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Mortality trends and quantitative analysis of influencing factors of respiratory diseases among registered population in a community of Shanghai, 2009-2018
Received:February 16, 2020  Revised:July 08, 2020  Click here to download the full text
Citation of this paper:XU Jie,LIAO Xian-qin,DENG Yang,LI Xiao-pan,DU Yan.Mortality trends and quantitative analysis of influencing factors of respiratory diseases among registered population in a community of Shanghai, 2009-2018[J].Chinese Journal of Clinical Medicine,2020,27(6):1037-1042
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Author NameAffiliationE-mail
XU Jie Yichuan Community Health Service Center, Putuo District, Shanghai 200065, China  
LIAO Xian-qin Wanggang Community Health Service Center, Pudong New District, Shanghai 201201, China  
DENG Yang School of Public Health, Shandong First Medical University&Shandong Academy of Medical Sciences, Tai'an 271016, Shandong, China  
LI Xiao-pan Center for Disease Control and Prevention, Pudong New District, Fudan University Pudong Institute of Preventive Medicine, Pudong New District, Shanghai 200136, China xiaopanli0224@126.com 
DU Yan Department of Clinical Epidemiology, Obstetrics and Gynecology Hospital of Fudan University, Shanghai 200011, China sophiedu_61@163.com 
Abstract:Objective:To explore the epidemiological characteristics and analyze the trend of respiratory disease mortality among residents in a community of Shanghai from 2009 to 2018. Methods:According to the mortality data of residents from 2009 to 2018 in a community of Shanghai, crude mortality, standardized mortality rate, annual percent change (APC) were calculated to analyze the status and trends of mortality of respiratory diseases, and the contribution of demographic and non-demographic factors to disease death was calculated by the differential decomposition method. Results:From 2009 to 2018, 310 people died of respiratory disease in a community of Shanghai, with a crude mortality rate of 88.73/100 000 and a standardized mortality rate of 26.89/100 000. The total crude mortality rate of respiratory disease showed a fluctuating trend (APC=-0.82%, Z=-0.687, P=0.512), and the standardized mortality rate by Chinese standard population showed a significant decreasing trend (APC=-5.96%, Z=-3.210, P=0.012). The crude and standardized mortality rates of respiratory disease in males were higher than those in females (P<0.05). The crude mortality rates of respiratory disease in both males and females showed fluctuating trends, but standardized mortality rates showed significantly decreasing trends. Based on the crude mortality rates during 2009-2013, the increase in mortality from 2014 to 2018 due to demographic factors was greater than that due to other risk factors. Conclusions:Prevention and treatment of respiratory disease in community should be tailored according to local conditions. Targeted prevention and treatment measures for aging are one of the effective ways in local areas.
keywords:respiratory disease  mortality  demographic factors  decomposition method  trend analysis
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