[基于2015-2020年空间面板模型的江省中风死亡率的空间自相关性和相关因素]
1Department of Chronic and Non-communicable Disease Prevention and Control, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China.
Zhonghua liu xing bing xue za zhi = Zhonghua liuxingbingxue zazhi
|October 24, 2023
概括
脑卒中死亡率在江省显示出正面的空间相关性,经济不利地区的死亡率更高. 战略应侧重于改善医疗保健投资和高血压管理,以减少死亡.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 空间分析 空间分析
背景情况:
- 脑卒中仍然是全球和中国的重大公共卫生问题.
- 了解中风死亡率的空间分布和影响因素对于有针对性的干预至关重要.
研究的目的:
- 调查2015-2020年江省中风死亡率的空间自相关性.
- 确定与中风死亡率相关的宏观社会经济和医疗保健因素.
- 为有效的中风预防和控制策略提供证据.
主要方法:
- 利用了江慢性疾病监测系统 (2015-2020) 的数据.
- 采用空间自相关分析 (莫兰的I) 来评估中风死亡率的地理聚类.
- 应用空间面板模型来研究中风死亡率与社会经济/医疗保健指标之间的关系.
主要成果:
- 脑卒中死亡率呈现出正空间自相关性 (莫兰I=0.274-0.390,P<0.001),江东部和南部的死亡率更高.
- 人均国内生产总值,医疗支出和医疗保健资源 (每1000人病床) 的增加与整体中风死亡率的降低有关.
- 较高的高血压标准管理率与降低的缺血性和出血性中风死亡率相关.
结论:
- 在江省,中风死亡率显示出显著的空间聚类.
- 解决区域经济差异和加强医疗保健基础设施对于控制中风至关重要.
- 改善政府的卫生资金,优化资源配置,加强高血压管理是推的策略.
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