摘要
目的了解2017—2021年镇江市户籍居民因心脑血管疾病死亡的特点及变化趋势,为心脑血管疾病精准防治提供依据。方法收集镇江市居民死因监测数据,采用死亡率、标化死亡率等指标进行统计学分析,使用Joinpoint回归模型计算年度变化百分比(annual percent change,APC)。结果2017—2021年,镇江市心脑血管疾病累计报告死亡人数占总死亡人数的36.05%,70岁以上死亡人群中,心脑血管疾病死亡人数占41.48%,粗死亡率257.28/10万~279.60/10万,标化死亡率186.59/10万~207.44/10万。5年间心脑血管疾病粗死亡率变化未呈现明显升降趋势(P>0.05),但心脏病年龄别标化死亡率从2017年的77.15/10万下降到2021年的68.13/10万(APC值为-3.28%,P<0.05),其中女性心脏病年龄别标化死亡率也呈现下降趋势(APC为-3.01%,P<0.05);75~84岁组心脑血管疾病(合计)和心脏病年度粗死亡率呈现下降趋势(APC分别为-6.14%和-4.45%,P<0.05),55~64岁组脑血管病年度粗死亡率呈现下降趋势(APC为-5.72%,P<0.05);女性心脏病和脑血管病总粗死亡率均高于男性,但按年龄分组后显示,低于85岁年龄组男性高于女性,85岁及以上年龄组心脏病粗死亡率女性高于男性(P<0.05)。结论2017—2021年镇江市户籍居民因心脑血管疾病死亡的总体趋势较平稳,心脏病死亡呈下降趋势,其中女性和75~84岁高龄老年人心脏病死亡率均呈现下降趋势,男性、65岁以上老年人群作为防控心脑血管疾病的重点干预人群应予以重视。
Objective To analyze the death characteristics of cardiovascular and cerebrovascular diseases among esidents with household registration in Zhenjiang from 2017 to 2021,so as to provide reference for the prevention and control of cardiovascular and cerebrovascular diseases.Methods Using the monitoring data of the all-cause of death in Zhenjiang residents from 2017 to 2021,the mortality rate and standardized mortality rate and other indicators were calculated,and the Joinpoint regression model was used to analyze the change trend of cardiovascular and cerebrovascular diseases mortality and standardized mortality rate among registered residents.Results From 2017 to 2020,cardiovascular and cerebrovascular diseases were accounting for 36.05%of all deaths in Zhenjiang registered residents.Among the people in the elder aged 70 years and above,41.48%died of cardiovascular and cerebrovascular diseases,the mortality rate of cardiovascular and cerebrovascular diseases ranged from 257.28/10^(5) to 279.60/10^(5),and the standardized mortality rate ranged from 186.59/10^(5) to 207.44/10^(5),the difference of the mortality rate of cardiovascular and cerebrovascular diseases was not statistically significant during the 5-year period(P>0.05),but the standardized mortality rate of heart disease decreased from 77.15/10^(5) in 2017 to 68.13/10^(5) in 2021(APC=-3.28%,P<0.05),the standardized mortality rate in females showed a downward trend(APC=-3.01%,P<0.05);the mortality rate of cardiovascular and cerebrovascular diseases and heart disease in the age group 75-84 years old showed a downward trend(P<0.05),the mortality rate of cardiovascular and cerebrovascular diseases in the age group 55-64 years old showed a downward trend(P<0.05).During 5 years,the mortality and standardized mortality rate of cardiovascular and cerebrovascular diseases in females were higher than those in males,however,the results of age-specific mortality show that mortality rate of male is higher than that of female except the age group over 85 years old(P<0.05).Conclusion From 2017 to 2021,the mortality of cardiovascular and cerebrovascular diseases among residents with household registration in Zhenjiang is relatively stable,the mortality from heart disease in the female and in the elderly aged 65-74 showed downward trend,especially for male,the elderly should be the key intervention groups for cardiovascular and cerebrovascular diseases prevention and control,and comprehensive prevention and control measures need to be strengthened to reduce the risk.
作者
秦平
徐璐
朱月兰
王宏宇
刘剑书
QIN Ping;XU Lu;ZHU Yue-lan;WANG Hong-yu;LIU Jian-shu(Department of Chronic Diseases,Zhenjiang Center for Disease Control and Prevention,Zhenjiang,Jiangsu 212000,China;不详)
出处
《慢性病学杂志》
2023年第8期1121-1125,共5页
Chronic Pathematology Journal
基金
镇江市科技创新资金(重点研发计划—社会发展)(SH2020045)
关键词
心脑血管疾病
时间趋势
年度变化百分比
Cardiovascular and cerebrovascular disease
Time trend
Annual percent change
