Milanović Sanja Musić, Uhernik Ana Ivicević, Mihel Sandra, Strnad Marija
Croatian National Institute of Public Health, Zagreb, Croatia.
Coll Antropol. 2009 Apr;33 Suppl 1:47-60.
The aim of this study was to analyze mortality and hospital morbidity from ischemic heart disease (IHD) and cerebrovascular disease (CVD) in the population aged 18+ years in different regions of Croatia, in 1997 to 2006 period. Mortality data were supplied by Central Bureau of Statistics, while hospital morbidity data were obtained from hospital discharge database at Croatian National Institute of Public Health. In Mediterranean region rates of IHD mortality were lower, while rates of hospitalization due to IHD have been higher than those for Croatia in the entire period. Rates of IHD mortality for Continental part have not been different from mean rates for Croatia while rates of hospitalization due to IHD have been lower than rates for Croatia in entire period. Rates of CVD mortality and rates of hospitalization due to CVD for Mediterranean part have been lower than rates for Croatia, while both rates for Continental part have been higher than rates for Croatia during entire period. This analysis identified the regions in which significant deviations from the general trend suggest the need for creation of a new national public health intervention model, focusing on changeable behaviour (lifestyles) risk factors.
本研究旨在分析1997年至2006年期间克罗地亚不同地区18岁及以上人群缺血性心脏病（IHD）和脑血管疾病（CVD）的死亡率及医院发病率。死亡率数据由中央统计局提供，而医院发病率数据则取自克罗地亚国家公共卫生研究所的医院出院数据库。在地中海地区，IHD死亡率较低，而整个期间因IHD住院的比率高于克罗地亚全国水平。大陆地区的IHD死亡率与克罗地亚平均水平无差异，但整个期间因IHD住院的比率低于克罗地亚全国水平。地中海地区的CVD死亡率及因CVD住院的比率低于克罗地亚全国水平，而大陆地区这两个比率在整个期间均高于克罗地亚全国水平。该分析确定了与总体趋势存在显著偏差的地区，这表明需要建立一种新的国家公共卫生干预模式，重点关注可变行为（生活方式）风险因素。
