摘要
目的了解湖北省心血管疾病死亡及寿命损失情况,为制定有效防治措施提供依据。方法死亡资料来源于2019年湖北省常住居民死因登记资料,使用SAS 9.4软件分析不同性别、城乡以及慢性病综合防控示范区和非示范区各类心血管疾病的粗死亡率、标化死亡率、早死所致寿命损失年(YLL)及标化YLL率,并进行非参数检验、χ^(2)检验和Z检验。结果2019年湖北省常住居民心血管疾病死亡占全死因的45.16%,心血管疾病死亡病例的年龄中位数为78岁,死亡率为301.03/10万,标化死亡率为243.49/10万,标化YLL率为2820.83/10万。其中男性心血管疾病标化死亡率(275.21/10万)高于女性(212.99/10万),农村(255.70/10万)高于城市(232.39/10万),示范区(233.24/10万)低于非示范区(258.76/10万)。男性、女性、城市、农村、示范区和非示范区心血管疾病的标化YLL率分别为3145.66/10万、2464.56/10万、2696.73/10万、2958.72/10万、2726.29/10万和2958.28/10万,其中男性高于女性,农村高于城市,非示范区高于示范区,差异均有统计学意义(P<0.05,P<0.01)。全省及性别、城乡分组的心血管疾病死因顺位前3位均为脑血管病、缺血性心脏病及高血压病。除慢性风湿性心脏病外,男性标化死亡率均高于女性;除高血压病及其他心血管疾病外,农村标化死亡率均高于城市;示范区的脑血管病、缺血性心脏病、高血压病、慢性风湿性心脏病的标化死亡率均低于非示范区。结论湖北省心血管疾病死亡负担较重,应积极探索针对不同性别、城乡的防治措施,进一步扩大慢性病综合防控示范区建设。
Objective To understand the condition of death and life loss due to cardiovascular diseases(CVDs)in Hubei Province,and provide the evidence for developing effective prevention and treatment measures.Methods The death data were from registration of death causes among permanent residents of Hubei Province in 2019,the SAS 9.4 software was used to analyze the crude mortality rates,age-standardized mortality rates(ASM),years of life lost due to premature death(YLL)and age-standardized YLL rates due to different CVDs for males or females,urban or rural areas,demonstration areas for comprehensive prevention and control of chronic non-communicable diseases(CNCDs)or non-demonstration areas for comprehensive prevention and control of CNCDs.The non-parametric test,χ^(2) test and Z test were used to analyze the data.Results In 2019,deaths of permanent residents in Hubei Province caused by CVDs accounted for 45.16%of the all-cause deaths.The median age of death cases was 78 years old.The mortality rates,ASM and the age-standardized YLL rates were 301.03/10^(5),243.49/10^(5),and 2820.83/10^(5),respectively.The ASM(275.21/10^(5))of CVDs in males was significantly higher than that(212.99/10^(5))in females;the ASM(255.70/10^(5))of CVDs in rural areas was significantly higher than that(232.39/10^(5))in urban areas;the ASM(233.24/10^(5))of CVDs in demonstration areas was significantly lower than that(258.76/10^(5))in non-demonstration areas.The age-standardized YLL rates of CVDs in males and females,urban and rural areas,demonstration areas and non-demonstration areas were 3145.66/10^(5)and2464.56/10^(5),2696.73/10^(5)and 2958.72/10^(5),2726.29/10^(5)and 2958.28/10^(5),respectively.Among them,that in males was significantly higher than that in females;that in rural areas was significantly higher than that in urban areas;that in nondemonstration areas was significantly higher than that in demonstration areas,P<0.05.The top three causes of death from CVDs in the whole population or subgroups were cerebrovascular diseases,ischemic he
作者
周梦格
张岚
何田静
祝淑珍
李茜
唐雨萌
潘敬菊
ZHOU Mengge;ZHANG Lan;HE Tianjing;ZHU Shuzhen;LI Qian;TANG Yumeng;PAN Jingju(Institute of Chronic Non-communicable Disease Control and Prevention,Hubei Provincial Center for Disease Control an Prevention,Wuhan,Hubei Province 430079,China)
出处
《中国慢性病预防与控制》
CAS
CSCD
北大核心
2023年第6期421-426,432,共7页
Chinese Journal of Prevention and Control of Chronic Diseases
基金
湖北省卫健委联合基金项目(WJ2018H238)
湖北省卫健委卫生健康科研项目(WJ2021M207)。
关键词
心血管疾病
死亡率
标化死亡率
早死所致寿命损失年
慢性病综合防控示范区
Cardiovascular diseases
Mortality rates
Age-standardized mortality rates
Years of life lost due to premature death
Demonstration areas for comprehensive prevention and control of chronic non-communicable diseases
