Mendy Vincent L, Vargas Rodolfo, Payton Marinelle
Office of Health Data and Research, Mississippi State Department of Health, 570 East Woodrow Wilson, Jackson, MS, 39215, USA.
Center of Excellence in Minority Health and Health Disparities, Institute of Epidemiology and Health Services Research, School of Public Health, Jackson State University, Jackson, USA.
BMC Cardiovasc Disord. 2017 Jun 15;17(1):158. doi: 10.1186/s12872-017-0593-3.
Heart disease (HD) is the leading cause of death among Mississippians. However, trends in mortality rates for HD subtypes in Mississippi have not been adequately described. This study examined trends in mortality rates for HD subtypes among adults in Mississippi from 1980 through 2013.
We used Mississippi Vital Statistics data to calculate age-specific mortality rates for HD subtypes for Mississippians age 35 and older. Cases were identified via underlying cause of death codes from the International Classification of Diseases, Ninth Revision (ICD-9) and Tenth Revision (ICD-10). We used Joinpoint software to calculate the average annual percent change (AAPC) in mortality rates for HD subtypes by race, sex, and age group.
Overall, the age-adjusted coronary heart disease (CHD) mortality rate among Mississippi adults decreased by 62.7% between 1980 and 2013, with an AAPC of -3.0% (95% CI -3.7 to -2.3), while the age-adjusted heart failure mortality rate increased by 66.7%, with an AAPC of 1.4% (95% CI 0.5 to 2.3). Trends varied across HD subtypes: Annual rates of hypertensive HD mortality increased significantly for men, for individuals age 35 to 54, and for individuals age 75 and older. CHD mortality experienced a significant annual decrease among all race, sex, and age subgroups, while heart failure increased significantly among women, whites, and individuals age 75 and older.
From 1980 to 2013, CHD mortality decreased significantly while heart failure mortality increased significantly among adult Mississippians. However, HD subtype trends differed by race, sex, and age group.
心脏病是密西西比州居民的主要死因。然而，密西西比州心脏病各亚型死亡率的趋势尚未得到充分描述。本研究调查了1980年至2013年密西西比州成年人心脏病各亚型死亡率的趋势。
我们使用密西西比州生命统计数据计算35岁及以上密西西比州居民心脏病各亚型的年龄别死亡率。通过国际疾病分类第九版（ICD-9）和第十版（ICD-10）的死因编码确定病例。我们使用Joinpoint软件计算按种族、性别和年龄组划分的心脏病各亚型死亡率的年均变化百分比（AAPC）。
总体而言，1980年至2013年期间，密西西比州成年人年龄调整后的冠心病（CHD）死亡率下降了62.7%，AAPC为-3.0%（95%CI -3.7至-2.3），而年龄调整后的心力衰竭死亡率上升了66.7%，AAPC为1.4%（95%CI 0.5至2.3）。不同心脏病亚型的趋势有所不同：男性、35至54岁个体以及75岁及以上个体的高血压性心脏病死亡率年增长率显著上升。所有种族、性别和年龄亚组的冠心病死亡率均显著逐年下降，而女性、白人以及75岁及以上个体的心力衰竭死亡率显著上升。
1980年至2013年期间，密西西比州成年人中冠心病死亡率显著下降，而心力衰竭死亡率显著上升。然而，心脏病各亚型的趋势因种族、性别和年龄组而异。
