All-Cause and Cause-Specific Burden of Asthma in a Transitioning City in China: Population Study

作者：Xuelin Cheng, Xiaoling Wu, Wenjing Ye, Yichen Chen, Peihua Fu, Wenchang Jia, Wei Zhang, Xiaoyun Xu, Di Gong, Changhua Mou, Wen Gu, Zheng Luo, Sunfang Jiang, Xiaopan Li · 发表于：JMIR Public Health and Surveillance · 年份：2024 · DOI：10.2196/44845 · 被引用次数：4 · 研究领域：Asthma and respiratory diseases、Delphi Technique in Research、Health, Environment, Cognitive Aging

Background: Understanding the impact of asthma on public health is crucial for evidence-based prevention and treatment strategies. Objective: This study aimed to identify the causes of asthma-related mortality in Pudong, Shanghai, China, offering insights for managing similar regions or countries in transition. Methods: Mortality statistics were obtained from the Vital Statistics System of Pudong for 2005-2021. Temporal patterns for the burden of asthma were examined. The crude mortality rate (CMR), age-standardized mortality rate by Segi's world standard population (ASMRW), and years of life lost (YLL) for both all-cause and asthma-specific deaths were computed. Mortality rates associating with aging and other variables were categorized using the decomposition technique. The autoregressive integrated moving average model was used to forecast the asthma-related death mortality rate by 2035. Results: A total of 1568 asthma-related deaths occurred during the follow-up period, with the CMR and ASMRW being 3.25/105 and 1.22/105 person-years, respectively. The primary underlying causes of death were chronic lower respiratory diseases, coronary heart diseases, and cerebrovascular disease. The YLL due to total asthma-related deaths added up to 14,837.76 years, with a YLL rate of 30.73/105 person-years. Male individuals had more YLL (8941.81 vs 5895.95 y) and a higher YLL rate (37.12/105 vs 24.38/105 person-years) than female individuals. From 2005 to 2021, the ASMRW declined by 3.48...