心血管疾病死亡对美国与其他国家长寿差距变化的作用
Octavio Bramajo Hemsi1, Neil Mehta1
1Sealy Center on Aging, The University of Texas Medical Branch, Galveston, Texas.
American journal of preventive medicine
|February 8, 2025
概括
与其他高收入国家相比,美国的心血管疾病死亡率放缓,扩大了预期寿命差距. 预防这些死亡是改善美国寿命的关键.
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:
- 美国与其他高收入国家的预期寿命差距在2008-2019年间扩大.
- 预期寿命差异的原因此前尚不清楚.
研究的目的:
- 量化心血管疾病死亡率对美国50岁预期寿命差距 (LE50) 的影响.
- 将美国心血管疾病死亡率趋势与其他10个高收入国家进行比较.
主要方法:
- 使用人类死亡率数据库和世卫组织数据 (2008年,2019年) 的横截面观察研究.
- 计算了实际和反事实LE50以隔离心血管疾病死亡率的影响.
- 使用因果删除和美国趋势推断方法用于反事实.
主要成果:
- 美国心血管疾病死亡率的改善落后于同行国家 (2008-2019).
- 心血管疾病死亡率充分解释了女性的LE50差距增长 (0.33年),并为男性的差距增长 (0.79年) 贡献了50%.
- 70岁以后心血管疾病的死亡率导致了女性的81%和男性的36%的差距增长.
结论:
- 美国心血管疾病死亡率下降的速度较慢是越来越大的LE50差距的主要驱动因素.
- 针对性地预防心血管疾病死亡对于改善美国预期寿命至关重要.
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