Disease burden and risk factors of chronic respiratory diseases in Jiangsu Province from 1990 to 2019.
10.3760/cma.j.cn112150-20230208-00089
- Author:
Wen Chao XU
1
;
Meng Meng ZHOU
1
;
Meng Ke DING
1
;
Hao YU
2
;
Zheng ZHU
2
;
Wen Guo XU
3
;
Jin Yi ZHOU
2
Author Information
1. Department of Chronic Non-communicable Disease Control and Prevention, Changzhou Cencer for Disease Control and Prevention, Changzhou 213022, China.
2. Department of Chronic Non-communicable Disease Control and Prevention, Jiangsu Cencer for Disease Control and Prevention, Nanjing 210009, China.
3. Changzhou Cencer for Disease Control and Prevention, Changzhou 213022, China.
- Publication Type:Journal Article
- MeSH:
Humans;
Global Burden of Disease;
Respiratory Tract Diseases/mortality*;
Risk Factors;
China/epidemiology*;
Prevalence
- From:
Chinese Journal of Preventive Medicine
2023;57(8):1141-1146
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To analyze the prevalence and the trend of the disease burden of chronic respiratory diseases and relevant risk factors in Jiangsu province from 1990 to 2019 and provide evidence for the prevention and treatment of chronic respiratory diseases. Methods: The data from the 2019 Global Burden of Disease Study (GBD2019) were used to calculate the prevalence rate, mortality rate and disability-adjusted life year (DALY) rate. Software Joinpoint was used to calculate the annual percent change (APC) and average annual percent change (AAPC) of the standardized prevalence rate, standardized mortality rate and standardized DALY rate. The population attributable fractions (PAF) were used to estimate the proportion of chronic respiratory disease caused by different risk factors. Results: In 1990 and 2019, the prevalence rates of chronic respiratory diseases were 4.83% and 5.45%. The mortality rates were 134.91/100 000 and 80.99/100 000 respectively, and the DALY rates were 2 678.52/100 000 and 1 534.31/100 000 respectively. From 1990 to 2019, the age-standardized prevalence rate, mortality rate and DALY rate in Jiangsu showed a significant downward trend (AAPC values were -0.90%, -5.28% and -4.70% respectively, P<0.05). Tobacco use was the leading cause of chronic respiratory diseases, followed by air pollution, occupational exposure, suboptimal temperature and high BMI. Compared with 1990, the proportion of DALYs of chronic respiratory diseases attributable to tobacco use and high BMI increased in 2019. Conclusion: The overall burden of chronic respiratory diseases in Jiangsu shows a downward trend. Prevention and health education should be focused on the population with a smoking history and high BMI. At the same time, environmental management, attention to suboptimal temperature and control of occupational exposure factors should also be adopted as important means to prevent and control chronic respiratory diseases.
