Regional characteristics analysis on cardiovascular and cerebrovascular diseases mortality in Qingdao from 2011 to 2016
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摘要: 目的 本研究旨在通过分析青岛市2011-2016年心脑血管病死亡的地理分布特征和变化趋势,为确定重点防治区域提供理论依据。方法 从青岛市慢性病监测系统获取心脑血管病死亡数据资料,进行描述性分析和趋势面分析以及时间趋势分析。结果 6年来青岛市心脑血管病死亡86 277例,标化死亡率为115.33/10万,其中男性为128.08/10万,女性为102.51/10万,男性死亡率高于女性,是女性的1.25倍;城乡标化死亡率比为1:2.67;趋势面分析显示,心脑血管病死亡率在青岛市无明显地域趋势性(均有P>0.05)。青岛市心脑血管病死亡率从2011年的103.43/10万上升到2016年的117.54/10万,上升了13.64%。结论 6年来青岛市心脑血管病死亡率有一定的上升幅度,地区分布没有明显的趋势性,农村地区以及男性人群是当前防治工作的重点。Abstract: Objective To evaluate the geographical distribution and changing trend of cardiovascular and cerebrovascular diseases mortality in Qingdao from 2011 to 2016, so as to provide theoretical basis on the determination of critical prevention and treatment regions. Methods The cardiovascular and cerebrovascular diseases cause death were collected from the Chronic Disease Monitoring System in Qingdao. The trend-surface and time trend statistical methods were performed using the SPSS 21.0 and SAS 9.4 software. Results A total of 86 277 cardiovascular and cerebrovascular deaths was recorded in Qingdao from 2011 to 2016, with a standardized mortality rate of 115.33 per 100 thousands, of which 128.08 per 100 thousands in men and 102.51 per 100 thousands in women, respectively. The standardized cardiovascular and cerebrovascular mortality rate in men was 1.25 times higher than women. The rural-urban standardized mortality ratio was 1:2.67, and the trend-surface analysis showed that the mortality rate of cardiovascular and cerebrovascular diseases had a moderate trend in Qingdao (all P>0.05).The standardized mortality rate of cardiovascular and cerebrovascular diseases in Qingdao increased by 13.64%from 103.43 per 100 thousands in 2011 to 117.54 per 100 thousands in 2016. Conclusions The mortality rate of cardiovascular and cerebrovascular diseases in Qingdao showed an increasing trend, but there was moderate trend in regional distribution. The current prevention and control work need to emphasize on rural areas and in men.
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