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[中国城乡脑卒中流行病学:1986年脑卒中死亡率分析]

[Epidemiology of stroke in urbans and rural areas of China: an analysis of stroke mortality rates in 1986].

作者信息

Xue G

机构信息

Department of Epidemiology, Second Military Medical University, Shanghai, P.R. China.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 1991 Dec;12(6):357-62.

PMID:1811896
Abstract

This paper reported the stroke mortality rates in China in 1986.5 790,864 people from 199 locations sampling from all parts of China (the Taiwan province un-investigated) were investigated and 4,446 cases of death were found. The mortality rate was 76.78 per 10(5) people and its 95% CI was 74.42-79.04/10(5). The mortality rate adjusted using population composition of the cities and rural areas of China in 1986 was 77.15/10(5). The mortality rate standardized by direct method use in the China population in 1982 was 57.25/10(5) and the mortality rate standardized use in the world standard population was 80.94/10(5). The mortality rates of the great regions and provinces were counted respectively, and the relationship between the mortality rates and the geographical locations were analyzed in the correlation and the regression. It was found that there were a relationships of positive correlation and liner regression between the mortality rates and the latitude degree and the longitude, that was to say, the mortality rates increased gradually from south to north and decreased progressively from east to west in China. The stroke mortality rates in the cities were higher than in the rural areas, and in the city districts higher than in its outskirts in the big cities. Then the distribution of case number in months was analyzed using the methods of the test for trend and circular distribution, a peak of that was significantly in the statistics was found in January although it was not very high. The stroke mortality rates were gradually arose as age increasing, and the relationship between the mortality rates and age may be fitted with the logistic curve.

摘要

本文报道了1986年中国的脑卒中死亡率。对来自中国各地(未调查台湾省)199个地点的5790864人进行了调查,发现4446例死亡病例。死亡率为76.78/10万,其95%可信区间为74.42 - 79.04/10万。根据1986年中国城乡人口构成调整后的死亡率为77.15/10万。采用1982年中国人口直接法标准化后的死亡率为57.25/10万,采用世界标准人口标准化后的死亡率为80.94/10万。分别统计了各大区域和省份的死亡率,并通过相关性和回归分析了死亡率与地理位置之间的关系。发现死亡率与纬度和经度之间存在正相关和线性回归关系,也就是说,中国的死亡率从南向北逐渐升高,从东向西逐渐降低。城市的脑卒中死亡率高于农村,大城市市区高于郊区。然后采用趋势检验和圆形分布方法分析了病例数在各月份的分布,发现虽然1月份的峰值不高,但在统计学上有显著意义。脑卒中死亡率随年龄增长而逐渐上升,死亡率与年龄之间的关系可能符合逻辑曲线。

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