Zhao Z P, Wang L M, Li Y C, Jiang Y, Zhang M, Huang Z J, Zhang X, Li C, Zhou M G
National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
Zhonghua Yu Fang Yi Xue Za Zhi. 2018 Feb 6;52(2):165-169. doi: 10.3760/cma.j.issn.0253-9624.2018.02.009.
To evaluate the provincial representativeness of China Non-communicable and Chronic Disease Risk Factor Surveillance System, 2013. The Sixth National Population Census data which was collected by National Bureau of Statistics of People's Republic of China was used to calculate proportion of population who aged 65 and above, mortality rate, the proportion of non-agriculture population, the illiteracy rate and urbanization rate in order to evaluate the surveillance system in each province. The Mann-Whitney test was used to determine the statistically differences between the surveillance system and corresponding general population. Among the 298 disease surveillance points (DSPs) in China Non-communicable and Chronic Disease Risk Factor Surveillance System, there were 111, 85, and 102 DSPs located in the east, middle, and west area of China, which covering 13.90%, 11.48%, and 12.28% of the total population, respectively. The surveillance system covered 169 million of the population of China, accounting for 12.70% of Chinese population. The number of DSPs by provinces ranges from 6 (Hainan, Qinghai, and Ningxia) to 14 (Shandong, Guangdong and Henan). It indicated that mortality rate (DSP: 0.238%; Province: 0.482%) and the illiteracy rate (DSP: 15.54%; Province: 26.22%) among DSPs in Tibet were significantly lower than the provincial level, on the other hand, the proportion of non-agriculture population among DSPs (40.6%) was significantly higher than the provincial level (18.8%). The urbanization rate among Jiangxi DSPs (43.4%) was significantly lower than the provincial level (59.9%). The proportion of non-agriculture population among Shandong DSPs (32.8%) was significantly higher than the provincial level (24.2%), however, the illiteracy rate among Shandong DSPs (3.86%) was significantly lower than the provincial level (5.25%). Other than the provinces mentioned above, there was no statistical differences (0.05) among proportions of population who aged 65 and above, mortality rates, the proportions of non-agriculture population, the illiteracy rates and urbanization rate between provincial surveillance system and corresponding area. Other than 3 provinces, in general, China Non-communicable and Chronic Disease Risk Factor Surveillance System had provincial representativeness.
评估2013年中国非传染性和慢性病危险因素监测系统的省级代表性。使用中华人民共和国国家统计局收集的第六次全国人口普查数据来计算65岁及以上人口比例、死亡率、非农业人口比例、文盲率和城市化率，以便评估每个省份的监测系统。采用曼-惠特尼检验来确定监测系统与相应总体人群之间的统计学差异。在中国非传染性和慢性病危险因素监测系统的298个疾病监测点（DSP）中，有111个、85个和102个DSP分别位于中国东部、中部和西部地区，分别覆盖总人口的13.90%、11.48%和12.28%。该监测系统覆盖了中国1.69亿人口，占中国人口的12.70%。各省份的DSP数量从6个（海南、青海和宁夏）到14个（山东、广东和河南）不等。结果表明，西藏地区DSP的死亡率（DSP：0.238%；省份：0.482%）和文盲率（DSP：15.54%；省份：26.22%）显著低于省级水平，另一方面，DSP中非农业人口比例（40.6%）显著高于省级水平（18.8%）。江西DSP的城市化率（43.4%）显著低于省级水平（59.9%）。山东DSP中非农业人口比例（32.8%）显著高于省级水平（24.2%），然而，山东DSP的文盲率（3.86%）显著低于省级水平（5.25%）。除上述省份外，省级监测系统与相应地区在65岁及以上人口比例、死亡率、非农业人口比例、文盲率和城市化率方面没有统计学差异（P>0.05）。除3个省份外，总体而言，中国非传染性和慢性病危险因素监测系统具有省级代表性。
