2010-2020年中国居民慢性阻塞性肺疾病死亡趋势分析

Mortality trend of chronic obstructive pulmonary disease among Chinese residents,2010-2020

目的:了解2010-2020年中国居民慢性阻塞性肺疾病(COPD)的死亡率及其变化趋势。方法:采用中国死因监测数据,收集整理2010-2020年中国居民COPD死亡数据,计算死亡率并以2010年人口普查数据进行标化,采用Joinpoint回归分析其变化趋势。结果:2010-2020年,中国居民COPD死亡率从64.87/10万下降到45.88/10万(AAPC=-3.76%,P<0.001),标化死亡率从83.78/10万下降到31.29/10万(AAPC=-8.71%,P<0.001),其中2010-2012年下降速度较快(APC=-13.97%,P=0.012),2012-2020年下降速度放缓(APC=-7.35%,P<0.001)。2010-2020年,男性COPD标化死亡率高于女性,但两者均呈逐年下降趋势;其中男性COPD标化死亡率下降趋势在2012年较之前有所减慢,而女性无明显变化。2010-2020年,农村COPD标化死亡率高于城市,但两者均呈下降趋势;2010-2013年农村下降趋势较快,2013年后下降速度减慢,城市下降速度无变化。2010-2020年,中国居民COPD死亡率随年龄增加而逐渐升高,各年龄组COPD死亡率均呈下降趋势。结论:2010-2020年中国居民COPD死亡率逐年降低,男性、农村居民及老年人群体COPD死亡率仍处于相对较高水平。

Aim:To understand the mortality rate of chronic obstructive pulmonary disease(COPD)in Chinese residents and its trend from^(2)010 to 2020.Method:Using Chinese cause of death surveillance data,we collected COPD death data of Chinese residents from^(2)010 to 2020,calculated mortality rates and standardized mortality rates using the 2010 census data as the standard population,and analyzed the trend of changes by Joinpoint regression.Result:From^(2)010 to 2020,the crude mortality rate of COPD among Chinese residents decreased from 64.87/100000 to 45.88/100000,which showed decreased trend(AAPC=-3.76%,P<0.001),and the standardized mortality rate decreased from 83.78/100000 to 31.29/100000(AAPC=-8.71%,P<0.001).The decreasing trend of mortality rate was faster from^(2)010 to 2012(APC=-13.97%,P=0.012)and slowed down from^(2)012 to 2020(APC=-7.35%,P<0.001).From^(2)010 to 2020,the standardized mortality rate of COPD was higher in men than in women,and both showed a decreasing trend year by year;the decreasing trend of standardized mortality rate of COPD in men was slower in 2012 than before,while there was no significant change in women.From^(2)010 to 2020,the standardized mortality rate of COPD was higher in rural areas than in urban areas,both of which showed a decreasing trend;the decreasing trend was faster in rural areas from^(2)010 to 2013,and slowed down after 2013;there was no change in the decreasing rate in urban areas.From^(2)010 to 2020,the COPD mortality rate of Chinese residents gradually increased with age,with a decreasing trend in COPD mortality in all age groups.Conclusion:From^(2)010 to 2020,the mortality rate of COPD gradually decreased among Chinese residents,and the mortality rate of COPD in male,rural area residents and the elderly was still at a relatively high level.