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Objective@#To analyze the disease burden of stroke and its health loss attributable to passive smoking in people aged 60 years and over in Jiangsu province.@*Methods@#Data were retrieved from the Chronic and Non-communicable Diseases and Risk Factors Surveillance in Jiangsu in 2013 and the death registry system in Jiangsu. Combined with the method in Global Burden of Disease Study 2016 (GBD2016), the indicators, such as population attributable fraction (PAF) and disability-adjusted life years (DALY) for stroke due to passive smoking were calculated.@*Results@#In 2013, the mortality rate, age-standardized mortality rate, DALY and DALY rate of stroke in people aged 60 years and over in Jiangsu were 718.15/100 000, 439.28/100 000, 1 179 602 person years and 9 234.99/100 000, respectively. Year of life lost (YLL) accounted for 87.00% of the total DALY. The DALY and corresponding rate of stroke increased rapidly with age, and were higher in women (612 084 person years and 9 319.71/100 000, respectively) than those in men (567 518 person years and 9 145.33/100 000, respectively). The prevalence of passive smoking was 34.04% in people aged 60 years and over in Jiangsu. The PAF, attributable DALY, attributable DALY rate and its age- standardized rate of stroke due to passive smoking in people aged 60 years and over in Jiangsu were 3.88%, 45 769 person years, 358.12/100 000 and 920.64/100 000, respectively; and were also higher for men (4.35%, 24 687 person years, 397.82/100 000 and 515.30/100 000, respectively) than those for women (3.44%, 21 056 person years, 320.60/100 000, 405.34/100 000, respectively).@*Conclusions@#The disease burden of stroke was heavy in the elderly in Jiangsu, and passive smoking might have great influence on the disease burden of stroke. Prevention and control of stroke and passive smoking exposure should be taken actively to improve health for the elderly.
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Objective: To analyze the incidence and mortality of colorectal cancer in Jiangsu province in 2015. Methods: Based on the method and criteria of data quality control from the National Central Cancer Registry, data in 2015 from 42 cancer registries in Jiangsu were evaluated by the Jiangsu Provincial Center for Disease Control and Prevention. Data from 35 registries were qualified after assess-ment and accepted as pooled data. Stratified by urban-rural, gender, and age groups, the crude rates of colorectal cancer incidence and mortality, age-standardized incidence/mortality rates, age-specific incidence/mortality rates, cumulative incidence/mortality rate (0-74 years old), and truncated age-standardized incidence/mortality rate (35-64 years old) were calculated. The Chinese population census in 2000 and Segi's standard world population were used for age-standardized incidence/mortality rates. Results: The 35 cancer registries covered a population of 38,761,144 (15,168,594 in urban areas, 23,592,550 in rural areas) in Jiangsu province in 2015. The number of new cases of colorectal cancer were 11,051, with a crude incidence rate of 28.51/105. The age-standardized incidence rates by the Chinese Standard Population (ASRC) and World Standard Population (ASRW) were 15.43/105 and 15.20/105, respectively. The cu-mulative incidence rate (0-74 years old) was 1.81%, with a truncated age-standardized incidence rate (35-64 years old) of 23.71/105. The crude and ASRC incidence rates in urban areas were 33.87/105 and 18.44/105, respectively, whereas those in rural areas were 25.06/105 and 13.54/105, respectively. The number of deaths due to colorectal cancer was 5,436, with a crude mortality rate of 14.02/105. The ASRC, ASRW, cumulative (0-74 years old), and truncated (35-64 years old) mortality rates were 6.92/105, 6.81/105, 0.70%, and 8.08/105, respectively. The crude and ASRC mortality rates in urban areas were 16.57/105 and 8.27/105, respectively, whereas those in rural areas were 12.39/105 and 6.07/105, respectively. Conclusions: There remains a heavy burden of colorectal cancer in Jiangsu. The incidence and mortality of colorectal cancer show a rising trend in Jiangsu in 2015. The burden and patterns of colorectal cancer show urban-rural differences. Preventative and control strategies should be implemented.
