美国农村和城市中风死亡率差异
Derek Chang1, Ramzi Ibrahim1, Hoang Nhat Pham1
1Department of Medicine, University of Arizona-Tucson, UA College of Medicine, 6th Floor, Room 6336, 1501 N. Campbell Ave, Tucson, AZ 85724, United States.
概括
脑卒中死亡率显示,美国农村和城市地区之间存在持续的差异. 虽然西班牙裔人口的情况有所改善,但非西班牙裔人口的中风死亡率与农村城市相比停滞不前,这凸显了针对性干预的必要性.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康差异 在健康上的差异
背景情况:
- 根据地理位置 (农村与城市) 和获得先进医疗干预的机会,中风的结果有很大差异.
- 之前的研究表明,中风治疗方面存在差异,包括血栓溶解,内血管治疗和康复.
- 这项研究专门研究了美国农村和城市人口之间的中风死亡率差异.
研究的目的:
- 评估和量化美国农村和城市地区中风死亡率的差异.
- 从1999年到2020年,分析这些农村和城市中风死亡率差异的时间趋势.
- 调查这些差异如何在人口亚组和地理区域之间存在差异.
主要方法:
- 利用疾病控制和预防中心 (CDC) 关于1999-2020年脑血管疾病死亡的数据.
- 分类死亡率数据到农村和城市地区进行比较分析.
- 计算了年龄调整的死亡率 (AAMR) 和农村与城市的死亡率,使用线性回归来评估随时间的变化趋势.
主要成果:
- 1999年,农村中风死亡人数为1.13人/城市死亡人数;到2020年,这一比例略有下降至1.07人.
- 西班牙裔人口的农村城市死亡率从1999年的1.32大幅下降到2020年的0.85.
- 非西班牙裔人口的农村城市死亡率停滞不前 (1999年的1.12到2020年的1.07),美国南部地区的地区差异最高.
结论:
- 美国农村和城市人口之间中风死亡率仍然存在显著差异.
- 有针对性的公共卫生干预措施对于解决和缓解这些与中风相关的健康差异至关重要.
- 西班牙裔和非西班牙裔人口之间的不同趋势强调了对文化定制和地理特定策略的需求.
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