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揭开中国心脏病的挑战:关于国家死亡负担的全面回顾性研究

Yunjuan Yang^1,2, Jieqing Min³, Yuanyi Zha⁴

¹Children and Adolescents Health Research Team, Yunnan Provincial Center for Disease Control and Prevention(Yunnan Preventive Medicine Academy), NO. 158 Dongsi Street, Kunming, 650022, Yunnan Province, China. yncdcyyj@126.com.

BMC public health

|March 4, 2025

概括

2013年至2021年,中国心脏病死亡人数急剧增加,成为死亡的主要原因. 这一趋势凸显了医疗保健挑战不断升级以及有针对性的公共卫生干预措施的必要性.

科学领域:

心血管流行病学心血管流行病学
公共卫生监督是对公共卫生的监督.
人口健康趋势

背景情况:

自2020年以来,心脏病是中国的主要死亡原因.
老龄化,饮食变化和气候等因素会影响心脏病的负担.
使用了2013-2021年国家死亡率监测系统的数据.

研究的目的:

评估中国 (2013-2021) 心脏病负担的国家和地方变化.
分析趋势并确定心脏病死亡率的驱动因素.
为公共卫生战略和医疗保健优先级制定提供信息.

主要方法:

使用国家死亡率监测系统 (人口3亿).
用于连接点识别和趋势评估的年平均百分比变化 (AAPC) 的换测试.
进行了分解分析,以确定死亡率变化驱动因素.

主要成果:

心脏病死亡人数从2013年的277,312人增加到2021年的463,314人.
性别标准化的死亡率从140.11/100,000上升到180.67/100,000 (4.46%的平均年增长).
观察到男性死亡率较高,15-44岁年龄组的快速增长,农村死亡率上升,以及中国中部的最高死亡率. 缺血性心脏病显示了最高和不断增加的趋势. 死亡人数在冬季达到峰值.

结论:

显而易见的是,心脏病负担的显著和持续增加.
预计医疗保健成本将不断上升,需要采取积极的措施.
调查结果确定了医疗保健的差距,并指导了中国的优先级,需求驱动的健康计划.

关键词:

一个全面的回顾性研究.疾病负担疾病负担流行病趋势流行病趋势心脏病是什么心脏病死亡率死亡率死亡率

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