摘要
目的通过Joinpoint回归模型描述分析2004—2019年中国城乡人群心脏病死亡率的时间变化趋势。方法收集并整理《中国卫生健康统计年鉴》中2004—2019年中国城乡心脏病死亡率数据,描述其死亡率和标化率的特征,采用Joinpoint回归模型计算死亡率和年龄别死亡率的年度变化百分率(APC)、年平均变化百分率(AAPC),并分析时间变化趋势。结果2004—2019年间中国城乡人群心脏病死亡率随时间呈波动式上升,其中,城市以平均每年2.70%的年度变化百分率上升(P=0.000),农村以平均每年6.95%的年度变化百分率上升(P=0.000),农村平均上升速度约为城市的2.6倍。2004—2019年间心脏病年龄别死亡率分析结果显示,城市以>85岁人群上升速度最为迅速,平均每年上升3.72%,其次是30~34岁(1.90%)、60~64岁(1.87%)(P<0.05);农村以10~14岁、25~29岁、30~34岁及>85岁年龄组上升速度最为迅速,分别以每年5.96%、5.96%、5.61%、5.42%的速度上升(P<0.05);城乡均在<1岁、15~19岁年龄组以相同速度下降(分别为7.72%、2.80%)(P=0.000)。结论2004—2019年间中国城乡心脏病死亡率明显上升,农村较城市有更大涨幅,需加强农村地区人群心脏病健康教育及防控工作。
Objective To describe and analyze the time trend of heart disease mortality among urban and rural residents in China from 2004 to 2019 through the Joinpoint regression model.Methods Data of mortality of heart disease in urban and rural areas of China during 2004 and 2019 were collected and collated from China Health Statistics Yearbook,the characteristics of mortality and standardized mortality were described,and the annual percent rate change(APC)and average annual percentage rate change(AAPC)were calculated and the time trend was performed by Joinpoint regression model.Results From 2004 to 2019,the mortality of heart disease in urban and rural China increased with time.Among,the urban patients increased at an average annual percentage change of 2.70%(P=0.000),and the rural patients increased annually by 6.95%(P=0.000),the average rising in rural areas is about 2.6 times that in urban.From 2004 to 2019,the results of age-specific mortality show that the mortality of urban in age group>85 has the fastest rise,averaging increased annually by 3.72%,followed by age group 30-34(1.90%),age group 60-64(1.87%),P<0.05;in rural areas,the age groups of 10-14,25-29,30-34 and>85 has the fastest rise,averaging increased annually by 5.96%,5.96%,5.61%,and 5.42%,respectively,P<0.05;urban and rural areas decreased at the same rate in the age groups<1 and 15-19(7.72% and 2.80%,respectively),P=0.000.Conclusions The heart disease mortality among urban and rural residents in China from 2004 to 2019 has increased significantly,and rural areas have a more increase than urban.It is necessary to strengthen health education and prevention and control of heart disease in rural areas.
作者
韦琴
史卫卫
高金钗
马小焱
曹亚景
孙纪新
崔泽
Wei Qin;Shi Weiwei;Gao Jinchai;Ma Xiaoyan;Cao Yajing;Sun Jixin;Cui Ze(College of Public Health,Hebei Medical University,Shijiazhuang 050021,China;Institute of Chronic Non-Communicable Disease Prevention and Control,Heibei Provincial Center for Disease Control and Prevention,Shijiazhuang 050021,China;College of Public Health,North China University of Science and Technology,Tangshan 063210,China)
出处
《中国心血管杂志》
2022年第4期371-376,共6页
Chinese Journal of Cardiovascular Medicine
基金
河北省2020年度医学科学研究课题计划(20200689)。
