Sánchez-Barriga Juan Jesús
Investigación Operativa en Epidemiología, Dirección General Adjunta de Epidemiología, Secretaría de Salud, México DF, México.
Gac Med Mex. 2009 Sep-Oct;145(5):375-82.
To determine the behaviour of mortality due to ischemic cardiopathy in Mexico during the years 2000 through 2007.
The codes of the International Classification of Diseases 10 that correspond to the ischemic cardiopathy were identified. The rates of mortality nationwide, by federative entity, and by socioeconomic region as well as by degree of education, type of job, and public health services entitlement, were determined. Likewise, the strength of association by means of the regression of Poisson among federative entities, socioeconomic regions where individuals resided in, and mortality by ischemic cardiopathy were also determinated.
Of the studied population (397,934), the majority were retirees and pensioners 230,976 (58 %), had incomplete elementary education 167945 (42.2 %), and were not entitled to a public health institution 152787 (38.4 %). The federative entities and the socioeconomic region with the highest strength of association between mortality and ischemic cardiopathy were Chihuahua 2000 (RR = 2.6, CI 95 % = 2.4 - 2.8), 2007 (RR = 1.9, CI 95 % = 1.8 -2) and Region 7, 2000 (RR 2.6, CI 95 % = 2.5 - 2.7), 2007 (RR 2.3, CI 95 % = 95 % 2.2 - 2.4), respectively.
The mortality was higher among males. The majority were retirees and pensioners, had incomplete elementary school, and were not entitled to any public health institution. The entity and region that presented the highest strength of association between mortality and isquemic cardiopathy were Chihuahua and region 7.
确定2000年至2007年期间墨西哥缺血性心脏病的死亡率变化情况。
识别出与缺血性心脏病相对应的国际疾病分类第10版编码。确定全国、联邦实体、社会经济区域以及按教育程度、工作类型和公共卫生服务资格划分的死亡率。同样,还通过泊松回归确定了联邦实体、个人居住的社会经济区域与缺血性心脏病死亡率之间的关联强度。
在研究人群(397,934人)中,大多数是退休人员和领取养老金者,有230,976人(58%),小学教育未完成的有167,945人(42.2%),没有资格享受公共卫生机构服务的有152,787人(38.4%)。死亡率与缺血性心脏病之间关联强度最高的联邦实体和社会经济区域分别是奇瓦瓦州,2000年(相对危险度=2.6,95%可信区间=2.4 - 2.8),2007年(相对危险度=1.9,95%可信区间=1.8 - 2);以及第7区域,2000年(相对危险度2.6,95%可信区间=2.5 - 2.7),2007年(相对危险度2.3,95%可信区间=2.2 - 2.4)。
男性死亡率较高。大多数是退休人员和领取养老金者,小学未毕业,且没有资格享受任何公共卫生机构服务。死亡率与缺血性心脏病之间关联强度最高的实体和区域是奇瓦瓦州和第7区域。