Article(id=1320438009607073912, tenantId=1146029695717560320, journalId=1319373219989389464, issueId=1320438006813672182, articleNumber=null, orderNo=null, doi=10.11847/zgggws1147701, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1744819200000, receivedDateStr=2025-04-17, revisedDate=1755100800000, revisedDateStr=2025-08-14, acceptedDate=1764000000000, acceptedDateStr=2025-11-25, onlineDate=1792746554041, onlineDateStr=2026-10-23, pubDate=1773072000000, pubDateStr=2026-03-10, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1792746554041, onlineIssueDateStr=2026-10-23, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1792746554041, creator=13701087609, updateTime=1792746554041, updator=13701087609, issue=Issue{id=1320438006813672182, tenantId=1146029695717560320, journalId=1319373219989389464, year='2026', volume='42', issue='3', pageStart='257', pageEnd='384', issueExtLink='null', onlineDate='null', pubDate='1773072000000', pubDateStr='2026-03-10', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1792746553376, creator='13701087609', updateTime=1792748100383, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext={EN=IssueExt(id=1320444495519404406, tenantId=1146029695717560320, journalId=1319373219989389464, issueId=1320438006813672182, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1320444495519404407, tenantId=1146029695717560320, journalId=1319373219989389464, issueId=1320438006813672182, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null, downloadFileDto=null}, startPage=266, endPage=270, ext={EN=ArticleExt(id=1320438009850343545, articleId=1320438009607073912, tenantId=1146029695717560320, journalId=1319373219989389464, language=EN, title=Trend analysis of the mortality of chronic respiratory diseases among residents aged ≤70 years old in Qinghai province from 2015 to 2022: an analysis based on cause of death surveillance data, columnId=1320438008931795703, journalTitle=Chinese Journal of Public Health, columnName=Special Report—Chronic Disease Prevention and Control, runingTitle=null, highlight=null, articleAbstract=
Objective To analyze the mortality trend of chronic respiratory diseases (CRD) among residents aged ≤70 years old in Qinghai province from 2015 to 2022, thus providing a basis for improving the prevention and control strategies of CRD.
Methods The mortality data were collected from the Death Information Registration and Reporting System of Qinghai Province for the individuals aged ≤ 70 years old, with the underlying cause of death attributed to CRD from January 1, 2015 to December 31, 2022. Descriptive analysis was conducted via the number of deaths, crude mortality, and standardized mortality. The Joinpoint model was adopted to calculate the average annual percentage change (AAPC) to analyze the mortality trend of CRD among residents aged ≤ 70 years old in Qinghai province.
Results The crude mortality of CRD among residents aged ≤ 70 years old in Qinghai province increased from 20.46/105 in 2015 to 24.27/105 in 2022, while the standardized mortality decreased from 32.38/105 in 2015 to 31.59/105 in 2022. However, both the trends showed no statistically significant differences (all P > 0.05). The crude mortality of CRD varied among residents aged ≤70 years in different gender, age, and region groups across different years (all P < 0.05). Among the residents with different characteristics aged ≤ 70 years old, the crude mortality of CRD in rural areas increased from 21.45/105 in 2015 to 31.59/105 in 2022. The crude mortality of CRD showed an upward trend from 2015 to 2022 (AAPC = 4.44%, t = 2.76, P = 0.03).
Conclusions From 2015 to 2022, the mortality of CRD among rural residents aged ≤ 70 years old in Qinghai province showed an upward trend. Rural areas, pastoral areas, and elderly male residents are the key areas and population for the prevention and control of CRD.
