首页|2010-2020年中国主要心血管疾病死亡趋势

2010-2020年中国主要心血管疾病死亡趋势

Trends in mortality of major cardiovascular diseases in China from 2010 to 2020

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目的 分析2010-2020年中国主要心血管疾病死亡率水平及变化趋势,为应对心血管疾病提供参考.方法 从2010-2020年《中国死因监测数据集》选取脑血管疾病、缺血性心脏病、高血压性心脏病的死亡数据,分别计算不同年份、城乡、性别、地区人群主要心血管疾病的粗死亡率和标化死亡率,采用Joinpoint软件分析标化死亡率的变化趋势.结果 2010-2020年,心血管疾病的粗死亡率从238.12/10万升至328.84/10万,标化死亡率从292.36/10万降至229.41/10万,呈下降趋势(AAPC=-2.30%,P<0.01).其中,脑血管疾病(AAPC=-3.80%,P<0.01)和缺血性心脏病(AAPC=-0.90%,P=0.20)的标化死亡率均呈下降趋势,高血压性心脏病的标化死亡率呈上升趋势,总体变化相对平稳(AAPC=2.10%,P=0.20).心血管疾病死亡率随年龄增长不断上升,男性标化死亡率高于女性且均呈下降趋势,男性下降速度快于女性(AAPC男性=-4.00%,AAPC女性=-3.80%,P<0.05);农村高于城市且均呈下降趋势,农村下降速度快于城市(AAPC农村=-2.42%,AAPC城市=-1.31%,P<0.05).结论 2010-2020年中国主要心血管疾病死亡率存在城乡、性别和地区差异,应提供有针对性的健康促进与调整管理策略,应对心血管疾病负担.
Objective To analyze the level and changing trends of mortality from major cardiovascular diseases in China from 2010 to 2020 and provide a reference for addressing cardiovascular disease control measures.Methods The mortality data of cerebrovascular disease,ischemic heart disease,and hypertensive heart disease were selected from the"China Death Cause Monitoring Dataset".The crude and age-standardized mortality rates of major cardiovascular diseases were calculated for different years,urban and rural areas,genders,and regions.The Joinpoint regression analysis was used to analyze the trends in age-standardized mortality rates.Results From 2010 to 2020,the crude mortality rate of cardiovascular disease increased from 238.12/100 000 to 328.84/100 000,while the age-standardized mortality rate dropped from 292.36/100 000 to 229.41/100 000,showing a downward trend(AAPC=-2.30%,P<0.01).Among them,the age-standardized mortality rates of cerebrovascular disease(AAPC=-3.80%,P<0.01)and ischemic heart disease(AAPC=-0.90%,P=0.20)both exhibited a downward trend,while that of hypertensive heart disease showed a relatively stable upward trend(AAPC=2.10%,P=0.20).The mortality rate of cardiovascular diseases increased with age.The age-standardized mortality rate of males was higher than that of females,and both displayed a downward trend,and the male decline rate was faster than that of females(AAPC male=-4.00%,AAPC female=-3.80%,P<0.05).The rural area was higher than the urban area,and both exhibited a downward trend,and the rural decline rate was faster than that of the urban area(AAPCrural area=-2.42%,AAPCurban area=-1.31%,P<0.05).Conclusions From 2010 to 2020,there were disparities in the mortality rates of major cardiovascular diseases in China based on urban-rural status,gender,and region.Targeted health promotion and management strategies should be provided to cope with the burden of cardiovascular diseases.

Circulatory systemCardiovascular diseasesMortalityTrend analysis

胡博、周乾宇、吴田田、要子慧、张配嘉、王昱、孙长青

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郑州大学护理与健康学院,河南郑州 450000

郑州大学公共卫生学院

循环系统 心血管疾病 死亡率 趋势分析

国家社会科学基金资助项目河南省二○二四年科技发展计划项目河南省重点研发与推广专项项目

20BRK041242102311135232102310053

2024

中国预防医学杂志
中华预防医学会

中国预防医学杂志

CSTPCD
影响因子:1.004
ISSN:1009-6639
年,卷(期):2024.25(8)
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