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Trends in Stroke Mortality Rate - China, 2004-2019
Junxia Cheng1, Wei Wang1, Jianwei Xu1
1National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
China CDC Weekly
|July 11, 2022
Summary
Stroke mortality in China has decreased significantly since 2004, but crude rates remain stable due to population changes. Targeted prevention strategies are crucial, especially in high-burden rural and western regions.
Area of Science:
- Public Health
- Epidemiology
- Cardiovascular Disease Research
Background:
- Stroke is a leading cause of death in China.
- Understanding stroke mortality trends is vital for public health interventions.
Purpose of the Study:
- To describe trends in stroke mortality in China between 2004 and 2019.
- To analyze geographical and urban-rural disparities in stroke mortality.
Main Methods:
- Utilized data from the National Disease Surveillance Point (DSP) system.
- Conducted descriptive analysis calculating adjusted mortality rate (AMR) and age-standardized mortality rate (ASMR).
Main Results:
- Age-standardized mortality rate (ASMR) decreased by 39.8% from 2004 to 2019.
- Adjusted mortality rate (AMR) remained relatively stable.
- Rural areas consistently showed higher stroke mortality than urban areas.
- A geographical gradient was observed, with higher rates in western China and lower rates in eastern China.
Conclusions:
- Despite declining ASMR, stagnant AMR indicates challenges from population growth and aging.
- More effective prevention and treatment strategies are urgently needed.
- Interventions should prioritize areas with high stroke burden and limited resources, particularly in western China.
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