脑血管死亡率:巴西首都的趋势和季节性,2000-2019年
Luis Sauchay Romero1, Ludmilla da Silva Viana Jacobson2, Sandra de Souza Hacon1
1Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública "Sergio Arouca". Rio de Janeiro, RJ, Brasil.
Revista de saude publica
|October 25, 2023
概括
巴西成年人脑血管疾病死亡率正在下降,冬季观察到的风险更高. 老年人,低学历的单身人士受到影响最大,这突显了有针对性的公共卫生政策的必要性.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 老年学是一门学科.
背景情况:
- 脑血管疾病是全球和巴西的重大公共卫生问题.
- 了解时间趋势和季节性对于有效的预防和干预策略至关重要.
研究的目的:
- 分析2000年至2019年间巴西首都城市成年人口中脑血管死亡率的趋势和季节性模式.
主要方法:
- 一项生态,描述性的时间序列研究,利用来自巴西死亡信息系统的数据.
- 联合点回归模型被用来评估按性别,年龄和地区的死亡率趋势.
- 用立方线的通用添加模型来分析季节性变化.
主要成果:
- 脑血管疾病死亡主要发生在60岁以上的个人 (77%),女性 (52%),白人 (47%),单身人士 (59%) 和受过小学教育的人 (57%) 中.
- 里西菲和帕尔马斯的标准化脑血管死亡率最高.
- 在所有性别中都观察到脑血管死亡率的总体下降趋势,通常在冬季 (七月至八月) 发生的比率增加,除了北方地区 (三月至五月).
结论:
- 脑血管疾病死亡率不成比例地影响到受教育程度有限的老年单身成年人.
- 该研究发现死亡率下降趋势和冬季季节性增加,区域差异很大.
- 调查结果为决策者提供了宝贵的见解,以制定旨在减少巴西脑血管死亡率的有针对性的干预措施.
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