Wang D Z, Xue X D, Zhang H, Xu Z L, Zhang Y, Song G D, Wang C, Jiang G H
Department of Non-communicable Disease Control and Prevention, Tianjin Centers for Diseases Control and Prevention, Tianjin 300011, China.
Zhonghua Xin Xue Guan Bing Za Zhi. 2018 Feb 24;46(2):152-158. doi: 10.3760/cma.j.issn.0253-3758.2018.02.015.
To explore the trends and distribution of cerebral infarction between sexes, ages and urban-rural areas from 1999 to 2015 in Tianjin, China, and provide data for targeted prevention and control strategies of cerebral infarction in Tianjin. Cerebral infarction mortality data from January 1, 1999 to December 31, 2015 were obtained from Tianjin population based mortality surveillance system established by the Tianjin Centers for Disease Control and Prevention, and population data of permanent residents were obtained from Tianjin Municipal Public Security Bureau. The trends change and affecting factors including gender, age, and geographic distribution on mortality following cerebral infarction were analyzed. (1) Cerebral infarction mortality rate in Tianjin increased from 1999 to 2015 with the crude mortality rate of 57.06/100 000 to 105.22/100 000 (59.65, 0.01, annual percent change(APC)=3.39%) and decreased with the standardized mortality rate from 55.59/100 000 to 56.12/100 000 (-5.47, 0.01, APC=-0.35%). (2) The crude mortality rate (64.23/100 000 to 118.72/100 000) and standardized mortality rate (65.44/100 000 to 67.23/100 000) of male cerebral infarction was higher than that of female (crude: 49.73/100 000 to 91.64/1/100 000, standardized: 45.73/100 000 to 45.01/100 000) from 1999 to 2015. (3) With the increase of age, the mortality of cerebral infarction increased gradually from 1999 to 2015 (all 0.00,all 0.01). (4) The mortality rate of cerebral infarction in urban areas increased with the crude mortality rate from 71.43/100 000 to 103.20/100 000 (17.34, 0.01, APC=1.30%) and decreased with the standardized mortality rate from 61.04/100 000 to 43.77/100 000 (-32.49, 0.01, APC=-3.06%) from 1999 to 2015. The mortality rate of cerebral infarction in rural areas increased with the crude mortality rate from 42.63/100 000 to 107.32/100 000 (69.14, 0.01, APC=5.95%) and with the standardized mortality rate from 48.34/100 000 to 77.09/100 000 (36.88, 0.01, APC=5.95%) from 1999 to 2015. Cerebral infarction crude mortality increased and standardized mortality decreased from 1999 to 2015 in Tianjin. Further efforts to reduce cerebral infarction mortality in Tianjin are needed, special attention should be focused on the elderly, male and rural residents.
为探讨1999年至2015年中国天津市脑梗死在性别、年龄和城乡之间的发病趋势及分布情况，为天津市脑梗死的针对性防控策略提供数据。1999年1月1日至2015年12月31日的脑梗死死亡数据来自天津市疾病预防控制中心建立的天津市人群全死因监测系统，常住人口数据来自天津市公安局。分析脑梗死死亡率的趋势变化及包括性别、年龄和地理分布等影响因素。（1）1999年至2015年天津市脑梗死死亡率上升，粗死亡率从57.06/10万升至105.22/10万（59.65, 0.01, 年度百分比变化(APC)=3.39%），标化死亡率从55.59/10万降至56.12/10万（-5.47, 0.01, APC=-0.35%）。（2）1999年至2015年男性脑梗死粗死亡率（64.23/10万至118.72/10万）和标化死亡率（65.44/10万至67.23/10万）高于女性（粗：49.73/10万至91.64/10万，标化：45.73/10万至45.01/10万）。（3）1999年至2015年随着年龄增长，脑梗死死亡率逐渐上升（均P<0.00，均P<0.01）。（4）1999年至2015年城市地区脑梗死死亡率粗死亡率从71.43/10万升至103.20/10万（17.34, 0.01, APC=1.30%），标化死亡率从61.04/10万降至43.77/10万（-32.49, 0.01, APC=-3.06%）。农村地区脑梗死死亡率粗死亡率从42.63/10万升至107.32/10万（69.14, 0.01, APC=5.95%），标化死亡率从48.34/10万升至77.09/10万（36.88, 0.01, APC=5.95%）。1999年至2015年天津市脑梗死粗死亡率上升，标化死亡率下降。天津市需要进一步努力降低脑梗死死亡率，应特别关注老年人、男性和农村居民。
