慢性疾病对西班牙全因死亡率的影响:基于人口的队列研究
Elena Caride-Miana1, Domingo Orozco-Beltrán2, Jose Antonio Quesada-Rico3
1Doctoral Candidate, University Miguel Hernández de Elche, N332 87, 0330 Sant Joan Alicante, Spain.
Atencion primaria
|November 12, 2024
概括
癌症和糖尿病等慢性疾病在西班牙显著增加死亡风险. 有效的预防和管理策略对于公共卫生至关重要.
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:
- 慢性疾病影响超过一半的西班牙40岁以上的成年人口.
- 了解与流行慢性疾病相关的死亡风险至关重要.
研究的目的:
- 评估西班牙全因死亡率与流行慢性病之间的关联.
- 确定特定的慢性疾病与死亡率有最强的联系.
主要方法:
- 基于人口的回顾性队列研究,使用西班牙国家健康调查数据.
- 14,584名40岁以上的参与者被跟踪了6年.
- 全因死亡率通过国家死亡登记册交叉匹配确定.
主要成果:
- 癌症 (HR 1.74),慢性肺病 (HR 1.44),急性心肌梗塞 (HR 1.33) 和糖尿病 (HR 1.23) 显示出强烈的死亡率关联.
- 肝硬化/肝病 (HR 1.67) 和脑血管疾病 (HR 1.39) 也增加了死亡风险.
- 9.2%的队列 (1346个人) 在6年的随访期间死亡.
结论:
- 普遍存在的慢性疾病,包括肺部疾病,心脏病发作和糖尿病,与西班牙的全因死亡率有很大关系.
- 有针对性的预防和管理这些条件是必要的.
- 公共卫生倡议应该解决老年人患慢性病的高负担.
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