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蔡乐, 舒占坤, 何丽明, 董峻, 毕卫红, 唐萍芬, 叶亚怀. 昆明市城乡居民心血管疾病死亡负担分析[J]. 中国公共卫生, 2011, 27(2): 168-169. DOI: 10.11847/zgggws2011-27-02-21
引用本文: 蔡乐, 舒占坤, 何丽明, 董峻, 毕卫红, 唐萍芬, 叶亚怀. 昆明市城乡居民心血管疾病死亡负担分析[J]. 中国公共卫生, 2011, 27(2): 168-169. DOI: 10.11847/zgggws2011-27-02-21
CAI Le, SHU Zhan-kun, HE Li-ming, . Disease burden of cardiovascular diseases among residents of Kunming city[J]. Chinese Journal of Public Health, 2011, 27(2): 168-169. DOI: 10.11847/zgggws2011-27-02-21
Citation: CAI Le, SHU Zhan-kun, HE Li-ming, . Disease burden of cardiovascular diseases among residents of Kunming city[J]. Chinese Journal of Public Health, 2011, 27(2): 168-169. DOI: 10.11847/zgggws2011-27-02-21

昆明市城乡居民心血管疾病死亡负担分析

Disease burden of cardiovascular diseases among residents of Kunming city

  • 摘要: 目的 分析比较2006年云南省昆明市城区农村居民脑卒中、缺血性心脏病和高血压性疾病早死所致的疾病负担。方法 从昆明市4个区和12个县中随机抽取盘龙区和石林县作为城区和农村的代表,以早死所致生命损失年(years of life lost,YLL)作为心血管病疾病负担的测量单位,采用3%的贴现率但不采用年龄权重,分地区和性别计算标化每千人口YLL率,并对其进行比较分析。结果 昆明市城区和农村脑卒中、缺血性心脏病、高血压性疾病分别为12.39、13.79;4.09、1.44;0.96、2.39 YLL/1 000人口;城区和农村脑卒中男性13.33、16.31 YLL/1 000人口;高于女性11.34、11.22 YLL/1 000人口,缺血性心脏病男性4.53、1.56 YLL/1 000人口高于女性3.59、1.32 YLL/1 000人口,高血压性疾病女性1.26、2.59 YLL/1 000人口,高于男性0.70、2.19 YLL/1 000人口。结论 心血管疾病已成为严重威胁昆明市居民的主要疾病,且其早死所致疾病负担存在着明显的城乡、性别差异。

     

    Abstract: Objective To explore the disease hurden of card iovascular diseases(CVD) among rural and urban residents of Kunming city in 2006.Methods Panlong district and Shilin county were selected as study area with smiple random sampling method.Years of life lost(YLL) was used as the measurment of disease burden.Standardized YLL per 1 000 population rate was calculated for different area and sex without age-weighting but with 3% discounting rate.Results Stroke was the leading cause of premature death in both rural and urban residents.The urban residents had obviously higher premature mortality due to ischemic heart disease(IHD) than the rural residents(4.09 vs 1.44),whereas the rural residents had higher YLL rate of stroke(13.79) and hypertensive diseases(2.39) than the urban residents(12.39 vs 0.96).The YLL rate of stroke was higher among males than among females for both rural and urban residents(16.31 vs 11.22,13.33 vs 11.34); the same situation was found in YLL rate of IHD (4.53 vs 3.59 in the urban area and 1.56 vs 1.32 in the rural area).The females had a higher YLL rate of hyper tensive disea ses than males(1.26 vs 0.70 in the urban area and 2.59 vs 2.19 in the rural area).Conclusion The control and prevention of CVD should be emphasized to reduce the disease burden.There are significant differences in disease burden caused by premature death of CVD between male and female and bewteen urban and rural residents.

     

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