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Objective To quantify the burden of cardiovascular disease (CVD) deaths that attributed to metabolic disorders in population aged ≥25 years in Jiangsu province.Methods The data we used were from the following three sources:1) 2015 Jiangsu Chronic Disease Risk Factor and Nutrition Survey,2) death surveillance,3) results of the 2016 Global Burden of Disease Study,based on population attributable fractions (PAF),to analyze related parameters as mortality,years of life lost (YLL),life expectancy (LE) and premature mortality.Results Most people died from ischemic stroke (IS) showed the standard mortality as 87.48/100 000.High SBP appeared as the major cause on CVD deaths.PAF with high cholesterol and high BMI decreased along with the increase of age while high fasting plasma glucose increased.Deaths due to ischemic heart diseases,IS or hemorrhagic stroke that attributed to metabolism disorders would reduce the LE by 1.08,1.07 or 0.55 years,respectively.Males appeared to have higher YLL than females and were more likely to die from premature CVD,as the consequence of having metabolism disorders.Conclusions Blood pressure control should be considered an important approach to reduce the burden of CVD.According to the characteristics of gender-related risks and the distinct impact of age-related metabolism disorders on different CVD diseases,stratified strategies should be strengthened for comprehensive prevention and control of CVD,in Jiangsu province.
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Objective To quantify the burden of cardiovascular disease (CVD) deaths that attributed to metabolic disorders in population aged ≥25 years in Jiangsu province.Methods The data we used were from the following three sources:1) 2015 Jiangsu Chronic Disease Risk Factor and Nutrition Survey,2) death surveillance,3) results of the 2016 Global Burden of Disease Study,based on population attributable fractions (PAF),to analyze related parameters as mortality,years of life lost (YLL),life expectancy (LE) and premature mortality.Results Most people died from ischemic stroke (IS) showed the standard mortality as 87.48/100 000.High SBP appeared as the major cause on CVD deaths.PAF with high cholesterol and high BMI decreased along with the increase of age while high fasting plasma glucose increased.Deaths due to ischemic heart diseases,IS or hemorrhagic stroke that attributed to metabolism disorders would reduce the LE by 1.08,1.07 or 0.55 years,respectively.Males appeared to have higher YLL than females and were more likely to die from premature CVD,as the consequence of having metabolism disorders.Conclusions Blood pressure control should be considered an important approach to reduce the burden of CVD.According to the characteristics of gender-related risks and the distinct impact of age-related metabolism disorders on different CVD diseases,stratified strategies should be strengthened for comprehensive prevention and control of CVD,in Jiangsu province.
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Objective@#To estimate the cancer incidence and mortality in Jiangsu, 2013.@*Methods@#Up to June 2016, registration data in 2013 from 35 cancer registries in Jiangsu was collected by Jiangsu Provincial Central Cancer Registry. All data were checked and evaluated by the method and criteria of data quality control making by the National Central Cancer Registry, data from 34 registries' data were eligible and accepted as pooled data. Stratified by urban and rural, gender, age and cancer site, crude incidence/mortality rate, age-specific incidence/mortality rate, age-standardized incidence/mortality rate by Chinese standard population, age-standardized incidence/mortality rate by world standard population, composition, cumulative incidence/mortality rate (0-74 age years old) and the 10 leading cancers were calculated. Cancer incidence and mortality were estimated by using provincial population of Jiangsu in 2013. Chinese population census in 2000 and World Segi's population were used to age-standardize incidence and mortality.@*Results@#All 34 cancer registries (10 in urban and 24 in rural areas) covered a total of 38 938 470 population (19 682 921 in males and 19 255 549 in females), accounted for 51.12% of whole provincial population in 2013. It was estimated that new cancer cases and cancer deaths were 232.6 thousands (136.7 thousands in males and 95.9 thousands in females) and 155.3 thousands (99.7 thousands in males and 55.6 thousands in females), respectively. The crude incidence rate in Jiangsu in 2013 was 305.22/100 000, age-standardized incidence rate by Chinese standard population and by world standard population were 184.04/100 000 and 181.16/100 000, respectively, with cumulative incidence rate (0-74 age years old) of 21.38%. The crude mortality rate was 203.94/100 000, age-standardized mortality rate by Chinese standard population and by world standard population were 116.28/100 000 and 115.12/100 000, respectively, with cumulative mortality rate (0-74 age years old) of 13.11%. Cancers of lung, esophagus, stomach, liver, colorectum and female breast were the most common cancers in Jiangsu, accounting for about 71% of all new cancer cases in 2013. Lung cancer, esophageal cancer, stomach cancer, liver cancer and colorectal cancer were the leading cause of cancer death, accounting for about 74% of all cancer deaths.@*Conclusion@#The crude incidence and mortality rate of cancer in Jiangsu Province were at a high level. For the most common cancers such as lung, esophagus, stomach, liver, colorectum and female breast cancer, effective prevention and control activities should be strengthened.