年的92.32/10万上升至2021年的136.41/10万,APC为4.185%,变化趋势差异有统计学意义(t=4.248,P=0.005),SMR以年均8.607%下降(t=-3.587,P=0.012)。男性CRD死亡率高于女性,差异有统计学意义(P<0.05)。60~<70、70~<80岁CRD死亡率分别以年均12.103%、8.698%下降,差异有统计学意义(P<0.05)。CRD的YLL率由2014年的1.51‰上升至2021年的2.03‰,差异有统计学意义(t=3.384,P=0.015),APC为2.942%;而CRD的AYLL由2014年的16.36年下降至2021年的14.86年,差异有统计学意义(t=3.106,P=0.021),APC为-1.193%。结论巴中市巴州区CRD死亡率高,并且呈上升的趋势,应加强CRD的综合防治。

Objective To understand the mortality rate,year of life lost and its trend analysis of chronic respiratory disease(CRD)in Bazhou district of Bazhong City,and provide suggestions for the prevention and control of CRD.Methods The data of CRD deaths were collected from the cause of death surveillance information system in Bazhou District of Bazhong City,Sichuan Province from 2014 to 2021.The mortality rate,standardized mortality rate(SMR),years of life lost(YLL),average year of life lost(AYLL)were statistically analyzed.The χ^(2) test was used to compare the mortality rate of different genders and regions.The trend change of the mortality rate was analyzed by annual percentage change(APC).Results The mortality rate of CRD in Bazhou district increased from 92.32/100,000 in 2014 to 136.41/100,000 in 2021,and the APC was 4.185%,the variation trend difference was statistically significant(t=4.248,P=0.005).The SMR decreased at an average annual rate of 8.607%(t=-3.587,P=0.012).The mortality rate of CRD in male was higher than that in female,and the difference was statistically significant(P<0.05).The mortality rate of CRD aged between 60-<70 years old and 70-<80 years old decreased by 12.103% and 8.698%,respectively,and the difference was statistically significant(P<0.05).The rate of YLL of CRD increased from 1.51‰ in 2014 to 2.03‰ in 2021,and the difference was statistically significant(t=3.384,P=0.015).And its APC was 2.942%.The AYLL of CRD decreased from 16.36 years in 2014 to 14.86 years in 2021,and the difference was statistically significant(t=3.106,P=0.021).And its APC was-1.193%.Conclusion The mortality rate of CRD is high and on the rise in Bazhou district of Bazhong City.So comprehensive prevention and treatment of CRD should be strengthened.