, authors=Ning FAN, Qiongyue SHA, Zhihua XU, Shuling GUO, Suxia ZHOU, Yingling WEI, Lili XU, authorsList=Ning FAN, Qiongyue SHA, Zhihua XU, Shuling GUO, Suxia ZHOU, Yingling WEI, Lili XU, authorCompany=null, correspAuthors=Lili XU, authorNote=null, correspAuthorsNote=
, copyrightStatement=Copyright © 2026 Chinese Journal of Public Health. All rights reserved., copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1320438010244608122, articleId=1320438009607073912, tenantId=1146029695717560320, journalId=1319373219989389464, language=CN, title=2015—2022年青海省≤70岁居民慢性呼吸系统疾病死亡趋势：基于死因监测资料分析, columnId=1320438009145705209, journalTitle=中国公共卫生, columnName=专题报道——慢性病预防与控制, runingTitle=null, highlight=null, articleAbstract=
目的 分析2015—2022年青海省≤70岁居民慢性呼吸系统疾病（CRD）死亡变化趋势，为完善CRD防治策略提供参考依据。
方法 收集青海省人口死亡信息报告系统中死亡时间为2015年1月1日—2022年12月31日根本死因为CRD的≤70岁居民死亡数据，采用死亡数、粗死亡率和标化死亡率进行描述性分析，并应用Joinpoint模型分析计算平均年度变化百分比（AAPC）及青海省≤70岁居民CRD的死亡变化趋势。
结果 青海省≤70岁居民CRD的粗死亡率从2015的20.46/10万上升至2022年的24.27/10万，标化死亡率从2015年的32.38/10万下降到2022年的31.59/10万，但变化趋势均无统计学意义（均P>0.05）；各年份不同性别、年龄组和地区≤70岁居民CRD粗死亡率均不同，差异均有统计学意义（均P<0.05）；不同特征≤70岁居民中农村地区居民CRD的粗死亡率从2015的21.45/10万上升至2022年的31.59/10万，粗死亡率呈上升趋势（AAPC=4.44%，t=2.76，P=0.03）。
结论 2015—2022年青海省≤70岁农村居民CRD死亡率呈上升趋势，农村、牧区和老年男性居民是CRD防控的重点地区和重点人群。
, authors=范宁, 沙琼玥, 许志华, 郭淑玲, 周素霞, 魏迎玲, 徐莉立
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范宁（1993—），主管医师，硕士，研究方向：慢性病防制
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Science, 2011, 333(6042): 581-587., articleTitle=null, refAbstract=null), Reference(id=1320438019576934592, tenantId=1146029695717560320, journalId=1319373219989389464, articleId=1320438009607073912, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=17, rfOrder=16, authorNames=null, journalName=null, refType=null, unstructuredReference=施春娜, 郭晓莉, 丁云, 等. 1990—2021年慢性阻塞性肺疾病归因于各类危险因素的疾病负担分析与模型预测[J]. 环境与健康杂志, 2025, 42(2): 131-135., articleTitle=null, refAbstract=null)], funds=null, companyList=[AuthorCompany(id=1320438010634678395, tenantId=1146029695717560320, journalId=1319373219989389464, articleId=1320438009607073912, xref=null, ext=[AuthorCompanyExt(id=1320438010643067004, tenantId=1146029695717560320, journalId=1319373219989389464, articleId=1320438009607073912, companyId=1320438010634678395, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=Qinghai Center for Disease Prevention and Control, Xining 810000, China), AuthorCompanyExt(id=1320438010651455613, tenantId=1146029695717560320, journalId=1319373219989389464, articleId=1320438009607073912, companyId=1320438010634678395, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=青海省疾病预防控制中心，西宁 810000)])], figs=[ArticleFig(id=1320438016179548330, tenantId=1146029695717560320, journalId=1319373219989389464, articleId=1320438009607073912, language=EN, label=Tab.1, caption=
