2005-2016年南通市65岁及以上老年人心脑血管疾病死亡趋势分析
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摘要
目的了解2005-2016年南通市65岁及以上老年人心脑血管疾病死亡特点及变化趋势。方法收集南通市居民死因监测数据,采用死亡率、标化死亡率及年度变化百分比等指标进行统计学分析。结果 2005-2016年南通市老年人心脑血管疾病粗死亡率波动在1 487.64/10万～2 159.94/10万之间,标化死亡率波动在1 038.16/10万～1 703.02/10万之间。2005-2016年,粗死亡率和标化死亡率均呈现先上升(2005-2010年)后下降(2010-2016年)的趋势。城市老年人心脏病标化死亡率高于农村(P<0.05),但脑血管病标化死亡率低于农村(P<0.05)。老年男性脑血管病标化死亡率高于老年女性(P<0.05)。老年人心脑血管疾病死亡率随年龄的增长而增高。十二年间,65～岁、70～岁、75～岁、80～岁年龄组死亡率总体呈下降趋势(P<0.05)。结论心脑血管疾病对南通市老年人健康的危害较严重,应制定有针对性的干预措施,对心脑血管疾病进行有效防控。
Objective To explore the trend and characteristics of cardiovascular and cerebrovascular diseases(CCVD)mortality among elderly aged 65 years and above of Nantong City from 2005 to 2016.Methods Data was derived from the disease death surveillance database from 2005 to 2016.Indices,such as mortality,standardized mortality and annual percentage change(APC)were used to analyze the trend of the mortality of CCVD in the elder aged 65 years.Results From 2005 to 2016,the mortality rate of CCVD fluctuated from 1 487.64/105 to 2 159.94/105,and the standardized mortality rate fluctuated from 1 038.16/105 to 1 703.02/105 in the elderly in Nantong.The mortality rate and the standardized mortality rate of CCVD showed a trend of rising first(2005-2010)and then decreasing(2010-2016).The standardized mortality rate of heart disease in urban elderly was higher than that in the rural area(P<0.05),while the standardized mortality rate of cerebrovascular disease in urban elderly was lower than that in rural area(P<0.05).The standardized mortality rate of an elderly male with the cerebrovascular disease was higher than that of elderly female(P<0.05).With the increase of age,the mortality of CCVD in the elderly increased.During 12 years,the mortality rate of 65-,70-,75-and 80-age groups overall presented the declining trend(P<0.05).Conclusion CCVD has been the serious threaten to the health of the elderly in Nantong City,and targeted interventions should be developed to prevent and control CCVD effectively.
Objective To explore the trend and characteristics of cardiovascular and cerebrovascular diseases(CCVD)mortality among elderly aged 65 years and above of Nantong City from 2005 to 2016.Methods Data was derived from the disease death surveillance database from 2005 to 2016.Indices,such as mortality,standardized mortality and annual percentage change(APC)were used to analyze the trend of the mortality of CCVD in the elder aged 65 years.Results From 2005 to 2016,the mortality rate of CCVD fluctuated from 1 487.64/105 to 2 159.94/105,and the standardized mortality rate fluctuated from 1 038.16/105 to 1 703.02/105 in the elderly in Nantong.The mortality rate and the standardized mortality rate of CCVD showed a trend of rising first(2005-2010)and then decreasing(2010-2016).The standardized mortality rate of heart disease in urban elderly was higher than that in the rural area(P<0.05),while the standardized mortality rate of cerebrovascular disease in urban elderly was lower than that in rural area(P<0.05).The standardized mortality rate of an elderly male with the cerebrovascular disease was higher than that of elderly female(P<0.05).With the increase of age,the mortality of CCVD in the elderly increased.During 12 years,the mortality rate of 65-,70-,75-and 80-age groups overall presented the declining trend(P<0.05).Conclusion CCVD has been the serious threaten to the health of the elderly in Nantong City,and targeted interventions should be developed to prevent and control CCVD effectively.
引文
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[7] 刘晓剑,吴永胜,付英斌,等.深圳市空气PM2.5与心脑血管疾病死亡的广义相加模型分析[J].中华疾病控制杂志,2016,20(2):207-209.
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[10] 王薇,赵冬,孙佳艺,等.中国11省市队列人群危险因素与不同类型心血管病发病危险的比较[J].中华心血管病杂志,2006,34(12):1133-1137.
[11] 刘晓强,隽娟,宋菁,等.2003-2013年北京市房山区居民死因流行病学调查研究[J].中国预防医学杂志,2017,18(5):381-384.
[12] 张晓宇,侯斌,赵国栋.西安市居民心脑血管疾病死亡趋势和潜在寿命损失分析[J].现代预防医学,2017,44(7):1248-1251.
[2] 韩颖颖,蔡波,徐红,等.2005-2014年南通市心脏病死亡趋势及潜在寿命损失[J].江苏预防医学,2017,28(5):496-498,501.
[3] 国家卫生计生委疾病预防控制局.中国居民营养与慢性病状况报告(2015年)[M].北京:人民卫生出版社,2015:33-50.
[4] Word Health Organization.Global status report on noncommunicable diseases 2014[EB/OL].[2019-05-20].http://www.wsmi.org/wp-content/uploads/2015/01/Global-Status-Report-NCDs-2014.pdf.
[5] 王健松,刘海行,张慧英,等.2003-2012年首钢地区居民脑卒中死亡率变化趋势分析[J].中国全科医学,2015,18(36):4470-4474.
[6] 吴连希,王丹,黄凌云,等.江汉区65岁及以上老年人慢性病患病状况调查[J].现代预防医学,2015,42(24):4450-4452.
[7] 刘晓剑,吴永胜,付英斌,等.深圳市空气PM2.5与心脑血管疾病死亡的广义相加模型分析[J].中华疾病控制杂志,2016,20(2):207-209.
[8] 韩京,张军,周林,等.极端气温对济南市心脑血管疾病死亡的影响[J].山东大学学报(医学版),2017,55(11):71-74.
[9] 乔良,邓颖,季奎,等.四川省居民2002-2010年心脑血管疾病死亡分析[J].中国慢性病预防与控制,2012,20(2):135-138.
[10] 王薇,赵冬,孙佳艺,等.中国11省市队列人群危险因素与不同类型心血管病发病危险的比较[J].中华心血管病杂志,2006,34(12):1133-1137.
[11] 刘晓强,隽娟,宋菁,等.2003-2013年北京市房山区居民死因流行病学调查研究[J].中国预防医学杂志,2017,18(5):381-384.
[12] 张晓宇,侯斌,赵国栋.西安市居民心脑血管疾病死亡趋势和潜在寿命损失分析[J].现代预防医学,2017,44(7):1248-1251.
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