Croatian Institute of Public Health, Zagreb, Croatia.
Croatian Institute of Public Health, Zagreb, Croatia.
Public Health. 2022 Jan;202:26-31. doi: 10.1016/j.puhe.2021.10.016. Epub 2021 Dec 5.
Chronic obstructive pulmonary disease (COPD) is one of the most common lower respiratory chronic diseases. The aim of this study was to analyze the COPD mortality trends in Croatia for the period 2010-2019 and to identify possible changes and differences by age group and gender.
In data analysis were included COPD death cases for the period 2010-2019 defined as ICD-10 code J44.0 - J44.9. Mortality data were obtained from the Croatian Institute of Public Health based on death certificates. To model temporal changes in mortality rates joinpoint regression analysis was carried out.
The number of COPD deaths increased in men from 878 in 2010 to 1083 in 2019 and in women from 520 in 2010 to 737 in 2019. Over the 10-year period, there was a stable age-standardized COPD mortality rate among men and statistically significant increasing age-standardized COPD mortality rate among women at the national level.
The findings show a narrowing of the gender gap of COPD mortality. Observed higher COPD mortality rates with age in both men and women confirm previous data and imply that the number of COPD deaths will continue to increase in the future. The healthcare system should focus on the improvement of the quality of care and investment in health promotion and prevention programs aimed at reducing risk factors for COPD, especially tobacco smoking, as well as raising awareness and knowledge about COPD as a chronic disease.
慢性阻塞性肺疾病（COPD）是最常见的下呼吸道慢性疾病之一。本研究旨在分析 2010-2019 年期间克罗地亚 COPD 的死亡率趋势，并按年龄组和性别分析可能的变化和差异。
在数据分析中，包括 2010-2019 年期间定义为 ICD-10 代码 J44.0-J44.9 的 COPD 死亡病例。死亡率数据来自克罗地亚公共卫生研究所，基于死亡证明获得。为了对死亡率的时间变化进行建模，进行了 joinpoint 回归分析。
男性的 COPD 死亡人数从 2010 年的 878 例增加到 2019 年的 1083 例，女性从 2010 年的 520 例增加到 2019 年的 737 例。在 10 年期间，男性的年龄标准化 COPD 死亡率保持稳定，而女性的年龄标准化 COPD 死亡率在全国范围内呈统计学显著上升趋势。
研究结果表明，COPD 死亡率的性别差距正在缩小。男性和女性 COPD 死亡率随年龄增长的观察结果证实了先前的数据，并暗示未来 COPD 死亡人数将继续增加。医疗保健系统应注重改善护理质量，并投资于健康促进和预防计划，以减少 COPD 的危险因素，特别是吸烟，以及提高对 COPD 作为一种慢性疾病的认识和了解。
