探索心力衰竭死亡率趋势和女性的差异:回顾性队列分析
Ramzi Ibrahim1, Mahek Shahid1, Min-Choon Tan2
1Department of Medicine, University of Arizona Tucson, Tucson, Arizona.
The American journal of cardiology
|October 20, 2023
概括
妇女心力衰竭 (HF) 死亡率整体下降,但显示了最近的上升趋势. 在HF死亡中存在显著的种族,地理和城市化差异,需要有针对性的干预措施.
科学领域:
- 心血管疾病流行病学
- 公共卫生不平等 公共卫生不平等
- 妇女健康 妇女健康
背景情况:
- 心力衰竭 (HF) 是女性疾病和死亡的主要原因.
- 了解人口层面的HF死亡率趋势和差异对于开发有效干预措施至关重要.
研究的目的:
- 分析1999年至2020年美国妇女的高频率相关死亡数据.
- 根据种族/种族,城市化和地理区域来确定高频率死亡率的差异.
主要方法:
- 美国疾病预防控制中心流行病学研究 (WONDER) 广泛在线数据数据库的回顾性队列分析.
- 检查了1999-2020年高压相关死亡率数据.
- 对2000年美国人口的年龄调整死亡率的标准化和使用逻辑线性回归的分析.
主要成果:
- 妇女的整体年龄调整后HF死亡率从1999年的97.95下降到2020年的89.19,下降趋势一直持续到2012年,然后增加.
- 观察到显著的种族/种族差异:非西班牙裔黑人女性的发病率最高 (90.36),其次是非西班牙裔白人 (83.25),美国印第安人/阿拉斯加本土人 (64.27),以及亚洲/太平洋岛民 (37.46).
- 与大都市地区 (78.43) 和其他地区相比,非大都市地区 (103.36) 和中西部地区 (90.45) 的死亡率更高.
结论:
- 美国女性心力衰竭死亡率存在持续差异,基于种族/种族,城市化和地理位置.
- 针对健康的社会决定因素的有针对性的干预措施,如获得护理和社会经济因素,对于降低HF死亡率至关重要.
- 最近高风死亡率的增加凸显了持续监测和适应性公共卫生战略的必要性.
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