摘要
目的了解2014—2019年上海金山工业区居民心脑血管病死亡流行趋势,为制定心脑血管病防治策略提供依据。方法收集2014—2019年上海金山工业区居民心脑血管病死亡资料,分析心脑血管病粗病死率、标化病死率和年度变化趋势。结果2014—2019年金山工业区心脑血管病死亡占同期全人群死因的33.21%,居死因顺位首位,粗病死率为292.48/10万,标化病死率为98.69/10万。心脑血管病标化病死率呈缓慢下降趋势(APC=-2.37%),心脏疾病死亡粗率和标化率均呈明显上升趋势(APC=12.19%,11.96%),脑血管病粗病死率和标化病死率均呈下降趋势(APC=-3.28%,-6.44%)。男性心脑血管病粗病死率和标化死亡均低于女性,差异有统计学意义(P<0.01)。全人群40岁以下年龄组心脑血管病病死率极低,45~64岁处于缓慢上升趋势,从65岁开始呈现快速增长趋势,趋势检验有统计学意义(P<0.01)。心脑血管病冬季病死率最高,秋季次之。结论金山工业区心脑血管病病死率较高,应结合死亡流行趋势,加强心脑血管病防治,制定针对性防治措施,降低危险因素暴露水平,从而降低心脑血管病病死率。
Objective To explore the trend and characteristics of cardio-cerebrovascular disease mortality and provide scientific strategies for prevention and control of cardio-cerebrovascular disease.Methods Collected cardio-cerebrovascular disease monitoring data from 2014 to 2019,and analyzed crude death rate,standardized mortality rate and annual trend of cardio-cerebrovascular diseases.Results Cardio-cerebrovascular diseases accounted for 33.21%of the total deaths in the same period from 2014 to 2019,Occupied the first place in the cause of death.The crude mortality rate of cardio-cerebrovascular diseases was 292.48/10,and the standardized mortality rate was 98.69/10.In the past six years,the standardized mortality rate of cardio-cerebrovascular diseases decreased slowly(APC=-2.37%),the crude mortality rate and standardized mortality rate of cardiac diseases increased significantly(APC=12.19%,11.96%),the crude mortality rate and standardized mortality rate of cerebrovascular diseases decreased(APC=-3.28%,6.44%).The crude death rate and standardized death rate in male were lower than that in female(P<0.01).The mortality rate of cardio-cerebrovascular diseases under 40 years old was very low,and it increased slowly from 45 to 64 years old,it had a rapid growth trend from 65 years old.The trend test was statistically significant(P<0.01).The mortality of cardio-cerebrovascular diseases was the highest in winter,and the second was in autumn.Conclusion The mortality rate of cardio-cerebrovascular diseases was relatively high in Jinshan industrial zone.We should strengthen the prevention and treatment of cardio-cerebrovascular diseases combined with the epidemic trend of death,and formulate targeted preventive measures to reduce exposure to risk factors and mortality of cardio-cerebrovascular diseases.
作者
黄学
代利
赵西芳
HUANG Xue;DAI Li;ZHAO Xifang(Industrial Zone Community Health Service Center of Jinshan District,Shanghai 201506, China)
出处
《中国老年保健医学》
2021年第2期66-69,共4页
Chinese Journal of Geriatric Care
基金
上海市金山区卫生健康委员会科研课题(JSKJ-KTSQ-2019-08)。
关键词
心脑血管病
病死率
流行趋势
Cardio-cerebrovascular disease
Mortality
Trend
作者简介
第一作者/通讯作者:黄学,本科学历,主管医师,研究方向:慢性病管理。
