COVID-19流行病对台湾非传染性慢性病死亡率的影响:一种干预时间序列研究
Chen-Mao Liao1,2, Yi-Wei Kao1,2, Chih-Ming Lin1,2
1Department of Applied Statistics and Information Science, Ming Chuan University, Taoyuan, Taiwan.
International journal of public health
|April 14, 2025
概括
在台湾,COVID-19流行病显著增加了心脏病,糖尿病和高血压死亡人数. 这些非传染性疾病的死亡率在2021年上升,突显了针对性卫生干预措施的需要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 慢性疾病管理 慢性疾病管理
背景情况:
- 在全球范围内,COVID-19大流行给医疗保健系统带来了前所未有的挑战.
- 非传染性疾病 (NCD) 对公众健康构成重大负担.
研究的目的:
- 调查COVID-19流行病对台湾主要非传染性疾病的国家死亡率的影响.
- 分析NCD死亡率在流行病前和期间的趋势.
主要方法:
- 利用来自台湾死亡登记 (2011-2022) 的七种主要非传染性疾病的月度死亡数据.
- 使用干预时间序列模型来分析标准化死亡率.
- 在大流行前和大流行期间之间的死亡率比较,特别是2020年和2021年.
主要成果:
- 在大流行期间,心脏病,糖尿病和高血压的月度死亡率出现了显著的上升趋势 (p < 0.001).
- 2021年,与2020年相比,心脏病死亡率增加了4.3%,糖尿病增加了8.2%,高血压增加了13.4%.
- 对于恶性瘤,脏疾病或肝脏疾病,没有发现死亡率趋势的显著变化.
结论:
- 疫情加剧了心血管疾病和糖尿病的死亡率,可能是由于不良行为和减少医疗保健的机会.
- 在公共卫生危机期间,加强健康促进和战略性医疗资源分配对于患有非传染性疾病的弱势群体至关重要.
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