巴西圣埃斯皮里托州中风比例死亡率:20年结点回归研究
Casanova André Motopa Mpuhua1, Orivaldo Florencio de Souza2,3, Blanca Elena Guerrero Daboin1
1Centro de Ciências da Saúde, Universidade Federal do Espírito Santos (UFES), Vitoria 29075-910, ES, Brazil.
Epidemiologia (Basel, Switzerland)
|June 25, 2025
概括
从2000年到2021年,巴西圣埃斯皮里托州的中风死亡率有所下降. 女性的比例死亡率较高,表明需要针对性地预防和治疗中风,特别是男性.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心血管疾病研究研究
背景情况:
- 脑卒中是全球死亡和残疾的主要原因,也是巴西成年人死亡的主要原因.
- 尽管发病率正在下降,但中风病例和死亡人数的绝对数量正在上升,特别是在发展中国家.
研究的目的:
- 为了分析不同年龄组和性别的中风死亡率的时间趋势,在巴西的埃斯皮里托圣托.
- 确定2000年至2021年间受中风死亡率影响最大的特定人口群体.
主要方法:
- 使用来自巴西埃斯皮里托圣都 (2000-2021) 的二次死亡数据进行的生态时间序列研究.
- 来自统一卫生系统 (DATASUS) 的数据,按性别和年龄组分类.
- 通过ICD-10代码 (I60,I61,I63,I64) 定义的中风死亡率;使用结点回归分析的趋势.
主要成果:
- 从2000年到2021年,整体比例中风死亡率下降了-3.7% (p < 0.001).
- 男性的比例死亡率下降了-3.0%,女性的比例死亡率下降了-3.9%.
- 50-59岁的年龄组出现了最大的下降 (每年下降4.9%),而30-39岁的年龄组出现了最小的下降 (每年下降2.4%).
结论:
- 在埃斯皮里托圣都的成年人群中观察到比例中风死亡率的显著降低.
- 女性的比例死亡率更高,尽管男性的绝对死亡率更高.
- 有针对性的预防策略和急性中风治疗至关重要,特别关注男性.
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