巴西米纳斯杰拉斯州中风死亡率的空间时间演变,1980-2021年
Daniel Hideki Bando1, Francisco Chiaravalloti Neto2, Alfredo Pereira de Queiroz3
1Universidade Federal de Alfenas, Instituto de Ciências da Natureza, Alfenas, MG, Brazil.
概括
巴西米纳斯杰拉斯州的中风死亡率在1980年至2021年期间总体下降,年轻人群体的死亡率大幅下降. 然而,最近东北地区的高发病率集群需要卫生服务经理集中注意.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 地理健康分析 地理健康分析
背景情况:
- 脑卒中死亡率是全球和巴西的重大公共卫生负担.
- 了解中风死亡率的时空模式对于有效的公共卫生干预至关重要.
- 巴西的一个大型州米纳斯吉拉斯州为研究区域健康差异提供了相关的背景.
研究的目的:
- 分析1980年至2021年巴西米纳斯吉拉斯州中风死亡率的时空演变.
- 确定中风死亡率的趋势,集群和地理变化.
- 为公共卫生战略和资源分配提供信息,以预防和管理中风.
主要方法:
- 在微区域一级使用聚合数据的生态研究.
- 分段线性回归用于分析死亡率趋势 (年度百分比变化 (APC)).
- 空间分析包括率的映射和扫描统计数据以确定高和低率集群 (相对风险[RR]).
主要成果:
- 总共记录了392521例中风死亡,整体粗制死亡率为每10万人/年52.6.
- 所有分析的中风死亡率都呈现下降趋势,在20-39岁年龄组 (APC = -4.48%) 观察到的下降速度最快.
- 在南部地区 (1980-1999,RR=2.06) 发现了一个高利率集群,在西北地区 (2008-2021,RR=0.59) 发现了一个低利率集群. 南方出现了最显著的下降 (APC = -3.64%).
结论:
- 在研究期间,米纳斯杰拉斯州的中风死亡率显示出普遍下降的趋势.
- 鉴定到的集群和最近的高发病率地区,特别是在东北部,需要卫生服务经理的有针对性的关注.
- 建议继续监测和进一步研究,包括市级研究和多层次分析,以了解风险因素和社会决定因素.
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