Journal of Public Health and Preventive Medicine 2021;32(2):34-38

doi:10.3969/j.issn.1006-2483.2021.02.008

Analysis of the mortality and years of life lost from chronic obstructive pulmonary disease among residents in Pudong New Area of Shanghai in 2002-2019

Yichen CHEN 1 ; Hua CHEN 1 ; Lianghong SUN 1 ; Xiaopan LI 1 ; Hanyi CHEN 1 ; Xiaobin QU 1 ; Yi ZHOU 1 ; Shaotan XIAO 1

Affiliations

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Keywords

Chronic obstructive pulmonary disease; Mortality; Temporal trend; Potential years of life lost

Country

China

Language

Chinese

Abstract

Objective To explore the death characteristics and the potential years of life lost from chronic obstructive pulmonary disease (COPD) among residents in Pudong New Area of Shanghai from 2002 to 2019, so as to provide a reference for formulating corresponding prevention and control strategies for chronic obstructive pulmonary disease. Methods The death data of chronic obstructive pulmonary disease was extracted from the Pudong New Area's death surveillance system. Crude mortality, age-standardized mortality, potential years of life lost (PYLL), average years of life lost (AYLL) and annual percent change (APC) of chronic obstructive pulmonary disease deaths were calculated to analyze the situation of COPD death in Pudong New Area. Results The crude mortality and age-standardized mortality of chronic obstructive pulmonary disease among residents in Pudong New Area between 2002 and 2019 were 64.94/100,000 and 21.04/100 000, respectively. The chronic obstructive pulmonary disease showed a downward trend (APC=-2.05%, Z=- 5.342, P<0.001), and the standardized mortality rate decreased year by year (APC=-6.23%, Z=-13.052, P<0.001). The crude mortality and age-standardized rates in male residents were both higher than those in females (Z-crude mortality=46.471, P<0.001, Z-standardized mortality=-48.961, P<0.001). The PYLL of chronic obstructive pulmonary disease was 16,997 years, the PYLL rate was 0.34‰, and the AYLL was 0.53 years per person. Conclusion From 2002 to 2019, the mortality of chronic obstructive pulmonary disease among residents in Pudong New Area was relatively high and caused serious life loss. Both crude mortality and age-standardized rate showed a downward trend during the study period. Comprehensive prevention and control measures should be further developed.