MMWR Morb Mortal Wkly Rep. 2011 Oct 14;60(40):1377-81.
Age-adjusted mortality rates for coronary heart disease (CHD) have declined steadily in the United States since the 1960s. Multiple factors likely have contributed to this decline in CHD deaths, including greater control of risk factors, resulting in declining incidence of CHD, and improved treatment. Greater control of risk factors and declining incidence can reduce CHD prevalence, whereas improved treatment that results in lower mortality rates and more persons living with CHD can increase prevalence. To estimate state-specific CHD prevalence and recent trends by age, sex, race/ethnicity, and education, CDC analyzed data from Behavioral Risk Factor Surveillance System (BRFSS) surveys for the period 2006-2010. This report summarizes the results of that analysis, which determined that, although self-reported CHD prevalence declined overall, substantial differences in prevalence existed by age, sex, race/ethnicity, education, and state of residence. These data can enable state and national health agencies to monitor CHD prevalence as a measure of progress toward meeting the Healthy People 2020 objective to reduce the U.S. rate of CHD deaths 20% from the 2007 baseline.
自 20 世纪 60 年代以来,美国的冠心病(CHD)年龄调整死亡率稳步下降。CHD 死亡人数下降的原因可能有很多,包括对危险因素的更好控制,从而降低了 CHD 的发病率,以及改进的治疗方法。更好地控制危险因素和发病率下降可以降低 CHD 的患病率,而治疗效果的提高导致死亡率降低和更多的 CHD 患者存活则可以增加患病率。为了按年龄、性别、种族/民族和教育程度估计各州的 CHD 患病率和近期趋势,疾病预防控制中心分析了 2006-2010 年行为风险因素监测系统(BRFSS)调查的数据。本报告总结了该分析的结果,该分析确定,尽管自我报告的 CHD 患病率总体上有所下降,但在年龄、性别、种族/民族、教育程度和居住地方面,患病率存在显著差异。这些数据可以使州和国家卫生机构监测 CHD 的患病率,作为衡量朝着实现 2020 年健康人民目标迈进的进展的一项指标,即从 2007 年的基线降低美国 CHD 死亡率 20%。