与高血压和心房相关的死亡率趋势:CDC WONDER数据分析
Saad Khan1, Usama Idrees2, Safa Nasir3
1Saidu Medical College, Department of Internal Medicine, Saidu Shareef, Mingora City, District Swat, KPK 19130, Pakistan.
Global epidemiology
|October 23, 2025
概括
由于高血压 (HTN) 和心房动 (AF) 的死亡率在全国范围内不断上升. 在人口统计学方面存在显著的差异,突出了针对性公共卫生干预和改善心血管保健的迫切需要.
科学领域:
- 心血管流行病学心血管流行病学
- 公共卫生研究 公共卫生研究
- 健康差异 在健康上的差异
背景情况:
- 高血压 (HTN) 和心房动 (AF) 是常见的心血管疾病,与中风,心力衰竭和死亡率的风险增加有关.
- 现有的研究缺乏关于美国死亡率趋势和与HTN和AF结合相关的人口差异的全面数据.
研究的目的:
- 从1999年到2020年分析HTN和AF归因于国家死亡率趋势.
- 识别和检查各种人口群体中HTN-AF死亡率的差异.
- 为查和治疗的公共卫生策略提供信息.
主要方法:
- 使用CDC WONDER数据库进行死亡率数据 (1999-2020年).
- 分析了年龄调整的死亡率 (AAMR) 和原始死亡率 (CMR).
- 按性别,年龄,种族/民族和地理区域分层数据;使用Joinpoint软件进行趋势分析.
主要成果:
- 由于HTN可归因因素的年龄调整死亡率 (AAMR) 从每10万人中从2.89增加到23.98 (APC:4.8%).
- 男人表现出比女性更高的AAMR;黑人或非洲裔美国人群体经历了最急剧的增长.
- 美国西部地区报告了最高的AAMR,农村和小城市地区的死亡率增长最为显著.
结论:
- 在所有人口群体中,HTN-AF死亡率呈现出一致的上升趋势.
- 解决医疗保健政策缺口,提高公众意识,促进心血管健康倡议至关重要.
- 降低与HTN-AF相关的死亡率需要解决医疗保健获取差异,并实施有针对性的干预措施.
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