Mortality situation and trend of CRD among residents aged ≤ 70 years old of both genders in Qinghai province from 2015 to 2022
, figureFileSmall=null, figureFileBig=null, tableContent=
| 年份 | 男性 | | 女性 | χ2值a | P值a |
|---|
| 死亡数/例 | 粗死亡率/
（1/10万） | 标化死亡率/
（1/10万） | | 死亡数/例 | 粗死亡率/
（1/10万） | 标化死亡率/
（1/10万） |
|---|
| 2015 | 191 | 23.47 | 39.01 | | 142 | 17.44 | 26.01 | 7.225 | 0.007 |
| 2016 | 253 | 30.48 | 48.46 | | 111 | 13.79 | 19.89 | 51.117 | <0.001 |
| 2017 | 241 | 28.55 | 47.33 | | 137 | 16.83 | 25.11 | 24.428 | <0.001 |
| 2018 | 269 | 31.85 | 51.10 | | 156 | 18.97 | 27.53 | 27.118 | <0.001 |
| 2019 | 265 | 31.02 | 44.45 | | 140 | 17.06 | 22.14 | 33.743 | <0.001 |
| 2020 | 236 | 27.44 | 37.12 | | 132 | 16.08 | 20.06 | 24.791 | <0.001 |
| 2021 | 241 | 28.03 | 38.54 | | 112 | 13.64 | 16.89 | 41.387 | <0.001 |
| 2022 | 272 | 30.97 | 41.81 | | 143 | 17.19 | 21.69 | 33.417 | <0.001 |
| AAPC值/% | | 1.65 | −2.13 | | | −0.48 | −3.50 | | |
| t值 | | 1.09 | −1.19 | | | −0.26 | −1.58 | | |
| P值 | | 0.32 | 0.28 | | | 0.81 | 0.16 | | |
), ArticleFig(id=1320438016246657195, tenantId=1146029695717560320, journalId=1319373219989389464, articleId=1320438009607073912, language=CN, label=表1, caption=
2015—2022年青海省不同性别≤70岁居民CRD死亡情况及变化趋势
, figureFileSmall=null, figureFileBig=null, tableContent=
| 年份 | 男性 | | 女性 | χ2值a | P值a |
|---|
| 死亡数/例 | 粗死亡率/
（1/10万） | 标化死亡率/
（1/10万） | | 死亡数/例 | 粗死亡率/
（1/10万） | 标化死亡率/
（1/10万） |
|---|
| 2015 | 191 | 23.47 | 39.01 | | 142 | 17.44 | 26.01 | 7.225 | 0.007 |
| 2016 | 253 | 30.48 | 48.46 | | 111 | 13.79 | 19.89 | 51.117 | <0.001 |
| 2017 | 241 | 28.55 | 47.33 | | 137 | 16.83 | 25.11 | 24.428 | <0.001 |
| 2018 | 269 | 31.85 | 51.10 | | 156 | 18.97 | 27.53 | 27.118 | <0.001 |
| 2019 | 265 | 31.02 | 44.45 | | 140 | 17.06 | 22.14 | 33.743 | <0.001 |
| 2020 | 236 | 27.44 | 37.12 | | 132 | 16.08 | 20.06 | 24.791 | <0.001 |
| 2021 | 241 | 28.03 | 38.54 | | 112 | 13.64 | 16.89 | 41.387 | <0.001 |
| 2022 | 272 | 30.97 | 41.81 | | 143 | 17.19 | 21.69 | 33.417 | <0.001 |
| AAPC值/% | | 1.65 | −2.13 | | | −0.48 | −3.50 | | |
| t值 | | 1.09 | −1.19 | | | −0.26 | −1.58 | | |
| P值 | | 0.32 | 0.28 | | | 0.81 | 0.16 | | |
), ArticleFig(id=1320438017811132588, tenantId=1146029695717560320, journalId=1319373219989389464, articleId=1320438009607073912, language=EN, label=Tab.2, caption=
Mortality situation and trend of CRD among residents aged ≤ 70 years old in different age groups in Qinghai province from 2015 to 2022
, figureFileSmall=null, figureFileBig=null, tableContent=
