Trend analysis of the premature death rate of cardiovascular and cerebrovascular diseases in the National Integrated Demonstration Area for the prevention and control of noncommunicable chronic diseases from 2007 to 2021
Objective To analyze the change trend of cardiovascular and cerebrovascular disease deaths(CVDs)before and after the establishment of the National Integrated Demonstration Area for the Prevention and Control of Noncommunicable Diseases(demonstration area),and provide the basis for the evaluation of construction effect in demonstration areas.Methods The data were from the National Cause of Death Surveillance System from 2007 to 2021,Excel 2021 and SAS 9.4 software were used for data collation and statistical analysis,and the crude mortality rate,standardized mortality rate and premature death rate of CVDs in different batches of demonstration areas were calculated.Joinpoint regression was used to analyze the change trend of standardized mortality rate and premature death rate of CVDs in the demonstration areas from 2007 to 2021 and before and after its establishment,and the average annual percentage change(AAPC)was calculated.Results Crude mortality rate of CVDs in the four batches of the demonstration area from 2007 to 2021 showed an increasing trend,and the difference in the change trend in the second,third,and fourth batches was statistically significant(AAPC values were 2.15％,3.03％and 2.51％,P＜0.01);the standard mortality of CVDs in the first batch of demonstration area showed the significant decrease trend(A APC=-3.23％,P＜0.01);and the premature death rates in the four batches of demonstration areas showed the significant decrease trend(AAPC values were-2.42％,-1.84％,-1.26％and-3.42％,P＜0.01);the change trend of standardized mortality rate before creating four batches of demonstration areas was not statistically significant(P＞0.05);the change trend in standardized mortality rate after creating the 1st,2nd and 3rd batches of demonstration areas showed the significant decrease trend(AAPC values were-2.67％,-1.17％and-1.91％,P＜0.05,P＜0.01).The AAPC of the premature death rate of CVDs in the four batches of demonstration areas after and before creating the demonstration areas were-2.05％(95％CI:-3.56％to-0.52％)and-1.37％(95％CI:-4.57％to 1.94％)for batch 1,-2.17％(95％CI:-3.92％to-0.38％)and-1.26％(95％CI:-5.60％to-3.28％)for batch 2,-1.74％(95％CI:-3.34％to-0.12％)and-0.68％(95％CI:-3.02％to-1.72％)for batch 3,-7.59％(95％CI:-12.03％to-2.94％)and-1.56％(95％CI:-3.89％to-0.82％)for batch 4.The decrease value in AAPC of premature death rate of CVDs of each batch after the creation was greater than that before the creation.Conclusion Compared with before the establishment of the demonstration areas,the decrease value of standardized mortality rate and premature death rate of CVDs in each batch after the establishment of the demonstration areas showed much greater.
Demonstration areaCardiovascular and cerebrovascular diseasesPremature death rateTrend analysis
NETL
NSTL
万方数据
