上海预防医学2026，Vol.38Issue(2)：133-138,6.DOI:10.19428/j.cnki.sjpm.2026.250292
2020-2024年常州市成年居民慢性阻塞性肺疾病首次诊断报告率及变化趋势
Trend analyses of first-diagnosed reporting rate of chronic obstructive pulmonary disease among adult residents in Changzhou City from 2020 to 2024
摘要
Abstract
[Objective]To investigate the first-diagnosed reporting rate and annual changing trends of chronic obstructive pulmonary disease(COPD)among adult residents in Changzhou City from 2020 to 2024,and to provide a scientific basis for the prevention and control of COPD in this region.[Methods]Data on first-diagnosed cases of COPD from 2020 to 2024 were collected from the Changzhou Health Data Management Platform,along with resident population data stratified by age group and sex for the corresponding years.Stratified analyses were conducted by diagnosis year,sex,and age group to calculate crude first-diagnosed reporting rate and age-specific first-diagnosed reporting rate.The age-standardized first-diagnosed reporting rate(ASFDRR)was calculated using data from the Seventh National Population Census of China(2020)as the standard population.A logarithmic-linear model was employed to estimate the average annual percentage change(AAPC)in ASFDRR,along with its 95%CI and P-value.[Results]From 2020 to 2024,a total of 12 925 first-diagnosed COPD cases of adult residents were reported in Changzhou City.The overall crude first-diagnosed reporting rate increased from 37.91/100 000 in 2020 to 100.68/100 000 in 2024.The overall ASFDRR rose from 116.83/100 000 in 2020 to 274.59/100 000 in 2024,with an AAPC of 26.55%(95%CI:5.98%‒51.11%).Among these,9 831 new cases were male,with the crude first-diagnosed reporting rate increasing from 57.07/100 000 to 159.29/100 000,and the ASFDRR increasing from 92.54/100 000 to 223.82/100 000,with an AAPC of 27.58%(95%CI:6.21%‒53.26%).There were 3 094 new female cases,with the crude first-diagnosed reporting rate rising from 19.53/100 000 to 45.39/100 000,and the ASFDRR increasing from 26.01/100 000 to 55.33/100 000,with an AAPC of 22.90%(95%CI:5.19%‒43.59%).Both crude and age-standardized first-diagnosed reporting rates of COPD for the total population and different gender groups showed a statistically significant upward trend as age increased(all P<0.05).The reporting peaks were primarily concentrated in the 80 years old age group.[Conclusion]The age-standardized first-diagnosed reporting rate of COPD in Changzhou City exhibited a rapid upward trend from 2020 to 2024.ASFDRR was higher in males than that in females,and the elderly population constituted the main reported group.This trend warrants close attention,emphasizing the need to strengthen screening,early intervention,and standardized management for high-risk populations.关键词
慢性阻塞性肺疾病/首次诊断报告率/趋势/年龄标化率/平均年度变化百分比Key words
chronic obstructive pulmonary disease(COPD)/first-diagnosed reporting rate/trend/age-standardized rate/average annual percentage change分类
医药卫生引用本文复制引用
米孝濛,倪名扬,徐文国,徐文超..2020-2024年常州市成年居民慢性阻塞性肺疾病首次诊断报告率及变化趋势[J].上海预防医学,2026,38(2):133-138,6.基金项目
江苏省卫生健康委科研课题(Yl2023010) （Yl2023010）
常州市卫健委青年人才科技项目(QN202335) （QN202335）
南京医科大学常州医学中心临床项目(CMCC202205) （CMCC202205）
南京医科大学常州公共卫生高等研究院开放课题(CPHM202304) （CPHM202304）
常州市"十四五"卫生健康高层次人才培养工程—拔尖人才(2022CZBJ097) （2022CZBJ097）