| 年份 | <30岁 | | 30～44岁 | | 45～59岁 | | 60～70岁 | χ2值a | P值a |
|---|
| 死亡数/例 | 粗死亡率/
（1/10万） | | 死亡数/例 | 粗死亡率/
（1/10万） | | 死亡数/例 | 粗死亡率/
（1/10万） | | 死亡数/例 | 粗死亡率/
（1/10万） |
|---|
| 2015 | 8 | 1.15 | | 23 | 5.05 | | 78 | 21.73 | | 224 | 193.11 | 941.211 | <0.001 |
| 2016 | 7 | 1.00 | | 27 | 5.93 | | 96 | 26.76 | | 234 | 190.67 | 972.594 | <0.001 |
| 2017 | 9 | 1.26 | | 14 | 3.04 | | 108 | 29.70 | | 247 | 202.69 | 1 072.507 | <0.001 |
| 2018 | 4 | 0.56 | | 25 | 5.40 | | 109 | 29.87 | | 287 | 228.25 | 1 233.374 | <0.001 |
| 2019 | 6 | 0.89 | | 17 | 3.83 | | 94 | 22.95 | | 288 | 193.96 | 1 061.790 | <0.001 |
| 2020 | 9 | 1.36 | | 14 | 3.16 | | 104 | 24.16 | | 241 | 164.00 | 863.933 | <0.001 |
| 2021 | 7 | 1.06 | | 21 | 4.74 | | 96 | 22.31 | | 229 | 155.83 | 808.939 | <0.001 |
| 2022 | 7 | 1.06 | | 16 | 3.50 | | 141 | 31.49 | | 251 | 173.13 | 932.224 | <0.001 |
| AAPC值/% | | 0.49 | | | −4.55 | | | 0.96 | | | −3.01 | | |
| t值 | | 0.11 | | | −1.22 | | | 0.41 | | | −1.89 | | |
| P值 | | 0.92 | | | 0.27 | | | 0.71 | | | 0.11 | | |
), ArticleFig(id=1320438017899212973, tenantId=1146029695717560320, journalId=1319373219989389464, articleId=1320438009607073912, language=CN, label=表2, caption=
2015—2022年青海省不同年龄组≤70岁居民CRD死亡情况及变化趋势
, figureFileSmall=null, figureFileBig=null, tableContent=
| 年份 | <30岁 | | 30～44岁 | | 45～59岁 | | 60～70岁 | χ2值a | P值a |
|---|
| 死亡数/例 | 粗死亡率/
（1/10万） | | 死亡数/例 | 粗死亡率/
（1/10万） | | 死亡数/例 | 粗死亡率/
（1/10万） | | 死亡数/例 | 粗死亡率/
（1/10万） |
|---|
| 2015 | 8 | 1.15 | | 23 | 5.05 | | 78 | 21.73 | | 224 | 193.11 | 941.211 | <0.001 |
| 2016 | 7 | 1.00 | | 27 | 5.93 | | 96 | 26.76 | | 234 | 190.67 | 972.594 | <0.001 |
| 2017 | 9 | 1.26 | | 14 | 3.04 | | 108 | 29.70 | | 247 | 202.69 | 1 072.507 | <0.001 |
| 2018 | 4 | 0.56 | | 25 | 5.40 | | 109 | 29.87 | | 287 | 228.25 | 1 233.374 | <0.001 |
| 2019 | 6 | 0.89 | | 17 | 3.83 | | 94 | 22.95 | | 288 | 193.96 | 1 061.790 | <0.001 |
| 2020 | 9 | 1.36 | | 14 | 3.16 | | 104 | 24.16 | | 241 | 164.00 | 863.933 | <0.001 |
| 2021 | 7 | 1.06 | | 21 | 4.74 | | 96 | 22.31 | | 229 | 155.83 | 808.939 | <0.001 |
| 2022 | 7 | 1.06 | | 16 | 3.50 | | 141 | 31.49 | | 251 | 173.13 | 932.224 | <0.001 |
| AAPC值/% | | 0.49 | | | −4.55 | | | 0.96 | | | −3.01 | | |
| t值 | | 0.11 | | | −1.22 | | | 0.41 | | | −1.89 | | |
| P值 | | 0.92 | | | 0.27 | | | 0.71 | | | 0.11 | | |
), ArticleFig(id=1320438017978904750, tenantId=1146029695717560320, journalId=1319373219989389464, articleId=1320438009607073912, language=EN, label=Tab.3, caption=
Mortality situation and trend of CRD among residents aged ≤ 70 years old in different regions of Qinghai province from 2015 to 2022
