万秋萍, 祝军玲, 黄瑾, 熊建菁, 尹晓烈, 杨晓明, 施伶俐, 王云徽, 褚晓婷. 上海市静安区19762015年病毒性肝炎死亡率和潜在寿命损失年变化趋势分析[J]. 上海预防医学, 2021, 33(7): 593-598. DOI: 10.19428/j.cnki.sjpm.2021.19790
引用本文: 万秋萍, 祝军玲, 黄瑾, 熊建菁, 尹晓烈, 杨晓明, 施伶俐, 王云徽, 褚晓婷. 上海市静安区19762015年病毒性肝炎死亡率和潜在寿命损失年变化趋势分析[J]. 上海预防医学, 2021, 33(7): 593-598. DOI: 10.19428/j.cnki.sjpm.2021.19790
WAN Qui-ping, ZHU Jun-ling, HUANG Jin, XIONG Jian-jing, YIN Xiao-lie, YANG Xiao-ming, SHI Ling-li, WANG Yun-hui, CHU Xiao-ting. Long-term trend of viral hepatitis mortality and potential years of life lost in Jingan District of Shanghai 1976-2015[J]. Shanghai Journal of Preventive Medicine, 2021, 33(7): 593-598. DOI: 10.19428/j.cnki.sjpm.2021.19790
Citation: WAN Qui-ping, ZHU Jun-ling, HUANG Jin, XIONG Jian-jing, YIN Xiao-lie, YANG Xiao-ming, SHI Ling-li, WANG Yun-hui, CHU Xiao-ting. Long-term trend of viral hepatitis mortality and potential years of life lost in Jingan District of Shanghai 1976-2015[J]. Shanghai Journal of Preventive Medicine, 2021, 33(7): 593-598. DOI: 10.19428/j.cnki.sjpm.2021.19790

上海市静安区19762015年病毒性肝炎死亡率和潜在寿命损失年变化趋势分析

Long-term trend of viral hepatitis mortality and potential years of life lost in Jingan District of Shanghai 1976-2015

  • 摘要:
    目的分析上海市静安区病毒性肝炎死亡长期趋势,为开展相关防控和研究工作提供参考依据。
    方法计算1976—2015年上海市静安区病毒性肝炎的死亡率、标化死亡率和潜在寿命损失年(PYLL)、减寿率(PYLL‰),应用Joinpoint回归分析病毒性肝炎死亡率、减寿率(PYLL‰)的变化趋势和年度变化百分比(APC)。
    结果1976—2015年静安区因病毒性肝炎死亡1 342人,其中男性832人,女性510人;平均粗死亡率8.31/10万,平均标化死亡率5.45/10万;男性病毒性肝炎死亡率、标化死亡率、PYLL‰均高于女性(χ2=107.34,112.93,39.15,P<0.01),男性主要集中在35~64岁(占62.62%),而女性主要集中在65岁及以上(占55.49%),男性死亡年龄早于女性(Z=-8.879,P<0.01);1990年以后(除2002年)病毒性肝炎死亡病例中,主要以乙型肝炎为主,占比75.00%~100%,其他及未分型比例逐渐减少;1976-2015年病毒性肝炎死亡率总体呈明显下降趋势(APC=-2.0%,P<0.05),2002年为转折点,2002—2015年病毒性肝炎死亡率下降趋势更加明显(APC=-8.1%,P<0.05);1976—2015年病毒性肝炎减寿率总体呈明显下降趋势(APC=-3.7%,P<0.05),1992年为转折点,1992—2015年的病毒性肝炎减寿率下降趋势更加显著(APC=-6.5%,P<0.05)。
    结论2002—2015年,上海市静安区病毒性肝炎死亡率和减寿率呈下降趋势,以乙型肝炎死亡为主。

     

    Abstract:
    ObjectiveTo analyze the long-term trend of viral hepatitis mortality in Jing’an District of Shanghai, and to provide a reference for viral hepatitis prevention and control.
    MethodsMortality rate, standard mortality rate, PYLL and potential years of life lost rate (PYLL‰) of viral hepatitis in Jing’an district of Shanghai from 1976 to 2015 were calculated. The annual percent change (APC) of the mortality and PYLL‰ were analyzed by Joinpoint regression analysis.
    ResultsFrom 1976 to 2015, there were 1 342 viral hepatitis death cases, including 832 males and 510 females. The average crude mortality rate was 8.31/100 000, and the average age-standardized mortality rate was 5.45/100 000. Among the deaths of viral hepatitis, men had a higher mortality rate, age-standardized mortality rate and PYLL% than women (χ2Pearson=107.34, 112.93, 39.15, all P<0.01), men were mainly in the age group of 35-64 years (accounted for 62.62%), while women were mainly in the age group of 65 years and above (accounted for 55.49 %), and the average death age of men was earlier than that of women (by rank-sum test: Z=-8.879,P<0.01). After 1990 (except in 2002), hepatitis B was the main cause of deaths from viral hepatitis, accounting for 75.00%-100%, and the proportion of other and unclassified cases gradually decreased. Overall, the mortality rate of viral hepatitis declined significantly during 1976-2015 (APC=-2.0%,P<0.05), with the turning point in 2002. The mortality rate of viral hepatitis declined significantly from 2002 to 2015 (APC=-8.1%,P<0.05). The overall PYLL‰ of viral hepatitis declined significantly during 1976-2015 (APC=-3.7%,P<0.05), with the turning point in 1992. After 1992, the PYLL‰ of viral hepatitis declined significantly during 1992-2015 (APC=-6.5%,P<0.05).
    ConclusionThere has been a significant decline trend of viral hepatitis in the mortality rate in Jing’an District of Shanghai from 2002 to 2015, with hepatitis B as the main cause of death.

     

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