CAJ | 학술논문

目的分析2004-2005年我国西部农村地区居民慢性阻塞性肺部疾病(COPD)的死亡负担.方法 COPD死亡及人口资料均来自2004-2005年全国第3次死因回顾抽样调查.其中,西部农村地区有42个监测县(区),覆盖西部12个省,调查人年数为28 621 276.根据调查收集的人口资料和死亡个案数据计算西部农村地区居民COPD的死亡率、潜在寿命损失年数(YPLL)率、潜在工作损失年数(WYPLL)率、COPD造成的YPLL率/全死因造成的YPLL率,与其他农村地区比较.标化死亡率、标化潜在工作损失年数(SYPLL)率、标化潜在工作损失年数(SWYPLL)率的计算以2000年人口为标准人口,以2004-2005年全国期望寿命为标准期望寿命.结果西部农村地区居民年龄越大,COPD的粗死亡率、YPLL率水平越高;不同性别居民COPD的粗死亡率、YPLL率水平不同,男性YPLL率为15.47‰,女性为15.73‰.西部农村地区居民COPD的粗死亡率、YPLL率、WYPLL率、COPD造成的YPLL率/全死因造成的YPLL率均较高,分别为:109.53/10万、15.76‰、2.82‰、11.23%.西部农村经济落后地区COPD的粗死亡率、YPLL率、WYPLL率、COPD造成的YPLL率/全死因造成的YPLL率均是最高,分别为:122.04/10万、27.47‰、4.26‰、13.44%.结论 2004-2005年我国西部农村地区COPD的死亡负担比其他农村地区严重,且经济落后地区死亡负担较高.
목적 분석2004-2005년아국서부농촌지구거민만성조새성폐부질병(COPD)적사망부담.방법 COPD사망급인구자료균래자2004-2005년전국제3차사인회고추양조사.기중,서부농촌지구유42개감측현(구),복개서부12개성,조사인년수위28 621 276.근거조사수집적인구자료화사망개안수거계산서부농촌지구거민COPD적사망솔、잠재수명손실년수(YPLL)솔、잠재공작손실년수(WYPLL)솔、COPD조성적YPLL솔/전사인조성적YPLL솔,여기타농촌지구비교.표화사망솔、표화잠재공작손실년수(SYPLL)솔、표화잠재공작손실년수(SWYPLL)솔적계산이2000년인구위표준인구,이2004-2005년전국기망수명위표준기망수명.결과 서부농촌지구거민년령월대,COPD적조사망솔、YPLL솔수평월고;불동성별거민COPD적조사망솔、YPLL솔수평불동,남성YPLL솔위15.47‰,녀성위15.73‰.서부농촌지구거민COPD적조사망솔、YPLL솔、WYPLL솔、COPD조성적YPLL솔/전사인조성적YPLL솔균교고,분별위:109.53/10만、15.76‰、2.82‰、11.23%.서부농촌경제락후지구COPD적조사망솔、YPLL솔、WYPLL솔、COPD조성적YPLL솔/전사인조성적YPLL솔균시최고,분별위:122.04/10만、27.47‰、4.26‰、13.44%.결론 2004-2005년아국서부농촌지구COPD적사망부담비기타농촌지구엄중,차경제락후지구사망부담교고.
Objective To study the death burden of chronic obstructive pulmonary diseases (COPD) in west rural areas of China in 2004-2005. Methods The data from 2004-2005 the Third National Mortality Retrospective Sampling Survey were used in the study. A total of 28 621 276 person years were investigated in west rural areas, which covered 12 provinces, and consisted of 42 surveillance districts. Based on the data of death cause and population, mortality of COPD, years of potential life lost (YPLL) rate,working YPLL(WYPLL) rate, YPLL rate due to COPD/YPLL rate due to all deaths in west rural areas were calculated and compared with other rural areas. Standardized death rate,standardized YPLL (SYPLL) rate,standardized working YPLL(SWYPLL) rate were calculated from census data in 2000 as standard population and 2004-2005 national life expectance as standard life expectance. Results The elder has the higher crude death rate and YPLL rate of COPD in survey districts of west rural areas. And the crude death rate of COPD and YPLL rate were different in different genders. The YPLL rate was 15.47‰ in male and 15.73‰ in female. The crude death rate, YPLL rate, WYPLL rate, the ratio of YPLL rate due to COPD/YPLL rate due to all deaths in survey districts of west rural areas were: 109. 53/100 000,15. 76‰,2. 82‰, 11. 23% ,which were high. While crude death rate, YPLL rate, WYPLL rate,the ratio of YPLL rate due to COPD/YPLL rate due to all deaths in the poorest survey districts of west rural areas were:122. 04/100 000,27.47‰, 4. 26‰, 13.44%, which were higher than other stratifications of west rural areas. Conclusion The death burden of COPD in west rural areas in 2004-2005 was the heaviest one in China which experienced the feature that the poorer the rural regions,the heavier the death burden.