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1998 - 2003年昆明市城区慢性阻塞性肺疾病所致过早死亡负担的时间趋势与空间分布

[Temporal trend and spatial distribution of premature mortality burden due to chronic obstructive pulmonary disease in urban Kunming for the years 1998-2003].

作者信息

Cai Le, He Li-ming, Xu Chuan-zhi, Dong Jun, Shao Zong-ti

机构信息

Division of Health Information and Economics, Faculty of Public Health, Kunming Medical College, Kunming 650031, China.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 2007 May;28(5):457-9.

Abstract

OBJECTIVE

To study the temporal trend and spatial distribution of premature mortality burden due to chronic obstructive pulmonary disease (COPD) in terms of years of life lost (YLL) in an urban region of Kunming for the years 1998-2003.

METHODS

Pan Long district was selected as the study region. YLL was used to measure premature mortality burden due to COPD. The tate of YLL per 1000 residents was calculated without age-weighting but with 3% discounting rate and broken down by year. Geographic information system (GIS) technique was used to display the spatial distribution of premature mortality burden due to COPD during the six years of study.

RESULTS

During the years from 1998 to 2003, the premature mortality burden due to COPD decreased by years while males seemed to have a higher YLL rate of COPD than females. Central areas remained to have higher YLL/1000 population values of COPD for the six years, whereas remote areas tended to have a decreasing trend of YLL/1000 population values of COPD in the same period.

CONCLUSION

Central areas of the city should be emphasized in further control of COPD in the urban region of Kunming.

摘要

目的

以失能调整生命年(YLL)为指标,研究1998 - 2003年昆明市某城区慢性阻塞性肺疾病(COPD)所致过早死亡负担的时间趋势和空间分布。

方法

选取盘龙区作为研究区域。采用YLL来衡量COPD所致过早死亡负担。计算每1000居民的YLL率,未进行年龄加权,但采用3%的贴现率,并按年份进行分解。运用地理信息系统(GIS)技术展示研究期间六年内COPD所致过早死亡负担的空间分布。

结果

1998年至2003年期间,COPD所致过早死亡负担逐年下降,男性的COPD YLL率似乎高于女性。六年中,中心城区的COPD每1000人口YLL值一直较高,而偏远地区同期的COPD每1000人口YLL值呈下降趋势。

结论

在昆明市城区进一步控制COPD时应重点关注市中心区域。

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