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 Yu Fang Yi Xue Za Zhi. 2018 Apr 6;52(4):389-395. doi: 10.3760/cma.j.issn.0253-9624.2018.04.011.
To explore the trends and distribution of intracerebral hemorrhage (ICH) mortality of the residents with different characteristics from 1999 to 2015 in Tianjin. ICH mortality data in 1999-2015 were from Tianjin population based mortality surveillance system. The mortality rate of ICH, difference in the rate by gender, age, and geographic distribution, and trends over the years were analyzed. Standardized mortality rates of ICH were calculated using the year 2000 world standard population. Joinpoint regression and Cochran-Armitage trend were used to examine the trends in mortality. A total of 102 279 ICH death cases were observed in Tianjin from year 1999 to 2015. The crude ICH mortality rate in Tianjin decreased from 76.35/100 000 in 1999 to 51.46/100 000 in 2015 (annual percent change (APC)=-1.96%, -31.08, 0.001) , and the standardized mortality rate decreased from 72.41/100 000 to 29.00/100 000 (APC=-5.20%, -70.91, 0.001). The crude mortality rate of ICH mortality in males decreased from 87.26/100 000 to 59.89/100 000 (APC=-1.79%, -21.71, 0.001) and the standardized mortality rate decreased from 85.65/100 000 to 35.75/100 000 (APC=-4.93%, -52.32, 0.001). The crude mortality rate of ICH mortality in females decreased from 65.21/100 000 to 42.98/100 000 (APC=-2.18%, -22.28, 0.001) and the standardized mortality rate decreased from 59.17/100 000 to 22.26/100 000 (APC=-5.63%, -48.15, 0.001). The ICH mortality rate under 35 years old increased from 0.78/100 000 to 0.92/100 000 (APC=4.41%, 5.07, 0.001), especially in males increasing from 0.90/100 000 to 1.54/100 000 (APC=6.59%, 6.52, 0.001). The crude mortality rate of ICH in urban areas decreased from 69.74/100 000 to 41.79/100 000 (APC=-3.18%, -31.43, 0.001) and the standardized mortality rate decreased from 57.56/100 000 to 20.42/100 000 (APC=-6.59%, -53.43, 0.001). The crude mortality rate of ICH in rural areas decreased from 82.99/100 000 to 61.49/100 000 (APC=-1.10%, -14.06, 0.001) and the standardized mortality rate decreased from 91.55/100 000 to 43.14/100 000 (APC=-3.78%, =-43.21, 0.001). The ICH mortality rate in rural areas was higher than that in urban areas (0.05). ICH mortality rate in Tianjin decreased from 1999 to 2015. Further efforts to reduce ICH mortality in Tianjin is needed, in particular males, under 35 years old, and people in rural areas.
为探究1999年至2015年天津市不同特征居民脑出血（ICH）死亡率的趋势和分布情况。1999 - 2015年ICH死亡率数据来自天津市基于人群的死亡率监测系统。分析了ICH死亡率、按性别、年龄和地理分布的率差异以及多年来的趋势。使用2000年世界标准人口计算ICH的标准化死亡率。采用Joinpoint回归和 Cochr an - Armitage趋势分析来研究死亡率趋势。1999年至2015年天津市共观察到102279例ICH死亡病例。天津市ICH粗死亡率从1999年的76.35/10万降至2015年的51.46/10万（年变化百分比（APC）=-1.96%，-31.08，0.001），标准化死亡率从72.41/10万降至29.00/10万（APC=-5.20%，-70.91，0.001）。男性ICH粗死亡率从87.26/10万降至59.89/10万（APC=-1.79%，-21.71，0.001），标准化死亡率从85.65/10万降至35.75/10万（APC=-4.93%，-52.32，0.001）。女性ICH粗死亡率从65.21/10万降至42.98/10万（APC=-2.18%，-22.28，0.001），标准化死亡率从59.17/10万降至22.26/10万（APC=-5.63%，-48.15，0.001）。35岁以下ICH死亡率从0.78/10万升至0.92/10万（APC = 4.41%，5.07，0.001），尤其是男性从0.90/10万升至1.54/10万（APC = 6.59%，6.52，0.001）。城市地区ICH粗死亡率从69.74/10万降至41.79/10万（APC=-3.18%，-31.43，0.001），标准化死亡率从57.56/10万降至20.42/10万（APC=-6.59%，-53.43，0.001）。农村地区ICH粗死亡率从82.99/10万降至61.49/10万（APC=-1.10%，-14.06，0.001），标准化死亡率从91.55/10万降至43.14/10万（APC=-3.78%，=-43.21，0.001）。农村地区ICH死亡率高于城市地区（P<0.05）。1999年至2015年天津市ICH死亡率下降。天津需要进一步努力降低ICH死亡率，特别是男性、35岁以下人群和农村地区居民。 （注：原文中“(0.05)”推测可能是P值相关内容，但表述不太完整准确，这里按一般理解补充了P<0.05）
