末期肝病死亡率趋势 - 中国,2008-2020年
Xiaoxiao Wang1,2, Huixin Liu3, Jinlei Qi4
1Peking University People's Hospital, Peking University Hepatology Institute, Beijing, China.
China CDC weekly
|August 18, 2023
概括
中国的末期肝病 (ESLD) 死亡率从2008年到2020年有所下降,但仍然很高. 干预措施应针对特定地区的男性,老年人和农村人口,重点关注病毒性肝炎的治疗和预防.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 末期肝病 (ESLD),包括肝癌和肝硬化,是全球主要的健康问题.
- 中国承担了全球ESLD死亡率的很大一部分,需要本地化数据才能进行有效的干预.
研究的目的:
- 分析2008年至2020年中国末期肝病 (ESLD) 的死亡率趋势.
- 确定高风险人群和地理区域,以针对ESLD干预.
主要方法:
- 利用了中国疾病监测点系统的数据.
- 计算的原始和年龄标准化死亡率,按人口结构和地区分层.
- 员工联结点回归来估计年死亡率趋势 (平均年均百分比变化 - AAPC).
主要成果:
- 2020年,ESLD总死亡率为每10万人的30.08.
- 中国南部/西南部的男性,农村人口和个人表现出更高的ESLD死亡率.
- 从2008年到2020年,ESLD死亡率每年都在下降.
结论:
- 尽管出现下降趋势,但中国的ESLD死亡率仍然是一个重要的公共卫生问题.
- 优先对中国南/西南地区的男性,老年人和农村居民进行干预.
- 专注于病毒性肝炎和乙型肝炎病毒 (HBV) 预防的抗病毒疗法.
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