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中风亚型吸烟导致的死亡率在中国:基于2021年全球疾病负担数据库的研究

Chunlong Xiao¹, Jing Wang², Zhao Cheng²

¹Department of Epidemiology and Biostatistics, School of Public Health, Wuhan University, Wuhan, China, 771221802@qq.com.

Neuroepidemiology

|January 14, 2025

概括

在过去的30年里,中国与吸烟相关的中风死亡人数有所下降,女性的死亡人数下降更大. 持续的烟草控制至关重要,尤其是在男性和年轻人中预防脑内出血 (ICH).

科学领域:

流行病学流行病学
公共卫生公共卫生
心血管疾病研究研究

背景情况:

在中国 (1992-2021) 分析与吸烟相关的中风亚型的长期死亡趋势.
专注于缺血性中风 (IS),下大脑下出血 (SAH) 和脑内出血 (ICH).

研究的目的:

分析中国与吸烟相关的中风及其亚型的长期死亡趋势.
为中风预防和治疗策略提供科学证据.

主要方法:

使用的2021年全球疾病负担数据用于死亡率统计 (1992-2021).
用于趋势分析的就业Joinpoint回归和年龄期-队列 (APC) 模型.

主要成果:

吸烟导致的中风和亚型的整体年龄标准化死亡率呈现下降趋势.
死亡率下降在女性中比男性更为明显.
在APC分析中,ICH和IS死亡率随着年龄的增长趋势,而SAH最初增加,然后下降. 队列和周期效应表明,所有亚型的相对风险都在下降. 男性的中风和亚型呈现"U"形趋势,女性的IS趋势稳定,SAH和ICH的下降趋势.

结论:

在过去的三十年中,中国吸烟导致的中风死亡负担有所下降.
未来的预防工作应优先考虑脑内出血 (ICH).
针对老年男性和年轻人,加强烟草控制立法对于进一步降低风险至关重要.

关键词:

年龄-时期-队列模型.加入点回归模型的加入点回归模型.死亡率死亡率死亡率吸烟吸烟吸烟吸烟一次性中风,中风.

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