Department of Epidemiology and Hygiene, Chair of Social Medicine, Poznan University of Medical Sciences, Rokietnicka 4, 60-806 Poznan, Poland.
Medicina (Kaunas). 2021 Feb 1;57(2):126. doi: 10.3390/medicina57020126.
Chronic obstructive pulmonary disease (COPD) is responsible for 5.3% of deaths worldwide and constitutes the third most common cause of death. The deaths from this cause occur over 10times more often in smokers than in non-smokers. Fortunately, for nearly 30 years, the proportion of people smoking tobacco in Poland has been decreasing. This study aims to analyse the change in premature mortality rates of men and women due to COPD in Poland during 2008-2017. The time trends of deaths occurring under 65 were analysed. Standardised premature mortality rates were used, as well as the mortality rates for the five-year age ranges, with a breakdown by gender. The Joinpoint model was used to determine time trends. Over the period analysed, premature mortality in the female population decreased by 2.6% from year to year, albeit without statistical significance, and in the male population there was a decrease by statistically significant 5.2% per year. The biggest drop in mortality, almost 10% per year, was observed in the group of females aged between 50 and 54. Among males, the most significant reduction in mortality was observed in groups between the ages of 40 and 54, and it amounted to approximately 8% annually. With increasing age, the dynamics of mortality reduction decreased. The study showed a steady downward trend in premature mortality due to chronic obstructive pulmonary disease in Poland in both genders. The reduction in mortality was at a high level, despite the lower mortality due to this cause than in other European countries.
慢性阻塞性肺疾病（COPD）在全球范围内导致 5.3%的死亡，是第三大常见死因。与不吸烟者相比，吸烟者死于 COPD 的概率高出 10 倍以上。幸运的是，近 30 年来，波兰的吸烟人口比例一直在下降。本研究旨在分析 2008-2017 年期间波兰 COPD 导致的男性和女性过早死亡率的变化。分析了 65 岁以下人群的死亡时间趋势。使用了标准化过早死亡率以及按性别细分的五年年龄组死亡率。使用 Joinpoint 模型来确定时间趋势。在分析期间，女性人群的过早死亡率每年下降 2.6%，尽管没有统计学意义，但男性人群的过早死亡率每年下降 5.2%，具有统计学意义。死亡率下降幅度最大的是 50-54 岁的女性群体，几乎每年下降 10%。在男性中，死亡率下降最显著的是 40-54 岁之间的年龄组，每年约为 8%。随着年龄的增长，死亡率降低的动态下降。研究表明，波兰两性的慢性阻塞性肺疾病导致的过早死亡率呈持续下降趋势。尽管死亡率低于其他欧洲国家，但死亡率的降低水平很高。
