文章摘要
毕海涛,王宝华,刘韫宁,周勇,王秋童,吴静.2013-2021年中国西北6省高血压死亡趋势及其对期望寿命的影响[J].中华流行病学杂志,2023,44(9):1344-1351
2013-2021年中国西北6省高血压死亡趋势及其对期望寿命的影响
Trend of hypertension death and its impact on life expectancy in 6 northwestern provinces of China, 2013-2021
收稿日期:2023-03-27  出版日期:2023-09-14
DOI:10.3760/cma.j.cn112338-20230327-00183
中文关键词: 高血压  死亡率  趋势  去死因期望寿命
英文关键词: Hypertension  Mortality  Trend  Cause eliminated life expectancy
基金项目:中国现场流行病学培训项目
作者单位E-mail
毕海涛 中国疾病预防控制中心中国现场流行病学培训项目, 北京 100050
包头市疾病预防控制中心, 包头 014000 
 
王宝华 中国疾病预防控制中心慢性非传染性疾病预防控制中心重点慢病防控实验室, 北京 100050  
刘韫宁 中国疾病预防控制中心慢性非传染性疾病预防控制中心生命登记与死因监测室, 北京 100050  
周勇 中国疾病预防控制中心中国现场流行病学培训项目, 北京 100050  
王秋童 中国疾病预防控制中心慢性非传染性疾病预防控制中心重点慢病防控实验室, 北京 100050  
吴静 中国疾病预防控制中心慢性非传染性疾病预防控制中心, 北京 100050 wujing@ncncd.chinacdc.cn 
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中文摘要:
      目的 分析2013-2021年我国新疆维吾尔自治区、青海省、陕西省、甘肃省、宁夏回族自治区、内蒙古自治区(西北6省)高血压死亡率变化趋势,探讨高血压对期望寿命变化的影响程度。方法 基于2013-2021年中国CDC全国死因监测系统中西北6省国家级死因监测点死亡数据和人口学数据,计算该地区高血压的死亡率、标化死亡率、期望寿命、去死因期望寿命(CELE)、去死因期望寿命增长年(PGLEs)、寿命损失率,利用Joinpoint 4.9软件计算高血压的死亡趋势以及期望寿命等的平均年度变化百分比(AAPC)和年度变化百分比(APC)。结果 2013-2021年中国西北6省高血压标化死亡率整体呈下降趋势(AAPC=-1.82%,P=0.050),农村地区始终高于城市地区,且2016年后呈上升趋势(APC=4.74%,P=0.003),男性始终高于女性,不同分型高血压死亡状况和趋势不同,高血压性心脏病占比最高(72.69%)。与2013年相比,2021年研究地区人群期望寿命增长1.01岁,高血压CELE增长0.93岁,PGLEs下降0.08岁,寿命损失率下降0.11%。结论 西北6省2013-2021年高血压标化死亡率整体呈下降趋势,但农村地区在2016年以后有上升趋势,应继续加强针对农村地区、男性和老年人群的预防干预。
英文摘要:
      Objective To analyze the mortality trend of hypertension in Xinjiang Uygur Autonomous Region, Qinghai Province, Shaanxi Province, Gansu Province, Ningxia Hui Autonomous Region and Inner Mongolia Autonomous Region (6 provinces) in northwestern China, from 2013 to 2021, and evaluate the influence of hypertension on people's life expectancy. Methods Based on national death surveillance data and demographic data in the 6 provinces from 2013 to 2021, the mortality rate, standardized mortality rate, life expectancy, cause eliminated life expectancy (CELE), potential gains in life expectancy (PGLEs) and life loss rate of hypertension were calculated. Software Joinpoint was used to analyze the mortality trends and calculate average annual percentage change (AAPC) and annual percentage change (APC) in hypertension deaths. Results From 2013 to 2021, the overall standardized mortality rate of hypertension in the 6 provinces showed a downward trend (AAPC=-1.82%, P=0.050). The mortality rate in rural area was always higher than that in urban area, and showed an increasing trend after 2016 (APC=4.74%, P=0.003), and the mortality rate in men was always higher than that in women. The incidence trend of deaths of different types of hypertension were different, and the deaths caused by hypertensive heart disease accounted for the highest proportion (72.69%). In 2021, the life expectancy of the population in the 6 provinces increased by 1.01 years, the CELE increased by 0.93 years, the PGLEs decreased by 0.08 years, and the life loss rate decreased by 0.11% compared with 2013. Conclusions The overall standardized mortality rate of hypertension showed a decreasing trend in the 6 northwestern provinces from 2013 to 2021, but it showed an increasing trend in rural area after 2016. Prevention of hypertension should be further strengthened in rural area, men and elderly population.
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