Trends in mortality of major cardiovascular diseases in China from 2010 to 2020
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.
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NSTL
万方数据
