Disease burden of chronic obstructive pulmonary diseases in China from 1990 to 2019.
10.3760/cma.j.cn112338-20211009-00773
- Author:
Shan Shan HOU
1
;
Jin Dong SHI
2
;
Xin YIN
1
;
Qian XU
3
;
Feng JIANG
1
;
Na WANG
1
;
Qingwu JIANG
1
Author Information
1. Department of Epidemiology,School of Public Health,Fudan University,Shanghai 200032, China.
2. Department of Respiratory and Critical Care Medicine, Fifth People's Hospital of Shanghai City, Fudan University, Shanghai 200240, China.
3. Xuhui District Center for Disease Control and Prevention, Shanghai 200030, China.
- Publication Type:Journal Article
- MeSH:
Female;
Male;
Humans;
Adult;
Cost of Illness;
Pulmonary Disease, Chronic Obstructive/epidemiology*;
Air Pollution/adverse effects*;
Particulate Matter;
China/epidemiology*;
Dust;
Gases
- From:
Chinese Journal of Epidemiology
2022;43(10):1554-1561
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To examine the trend of the burden on chronic obstructive pulmonary diseases (COPD) and epidemiologic transition on related risk factors among the Chinese population from 1990 to 2019. Methods: Based on the data from the Global Burden of Disease 2019 Study, we used the indicator numbers such as disability-adjusted life year (DALY), years of life lost (YLD), years lived with disability (YLL), and prevalence rate to describe the changes of COPD burden stratified by different sex and age groups from 1990 to 2019. We applied population attribution faction (PAF) to analyze the burden attributed to risk factors and epidemiological transition. Results: In 2019, the age-standard rate for DALY, YLD, and YLL and prevalence rate for COPD were 1 102.77/100 000 population,862.37/100 000 population, 240.40/100 000 population, and 2 404.41/100 000. Both age-standardized DALY and YLL rates for COPD in males were higher than in females, except for the YLD rate in females. COPD's top five risk factors were particulate matter pollution, smoking, occupational particulate matter, gases, and fumes, low temperature, and secondhand smoke. Smoking surpassed environmental particulate pollution in 1994 and became the first factor causing the disease burden of COPD. Since then, the order of risk factors has not changed. The PAF of environmental particulate pollutants increased by 1.78% annually, from 15.22% in 1990 to 25.37%, and the PAF of household air pollution from solid fuels decreased by 5.59% annually, from 40.30% in 1990 to 7.59%. Conclusions: From 1990 to 2019, the per person health loss caused by COPD in China showed an overall downward trend. The PAF of relevant risk factors has also changed, the importance of environmental factors is relatively declined, and the status of smoking and other related risk behaviors has become increasingly prominent. The prevention and control of COPD can focus on screening high-risk groups (≥40 years old, smoking, heavy air pollution, having occupational exposure), smoking cessation, and environmental treatment.
