论文部分内容阅读
目的:分析我国2018年0~19岁人群哮喘死亡情况及2008年至2018年哮喘死亡人数的变化趋势,以期指导我国哮喘控制管理和预防策略的研究,降低我国儿童哮喘死亡率。方法:应用全国疾病监测系统(DSPs)的数据。计算我国0~19岁人群2008年至2018年不同年龄组、性别、居住地、地理区域人群哮喘死亡率,结合中国统计年鉴的全国人口数估算全国的哮喘死亡人数,计算哮喘死亡率年度变化百分比(APC)和哮喘死亡率平均年度变化百分比(AAPC),分析我国2018年0~19岁哮喘人群死亡情况及2008年至2018年哮喘死亡率变化趋势。结果:2018年中国0~19岁人群哮喘死亡率在不同年龄、居住地、地理区域的性别差异均无统计学意义(均n P>0.05)。2008年至2018年我国0~19岁哮喘死亡率为0.023/10万~0.046/10万,2009年、2012年哮喘死亡率最高,2018年最低。估算全国范围内0~19岁哮喘人群死亡人数,2009年最高(148例),2018年最低(70例)。估算全国2008年至2018年0~19岁哮喘死亡人数为1 158例。2008年至2018年中国0~19岁人群哮喘合计死亡率明显下降(AAPC=-7.6%,95%n CI:-10.4%~-4.7%)。各组别中,男性组(AAPC=-7.4%,95%n CI:-12.5%~-2.0%)、女性组(AAPC =-7.5%,95%n CI:-12.7%~-2.0%)、1~<5岁组(AAPC=-11.4%,95%n CI:-17.9%~-4.5%)、15~19岁组(AAPC=-14.4%,95%n CI:-24.8%~-2.6%)、农村(AAPC=-9.0%,95%n CI:-13.1%~-4.8%)及中部地区(AAPC=-13.1%,95%n CI:-24.0%~-0.5%)人群哮喘死亡率均明显下降,差异均有统计学意义(均n P0.05). From 2008 to 2018, the mortality rate of people aged 0-19 fluctuated from 0.023/100 000 to 0.046/100 000, the highest mortality rate was in 2009 and 2012, and the lowest was in 2018. It was estimated that the total number of deaths among people aged 0-19 years reached the highest in 2009 (148 cases) and the lowest in 2018 (70 cases). It is estimated that the total number of deaths among people aged 0-19 years in China from 2008 to 2018 was 1 158 cases.From 2008 to 2018, the total mortality rate of asthma in Chinese population aged 0-19 years decreased significantly (AAPC=-7.6%, 95%n CI: -10.4%--4.7%). There was a significant decrease in male group(AAPC=-7.4%, 95%n CI: -12.5%--2.0%), female group(AAPC=-7.5%, 95%n CI: -12.7%--2.0%), 1-<5 years old group(AAPC=-11.4%, 95%n CI: -17.9%--4.5%), 15-19 years old group(AAPC=-14.4%, 95%n CI: -24.8%--2.6%), rural group(AAPC=-9.0%, 95%n CI: -13.1%--4.8%) and central areas(AAPC=-13.1%, 95%n CI: -24.0%--0.5%), with statistical significance(all n P<0.05).n Conclusions:The total mortality of asthma in 0-19-year old population decreased significantly from 2008 to 2018.The mortality rate of asthma in 0-19-year old people in China is at the low level around the world.