, figureFileSmall=null, figureFileBig=null, tableContent=
| 年份 | 城市 | | 农村 | | 牧区 | χ2值a | P值a |
|---|
死亡数
/例 | 粗死亡率/
（1/10万） | 标化死亡率/
（1/10万） | | 死亡数
/例 | 粗死亡率/
（1/10万） | 标化死亡率/
（1/10万） | | 死亡数
/例 | 粗死亡率/
（1/10万） | 标化死亡率/
（1/10万） |
|---|
| 2015 | 73 | 12.55 | 18.23 | | 123 | 21.45 | 31.58 | | 137 | 28.96 | 55.22 | 34.768 | <0.001 |
| 2016 | 83 | 14.29 | 18.29 | | 126 | 21.63 | 32.18 | | 155 | 32.88 | 59.69 | 40.545 | <0.001 |
| 2017 | 85 | 14.43 | 21.04 | | 129 | 21.98 | 32.46 | | 164 | 34.01 | 64.35 | 44.871 | <0.001 |
| 2018 | 89 | 15.04 | 21.81 | | 143 | 24.27 | 34.25 | | 193 | 39.68 | 71.64 | 64.124 | <0.001 |
| 2019 | 71 | 11.84 | 14.38 | | 171 | 28.89 | 38.49 | | 163 | 33.71 | 54.34 | 61.318 | <0.001 |
| 2020 | 74 | 12.30 | 13.90 | | 135 | 22.72 | 29.16 | | 159 | 32.77 | 51.43 | 51.666 | <0.001 |
| 2021 | 84 | 13.97 | 15.94 | | 147 | 24.74 | 32.19 | | 122 | 25.14 | 39.87 | 22.099 | <0.001 |
| 2022 | 95 | 13.64 | 16.66 | | 177 | 31.59 | 39.14 | | 143 | 31.56 | 49.97 | 54.772 | <0.001 |
| AAPC值/% | | −0.30 | −3.45 | | | 4.44 | 1.78 | | | −1.20 | −4.26 | | |
| t值 | | −0.22 | −1.52 | | | 2.76 | 1.09 | | | −0.56 | −1.78 | | |
| P值 | | 0.84 | 0.18 | | | 0.03 | 0.32 | | | 0.59 | 0.13 | | |
), ArticleFig(id=1320438018062790831, tenantId=1146029695717560320, journalId=1319373219989389464, articleId=1320438009607073912, language=CN, label=表3, caption=
2015—2022年青海省不同地区≤70岁居民CRD死亡情况及变化趋势
, figureFileSmall=null, figureFileBig=null, tableContent=
| 年份 | 城市 | | 农村 | | 牧区 | χ2值a | P值a |
|---|
死亡数
/例 | 粗死亡率/
（1/10万） | 标化死亡率/
（1/10万） | | 死亡数
/例 | 粗死亡率/
（1/10万） | 标化死亡率/
（1/10万） | | 死亡数
/例 | 粗死亡率/
（1/10万） | 标化死亡率/
（1/10万） |
|---|
| 2015 | 73 | 12.55 | 18.23 | | 123 | 21.45 | 31.58 | | 137 | 28.96 | 55.22 | 34.768 | <0.001 |
| 2016 | 83 | 14.29 | 18.29 | | 126 | 21.63 | 32.18 | | 155 | 32.88 | 59.69 | 40.545 | <0.001 |
| 2017 | 85 | 14.43 | 21.04 | | 129 | 21.98 | 32.46 | | 164 | 34.01 | 64.35 | 44.871 | <0.001 |
| 2018 | 89 | 15.04 | 21.81 | | 143 | 24.27 | 34.25 | | 193 | 39.68 | 71.64 | 64.124 | <0.001 |
| 2019 | 71 | 11.84 | 14.38 | | 171 | 28.89 | 38.49 | | 163 | 33.71 | 54.34 | 61.318 | <0.001 |
| 2020 | 74 | 12.30 | 13.90 | | 135 | 22.72 | 29.16 | | 159 | 32.77 | 51.43 | 51.666 | <0.001 |
| 2021 | 84 | 13.97 | 15.94 | | 147 | 24.74 | 32.19 | | 122 | 25.14 | 39.87 | 22.099 | <0.001 |
| 2022 | 95 | 13.64 | 16.66 | | 177 | 31.59 | 39.14 | | 143 | 31.56 | 49.97 | 54.772 | <0.001 |
| AAPC值/% | | −0.30 | −3.45 | | | 4.44 | 1.78 | | | −1.20 | −4.26 | | |
| t值 | | −0.22 | −1.52 | | | 2.76 | 1.09 | | | −0.56 | −1.78 | | |
| P值 | | 0.84 | 0.18 | | | 0.03 | 0.32 | | | 0.59 | 0.13 | | |
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