辽宁农村地区2009-2015年冠心病死亡趋势及早死所致疾病负担研究

艾聪; 李娟; 张珊姗; 刘晓冰; 孙秋红; 时景璞

doi:10.16462/j.cnki.zhjbkz.2018.11.004

辽宁农村地区2009-2015年冠心病死亡趋势及早死所致疾病负担研究

doi: 10.16462/j.cnki.zhjbkz.2018.11.004

艾聪^1,2,
李娟^1,2,
张珊姗³,
刘晓冰⁴,
孙秋红⁵,
时景璞^1,2, ,

1. 中国医科大学附属第一医院临床流行病与循证医学教研室, 辽宁沈阳 110001;
2. 循证医学教育部网上合作研究中心, 中国医科大学分中心, 辽宁沈阳 110001;
3. 中国医科大学, 转化医学研究院, 辽宁沈阳 110122;
4. 彰武县疾病预防控制中心慢病科, 辽宁彰武 123200;
5. 凤城市疾病预防控制中心慢病科, 辽宁凤城 118100

详细信息

作者简介:
艾聪(1992-),女,满族,辽宁丹东人,在读硕士研究生。主要研究方向:心脑血管流行病学及循证医学。

中图分类号: R541.4;R181.1
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出版历程
- 收稿日期: 2018-04-25
- 修回日期: 2018-08-25

The trend of coronary heart disease mortality and disease burden among rural area of Liaoning Province from 2009 to 2015

1. The Department of Clinical Epidemiology and Center of Evidence Based Medicine, the First Affiliated Hospital, China Medical University, Shenyang 110001, China;
2. Evidence-Based Medicine Education Online Cooperative Research Centre, China Medical University Sub-centers, Shenyang 110001, China;
3. The Institution of Translational Medicine, China Medical University, 110122, China;
4. The Department of Chronic Diseases, Centers for Disease Control of Zhangwu, Zhangwu 123200, China;
5. The Department of Chronic Diseases, Centers for Disease Control of Fengcheng, Fengcheng 118100, China

摘要

摘要: 目的了解辽宁彰武和凤城农村地区冠心病（coronary heart disease，CHD）的死亡趋势，以及CHD对该人群造成的疾病负担。方法收集辽宁省彰武和凤城两地2009-2015年全死因死亡数据和人口学数据，计算死亡率、标化死亡率、早死所致健康寿命损失年（years of life lost，YLLs）、每千人YLL（YLL率）、标化YLL率、平均每人的健康寿命损失年（average years of life lost，AYLLs）、标化AYLLs及各指标随年份的变化趋势情况。结果辽宁农村地区人群在2015年死亡率达最大值，为159.34/10万，且死亡率与年份呈正相关（r_s=0.964，P<0.001），增长速度为5.51%。男性YLLs和人群YLLs均与年份呈正相关（均有P<0.05），增长速度分别为5.15%、4.25%；但女性的标化YLL率和AYLLs与年份呈负相关（均有P<0.05），下降速度分别为5.66%、1.65%。结论辽宁农村地区人群在2009-2015年冠心病死亡率和YLL率呈现增长趋势，并且对该人群造成一定的疾病负担，应该对该人群展开相关教育及对冠心病的防治措施。
- 冠心病 /
- 死亡率 /
- 患病代价 /
- 流行病学方法
Abstract: Objective To explore the trend of coronary heart disease(CHD) mortality and disease burden among Zhangwu and Fengcheng rural areas of Liaoning Province. Methods The all-cause mortality data and the demographic data of Zhangwu and Fengcheng areas in Liaoning Province from 2009 to 2015 were collected. Mortality, age standardized mortality, years of life lost (YLLs), YLL rate, age standardized YLL rate, average years of life lost (AYLLs), age standardized AYLLs and the change of all indexes with year were calculated. Results The maximum value of mortality was 159.34 per 100 000 among rural area of Liaoning Province in 2015. The mortality of CHD was positively correlated with time at a speed of 5.51% (r_s=0.964, P<0.001). YLLs for male and population were positively correlated with time and increased with years at a speed of 5.15% and 4.25% respectively (all P<0.05), but age standardized YLL rate and AYLLs for female were negatively correlated with time and decreased with years at a speed of 5.66% and 1.65% respectively (all P<0.05). Conclusions There was a growing tendency of the mortality and YLL rate of CHD among rural areas of Liaoning from 2009 to 2015, and it brought burdens to people there. It is necessary to carry out health education about CHD and take further measures to prevent CHD.
- Coronary disease /
- Mortality /
- Cost of illness /
- Epidemiologic method