慢性阻塞性肺病死亡率趋势的性别地理差异,西班牙,1980-2021年
L Cayuela1, J L López-Campos2, A M Gaeta3
1Department of Internal Medicine, Hospital Universitario Severo Ochoa, Leganés.
概括
慢性阻塞性肺病 (COPD) 死亡率在西班牙各地区的男性和女性之间呈现出不同的趋势. 虽然男性COPD死亡率普遍下降,但女性死亡率趋势因自治区 (AC) 有显著差异.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 呼吸系统医学 呼吸系统医学
背景情况:
- 慢性阻塞性肺病 (COPD) 仍然是一个重大的公共卫生问题.
- 了解地理和基于性别的死亡率趋势对于有针对性的干预至关重要.
研究的目的:
- 分析1980年至2021年西班牙COPD死亡率趋势的变化.
- 通过自治区 (AC) 和性别来研究这些趋势.
主要方法:
- 利用国家死亡记录和来自国家统计局的人口数据.
- 应用结点回归模型来评估按年龄标准化的死亡率,按AC和性别.
主要成果:
- 记录了562,668例COPD死亡 (1.6%的平均年增长).
- 男性COPD死亡率普遍下降,但在加拿大群岛和马德里有显著的例外.
- 女性COPD死亡率趋势在ACs中显示出很大的差异,有些经历了增加,而另一些则减少.
结论:
- 慢性肺炎死亡率趋势在性别之间以及西班牙各地区之间存在显著差异.
- 尽管有控制烟草的努力,但COPD仍然是导致死亡的主要原因.
- 需要进一步调查区域差异和性别特异性风险因素.
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