摘要
目的了解2010—2016年上海市某社区居民循环系统疾病相关死亡流行病学特点及其趋势。方法根据2010—2016年浦东新区某社区户籍人口死因监测数据库,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)、平均减寿年数(AYLL)等指标对循环系统疾病相关死亡情况进行分析。结果2010—2016年浦东新区某社区因循环系统疾病死亡613例,占同期总死亡的36.34%,居死因顺位首位,粗死亡率为250.68/10万,标化死亡率为81.62/10万。循环系统疾病粗死亡率和标化死亡率均无明显趋势(APC=5.81%,2.93;Z=2.951,1.820;P>0.05),中老年组(45~64岁)(呈明显上升趋势APC=10.06%,Z=2.629,P=0.046),女性粗死亡率呈逐年上升趋势(APC=8.81,Z=4.120,P=0.009)。男性循环系统疾病相关死亡率高于女性(U=-4.110,P<0.001)。该社区2010—2016年期间循环系统疾病PYLL为670.33人年,PYLL率为2.74‰,AYLL为1.03年/人。PYLL率及AYLL无明显趋势(APC=10.24,4.19;Z=1.161,0.249;P>0.05)。结论该社区中老年人及女性循环系统疾病粗死亡率呈现逐年上升的趋势,提示应加强重点人群的循环系统疾病的防控措施。
Objective To explore the epidemiological characteristics and analyze the trend of circulation system diseases mortality among residents in a community of Shanghai from 2010 to 2016. Methods According to the mortality data of residents from 2010 to 2016 in a community of Shanghai,crude mortality,standardized mortality rate,potential years of life lost( PYLL),average years of life lost( AYLL),annual percent change( APC) were calculated to analyze the status and trends of mortality of circulation system diseases. Results A total of 6131 deaths of circulation system diseases accounted for 36. 34% of the total death,which is the first death cause in this period,and the annual crude rate was 250. 68/105 during 2010—2016 and ASR( age-standardized rate) was 81. 62/105. During those 7 years,data didn’t showed an trend on the crude mortality or ASR( APC = 5. 81%,2. 93; Z = 2. 951,1. 820; P > 0. 05),and there was a significant upward trend in crude mortality of residents aged 45-64 years old( APC = 10. 06%,Z = 2. 629,P =0. 046) and female( APC = 8. 81,Z = 4. 120,P = 0. 009). The mortality in males was higher than that in female( U =-4. 110,P < 0. 001). The PYLL,PYLLR and AYLL of circulation system diseases were 670. 33 years,2. 74‰,and1. 03 years. During the 7 years, PYLL rate and AYLL of circulation system diseases didn ’t showed a trend( APC =10. 24,4. 19; Z = 1. 161,0. 249; P > 0. 05). Conclusion The crude mortality of circulation system diseases among female residents in this community were rising gradually,which means some measures of prevention and control for circulation system diseases should be strengthened for the high risk group.
作者
罗峥
徐华
赵玫
徐晓云
LUO Zheng;XU Hua;ZHAO Mei;XU Xiao-yun(Neurology Department,Shanghai University of Medicine &Health Sciences Affiliated Zhoupu Hospital,Pudong District,Shanghai 201318,China)
出处
《医药论坛杂志》
2018年第11期22-25,共4页
Journal of Medical Forum
基金
上海健康医学院种子基金项目(HMSF-17-22-039)
浦东新区卫生和计划生育委员会学科建设计划—循环系统疾病特色专病(PWZzb2017-11)
