中国卒中杂志 ›› 2015, Vol. 10 ›› Issue (11): 930-934.

• 论著 • 上一篇    下一篇

1975至2014年上海市静安区户籍人口脑血管病死亡的流行趋势分析

张欣,杨晓明,褚晓婷,王妍敏   

  1. 200041 上海市静安区疾病预防控制中心
  • 收稿日期:2015-05-19 出版日期:2015-11-20 发布日期:2015-11-20
  • 通讯作者: 王妍敏 wymin0515@163.com

Trend Analysis on the Mortality of Cerebrovascular Diseases among Residents in Jing’an District of Shanghai from 1975 to 2014

  • Received:2015-05-19 Online:2015-11-20 Published:2015-11-20

摘要:

目的 了解1975至2014年上海市静安区户籍人口脑血管病死亡的流行趋势,为制定预防控制策略和 措施提供科学依据。 方法 利用静安区1975至2014年居民死因监测资料,计算脑血管病粗死亡率,标化死亡率,40年间死 亡率变化趋势及平均死亡年龄的变化趋势。 结果 1975至2014年上海市静安区户籍人口脑血管病死亡的平均粗死亡率及标化死亡率分别为 165.60/10万和120.54/10万,男女性的死亡率差异无统计学意义;40年间脑血管病粗死亡率呈上升趋 势(χ 2 趋势=10.58,P <0.001),标化死亡率呈逐年下降的线性趋势,用SAS系统中的AUTOREG(自回归) 过程进行时间序列线性趋势拟合,回归模型有意义(t =32.13,P <0.001);脑血管病平均死亡年龄呈 逐年上升的线性趋势,采用时间序列线性趋势拟合,回归模型有意义(t =260.46,P <0.001)。 结论 本文的研究结果提示上海市脑血管病的患病率将持续升高,而脑血管病的存活年龄逐年上升。

文章导读: 采用时间序列线性趋势拟合的方法分析了1975至2014年上海市静安区居民脑血管病死亡的长期流行趋势。

关键词: 脑血管病; 死亡; 趋势分析

Abstract:

Objective To analyze the trend of the mortality of cerebrovascular diseases among residents in Jing’an District of Shanghai from 1975 to 2014, and to provide scientific evidence for developing effective prevention and control strategies. Methods Based on the death surveillance data of Jing'an District residents of Shanghai from 1975 to 2014, to calculate the crude mortality, standardized mortality rate, and to explore the trend of mortality and average age of death of cerebrovascular diseases. Results The crude mortality of cerebrovascular diseases was 16 560/105, the standardized mortality rate was 12 054/105, and there is no significant difference between genders. There was an increasing tendency of crude mortality of cerebrovascular diseases from 1975 to 2014 (χ 2=10.58, P <0.01), and the standardized mortality rate decreased linearly. Take time-series linear trend fitting with AUTOREG process of SAS system. The regression model is meaningful(t =32.13, P <0.01). The trend of average age of death of cerebrovascular diseases increased linearly.Take time-series linear trend fitting with AUTOREG process of SAS system. The regression model is meaningful(t =260.46, P <0.01). Conclusion The results of this study suggest that the incidence of cerebral vascular disease will continue to increase. But the high disability rate and high recurrence rate of cerebral vascular disease, and the survival age rising year after year indicates that they will bring a heavy burden of disease. Therefore, the government should further strengthen the first grade prevention of cerebral vascular disease, and the average expectancy life will be improved, so the average health life.

Key words: Cerebrovascular diseases; Death; Trend analysis