Incidence Rates of Four Major Non-Communicable Chronic Diseases in the Chinese Adult Population from 2007 to 2016: A Study Based on a National Commercial Claims Database

Figures & data

Table 1 Demographic Characteristics of Insurants as Recorded in the CCCIID at 2007 (100,000 Person-Years)

Variable	n(%)*
Insurants	314.4(100.0)
Sex
Male	146.3(46.5)
Female	168.1(53.5)
Age, y
18–29	41.7(13.3)
30–39	102.3(32.5)
40–49	109.5(34.8)
50–59	55.5(17.7)
≥60	5.4(1.7)
Region
East	106.9(34.0)
Middle	45.1(14.3)
Missing	0.8(0.3)
North	46.5(14.8)
Northeast	39.6(12.6)
Northwest	27.2(8.7)
South	19.6(6.2)
Southwest	28.8(9.2)
Residence
Megacity	76.7(24.4)
City	153.7(48.9)
Rural	83.3(26.5)
Missing	0.8(0.3)

Note: *Totals may exceed 100 percent due to rounding.

Figure 1 Trends of ASRs of the four major NCDs according to sex from 2007 to 2016.

Table 2 Trends in ASRs of the Four Major NCDs According to Sex from 2007 to 2016

	Trend 1		Trend 2		AAPC
	Years	APC	Years	APC
Total
Cancer	2007–2009	1.3	2009–2016	3.3*	2.8*
Cancer (no thyroid cancer)	2007–2016	1.5*			1.5*
CHD	2007–2016	4.4*			4.4*
Stroke	2007–2009	5.3	2009–2016	−7.8*	−5.1*
ESKD	2007–2016	1.6*			1.6*
Male
Cancer	2007–2016	1.4*			1.4*
Cancer (no thyroid cancer)	2007–2016	0.7*			0.7*
CHD	2007–2016	5.2*			5.2*
Stroke	2007–2009	6.9	2009–2016	−6.5*	−3.7*
ESKD	2007–2014	4.4*	2014–2016	−0.4	3.3*
Female
Cancer	2007–2009	1.5	2009–2016	5.0*	4.2*
Cancer (no thyroid cancer)	2007–2016	2.3*			2.3*
CHD	2007–2016	2.0*			2.0*
Stroke	2007–2009	3.9	2009–2016	−9.9*	−7.0*
ESKD	2007–2010	−3.8	2010–2016	0.6	−0.9

Note: *APC or AAPC is significantly different from zero (P<0.05).

Abbreviations: APC, annual percent change; AAPC, average annual percent change.

Table 3 ASRs (per 100,000 Person-Years) of the Four Major NCDs in 2016 According to Regions and Area of Residence

	Cancer			Cancer (No Thyroid Cancer)			CHD			Stroke			ESKD
	Male	Female	Total	Male	Female	Total	Male	Female	Total	Male	Female	Total	Male	Female	Total
Overall	252.1	254.2	249.8	236.5	203.7	215.7	108.0	31.8	65.2	47.3	22.5	33.3	14.9	8.6	11.4
Regions
East China	283.6	278.9	277.2	266.4	223.7	240.1	76.1	24.2	47.2	33.1	17.4	24.4	13.4	7.5	10.2
Middle China	206.9	212.4	206.4	193.7	173.1	179.7	108.4	33.8	67.7	46.9	24.8	34.8	16.3	9.1	12.3
North China	238.2	259.9	246.9	222.6	210.7	213.6	170.6	45.0	101.2	57.0	25.9	39.7	13.7	9.9	11.6
Northeast China	318.7	338.3	324.9	295.4	252.0	267.9	168.3	56.0	104.8	94.4	37.2	62.1	19.5	10.2	14.4
Northwest China	213.1	213.0	209.1	201.7	173.6	182.4	115.9	30.4	66.4	48.0	25.8	35.0	14.9	7.1	10.6
South China	234.6	220.3	226.3	225.1	192.7	206.6	91.6	22.2	51.4	41.2	16.0	26.6	14.8	8.6	11.2
Southwest China	207.3	189.4	194.3	193.1	153.3	168.4	39.3	10.5	22.5	21.0	12.3	15.9	12.8	8.5	10.3
Residence
Megacity	267.3	294.2	280.9	243.8	228.0	233.3	103.4	23.0	56.7	33.3	14.8	22.6	12.8	7.2	9.6
City	260.7	255.9	254.5	245.8	208.6	222.4	107.9	32.3	65.4	48.7	22.3	33.8	15.4	8.8	11.8
Rural	226.2	213.2	214.4	216.2	173.4	189.8	111.8	38.8	72.3	55.8	29.6	41.6	15.7	9.6	12.5

Figure 2 Map of percentage change in ASRs of the four major NCDs from 2007 to 2016.