从1999年到2020年,美国糖尿病患者死亡率趋势和脑血管疾病的差异:CDC奇迹分析
在PubMed上查看摘要
概括
此摘要是机器生成的。糖尿病和脑血管疾病 (CeVD) 的死亡率有所下降,但最近已逆转. 在黑人,西班牙裔和农村人口中存在差异, 需要有针对性的公共卫生干预措施.
科学领域
- 公共卫生
- 流行病学
- 心血管科学
背景情况
- 糖尿病 (DM) 是脑血管疾病 (CeVD) 的重要危险因素.
- 尽管医疗保健取得了进展,但在美国糖尿病人群中仍存在死亡率差异.
研究的目的
- 分析1999年至2020年45岁及以上的DM成年人CeVD死亡率趋势.
- 在糖尿病患者中确定CeVD死亡率的人口和地理差异.
主要方法
- 对疾病预防控制中心WONDER数据库 (1999-2020) 的回顾性分析.
- 使用CEVD (I60-I69) 和DM (E10-E14) 的ICD-10代码.
- 根据年龄调整的死亡率 (AAMR) 计算,并使用Joinpoint回归分析趋势,按各种因素分层.
主要成果
- 糖尿病患者死亡总数为689,846例.
- 整体AAMR从36.9 (1999年) 降至29.3 (2020年),年平均下降1.41%.
- 关于从2018年到2020年观察到的逆转 (APC14.87%). 在老年人,黑人/西班牙裔人口,农村居民和美国南部的比例最高,在东北和亚洲人口的比例最低.
结论
- 糖尿病患者的CeVD死亡率在过去的20年里有所下降,但最近出现了令人担忧的逆转.
- 医疗服务中断和社会经济差异可能导致新出现的挑战.
- 针对性公共卫生干预对于解决高风险糖尿病人群的不平等和改善结果至关重要.
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