Premature death of residents in a suburb community of Shanghai in process of urbanization

doi:10.3877/cma.j.issn.1674-0785.2019.11.014

Abstract

Abstract:

Objective

To investigate the situation and trend of premature death of residents in a suburban community of Shanghai in the process of urbanization.

Methods

According to the mortality data of residents from 2009 to 2018 in Wanggang community, potential years of life lost (PYLL), age-standardized PYLL, average years of life lost (AYLL), and annual percent change (APC) were calculated to analyze the status and trends of those rates with a join-point regression model.

Results

From 2009 to 2018, 2437 residents died, of which 629 were under 70 years old, accounting for 25.81%(629/2437). The total PYLL was 8099.20 person-years, the PYLL rate was 23.18‰, the standardized PYLL rate was 14.05‰, and the AYLL rate was 3.32 year-person. PYLL showed a significant downward trend year by year [APC (95%CI): -3.98 (-7.29, -0.54)%, P=0.03], and AYLL also showed a significant downward trend year by year [APC (95%CI): -5.72 (-9.44, -1.84)%, P=0.01]. The main causes of premature death were malignant tumors, traffic accidents, and circulatory diseases. The PYLL rates were 11.27‰, 2.76‰, and 2.07‰, respectively. The main AYLL losses were traffic accidents, suicide, and malignant tumors. AYLL were 13.37‰, 12.75‰, and 5.03‰, respectively.

Conclusion

The premature death of local residents shows a downward trend. Prevention of traffic accidents and suicide is an effective way to control premature death.

Key words: Cause of death, Potential years of life lost, Epidemiology, Trend analysis

Zheng Luo, Xianqin Liao, Jie Xu, Xiaoyun Xu, Xiaopan Li, Mei Zhao. Premature death of residents in a suburb community of Shanghai in process of urbanization[J]. Chinese Journal of Clinicians(Electronic Edition), 2019, 13(11): 864-867.

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Figures/Tables 3

References 8

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变量		总例数	过早死亡（<70岁，例）	PYLL（人年）	PYLL率（‰）	标化PYLL（人年）	PYLL标化率（‰）	AYLL（年/人）
性别		?	?	?	?	?	?	?
?	男性	1255	403	4999.66	28.81	4303.17	24.79	3.98
?	女性	1182	226	3099.54	17.45	2612.29	14.71	2.62
死因		?	?	?	?	?	?	?
?	循环系统疾病（I00-I99）	857	94	965.46	2.76	648.54	1.86	1.13
?	恶性肿瘤（C00-C99）	783	344	3938.30	11.27	2384.82	6.83	5.03
?	呼吸系统疾病（J00-J99）	310	27	246.36	0.71	169.73	0.49	0.79
?	意外损伤的其他外因（W00-X59）	92	28	461.50	1.32	275.56	0.79	5.02
?	交通事故（V00-V99）	54	39	722.04	2.07	398.78	1.14	13.37
?	自杀（X60-X84）	23	13	293.32	0.84	273.74	0.78	12.75
?	合计	2437	629	8099.20	23.18	4910.29	14.05	3.32

变量		总例数	过早死亡（<70岁，例）	PYLL（人年）	PYLL率（‰）	标化PYLL（人年）	PYLL标化率（‰）	AYLL（年/人）
性别		?	?	?	?	?	?	?
?	男性	1255	403	4999.66	28.81	4303.17	24.79	3.98
?	女性	1182	226	3099.54	17.45	2612.29	14.71	2.62
死因		?	?	?	?	?	?	?
?	循环系统疾病（I00-I99）	857	94	965.46	2.76	648.54	1.86	1.13
?	恶性肿瘤（C00-C99）	783	344	3938.30	11.27	2384.82	6.83	5.03
?	呼吸系统疾病（J00-J99）	310	27	246.36	0.71	169.73	0.49	0.79
?	意外损伤的其他外因（W00-X59）	92	28	461.50	1.32	275.56	0.79	5.02
?	交通事故（V00-V99）	54	39	722.04	2.07	398.78	1.14	13.37
?	自杀（X60-X84）	23	13	293.32	0.84	273.74	0.78	12.75
?	合计	2437	629	8099.20	23.18	4910.29	14.05	3.32

年份	PYLL（人年）	PYLL率（‰）	AYLL（年/人）
2009	1069.26	36.08	5.02
2010	765.90	25.74	3.72
2011	735.91	24.21	3.30
2012	946.67	30.22	4.38
2013	825.56	25.98	3.07
2014	920.36	28.83	3.76
2015	694.26	21.62	2.64
2016	676.23	20.85	2.39
2017	656.95	20.25	2.78
2018	808.10	24.81	2.96
合计	8099.20	25.76	3.34
APC［%（95%可信区间）］	?	-3.98（-7.29~-0.54）	-5.72（-9.44~-1.84）
Z值	?	-2.66	-1.37
P值	?	0.03	0.01

年份	PYLL（人年）	PYLL率（‰）	AYLL（年/人）
2009	1069.26	36.08	5.02
2010	765.90	25.74	3.72
2011	735.91	24.21	3.30
2012	946.67	30.22	4.38
2013	825.56	25.98	3.07
2014	920.36	28.83	3.76
2015	694.26	21.62	2.64
2016	676.23	20.85	2.39
2017	656.95	20.25	2.78
2018	808.10	24.81	2.96
合计	8099.20	25.76	3.34
APC［%（95%可信区间）］	?	-3.98（-7.29~-0.54）	-5.72（-9.44~-1.84）
Z值	?	-2.66	-1.37
P值	?	0.03	0.01

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