Mortality and trend of chronic non-communicable diseases in Yichang in 2015-2020
10.3969/j.issn.1006-2483.2022.05.009
- VernacularTitle:2015—2020年宜昌市慢性非传染性疾病死亡水平及变化趋势分析
- Author:
Chan WU
1
;
Fang-fang LU
1
;
Jia-juan YANG
1
;
Yong-jun SU
2
Author Information
1. Yichang Center for Disease Control and Prevention, Yichang , Hubei 443003 , China
2. Yichang Municipal Health Commission, Yichang , Hubei 443000 , China
- Publication Type:Journal Article
- Keywords:
Chronic non-communicable diseases（NCDs）;
Mortality;
Trend
- From:
Journal of Public Health and Preventive Medicine
2022;33(5):40-44
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the level, constituent ratio, and change trend of death caused by chronic non-communicable diseases （NCDs）in Yichang from 2015 to 2020. Methods The death monitoring data of residents in Yichang from 2015 to 2020 were collected from the National Mortality Surveillance System, and the crude mortality rate, standardized mortality rate and death composition ratio of Yichang residents in different seasons, genders, ages and regions were analyzed. The standardized mortality was calculated using the data of the sixth national census in 2010. The Joinpoint regression model (Joinpoint Regression Program 4.9.0.0 software) was used to analyze the trend of time variation. The annual change percentage (APC), and 95% CI were calculated. Results In 2020, the age-standardized mortality of NCDs in Yichang was 399.20 per 100 000. From 2015 to 2020, the age-standardized mortality rate of chronic diseases among residents in Yichang showed a significant downward trend (APC=-3.42%, P<0.05). The standardized mortality of NCDs decreased rapidly in urban areas (APC=-3.52%, P<0.05）and in women（APC=-4.23%, P<0.05）. The standardized mortality of NCDs in most groups (except age 40-year-old and 70-year-old groups) decreased significantly (APC=-12.31%∽-3.13%, P<0.05). The standardized mortality of NCDs in the first and fourth quarters decreased year by year（APC=-3.83%, -4.02%, P<0.05）. The constituent ratio of death caused by NCDs in urban areas and in female residents in Yichang declined slowly (APC=-0.39%, -0.54%, P<0.05）. After the outbreak of infectious diseases in 2020, the crude mortality in the first quarter changed from an upward trend in the past 5 years（APC=3.71%, P<0.05） to no statistical significance, and the rude mortality in 2020 was lower than all other years. The constituent ratios of deaths from NCDson the way to the hospital and deaths in the elderly care service institutions changed from no statistical significance in the past to a downward trend (APC=-14.65%, P<0.05) and an upward trend (APC=8.03% , P<0.05), respectively. Conclusions From 2015 to 2020, the age-standardized mortality rate of chronic non-communicable diseases among residents in Yichang has decreased, and the proportion of urban and female deaths has declined. Epidemic situation of infectious disease has changed the time trend of mortality of NCDs in stages, and partially affected the choice of place of death. It is recommended to implement the whole population strategy for the prevention and control of NCDs, focusing on rural and male residents, and optimize the management of chronic diseases.
