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

毕海涛; 王宝华; 刘韫宁; 周勇; 王秋童; 吴静

Abstract

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].Chinese journal of Epidemiology,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

Received:March 27, 2023

DOI：10.3760/cma.j.cn112338-20230327-00183

KeyWord: 高血压死亡率趋势去死因期望寿命

English Key Word: Hypertension Mortality Trend Cause eliminated life expectancy

FundProject:中国现场流行病学培训项目

Author Name	Affiliation	E-mail
Bi Haitao	China Field Epidemiology Training Program, Chinese Center for Disease Control and Prevention, Beijing 100050, China Baotou Prefectural Center for Disease Control and Prevention, Baotou 014000, China
Wang Baohua	Key Chronic Disease Control and Prevention Laboratory, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China
Liu Yunning	Division of Vital Registration and Death Cause Surveillance, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China
Zhou Yong	China Field Epidemiology Training Program, Chinese Center for Disease Control and Prevention, Beijing 100050, China
Wang Qiutong	Key Chronic Disease Control and Prevention Laboratory, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China
Wu Jing	National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China	wujing@ncncd.chinacdc.cn

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Abstract:

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。

English Abstract:

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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