Razzaghi Hilda, Martin Damali N, Quesnel-Crooks Sarah, Hong Yuling, Gregg Edward, Andall-Brereton Glennis, Gawryszweski Vilma, Saraiya Mona
U.S. Centers for Disease Control and Prevention U.S. Centers for Disease Control and Prevention AtlantaGeorgia United States of America U.S. Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
National Cancer Institute National Cancer Institute RockvilleMaryland United States of America National Cancer Institute, Rockville, Maryland, United States of America.
Rev Panam Salud Publica. 2019 Mar 27;43:e37. doi: 10.26633/RPSP.2019.37. eCollection 2019.
Between 2006 and 2016, 70% of all deaths worldwide were due to noncommunicable diseases (NCDs). NCDs kill nearly 40 million people a year globally, with almost three-quarters of NCD deaths occurring in low- and middle-income countries. The objective of this study was to assess mortality rates and trends due to deaths from NCDs in the Caribbean region.
The study examines age-standardized mortality rates and 10-year trends due to death from cancer, heart disease, cerebrovascular disease, and diabetes in two territories of the United States of America (Puerto Rico and the U.S. Virgin Islands) and in 20 other English- or Dutch-speaking Caribbean countries or territories, for the most recent, available 10 years of data ranging from 1999 to 2014. For the analysis, the SEER*Stat and Joinpoint software packages were used.
These four NCDs accounted for 39% to 67% of all deaths in these 22 countries and territories, and more than half of the deaths in 17 of them. Heart disease accounted for higher percentages of deaths in most of the Caribbean countries and territories (13%-25%), followed by cancer (8%-25%), diabetes (4%-21%), and cerebrovascular disease (1%-13%). Age-standardized mortality rates due to cancer and heart disease were higher for males than for females, but there were no significant mortality trends in the region for any of the NCDs.
The reasons for the high mortality of NCDs in these Caribbean countries and territories remain a critical public health issue that warrants further investigation.
2006年至2016年期间，全球所有死亡病例中有70% 是由非传染性疾病所致。非传染性疾病每年在全球造成近4000万人死亡，其中近四分之三的非传染性疾病死亡发生在低收入和中等收入国家。本研究的目的是评估加勒比地区非传染性疾病所致的死亡率及趋势。
该研究调查了美国的两个属地（波多黎各和美属维尔京群岛）以及其他20个讲英语或荷兰语的加勒比国家或属地因癌症、心脏病、脑血管疾病和糖尿病死亡的年龄标准化死亡率及10年趋势，数据为1999年至2014年期间最近可得的10年数据。分析时使用了SEER*Stat和Joinpoint软件包。
这四种非传染性疾病在这22个国家和属地的所有死亡病例中占39%至67%，其中17个国家和属地超过半数的死亡由其所致。在大多数加勒比国家和属地，心脏病导致的死亡比例更高（13%-25%），其次是癌症（8%-25%）、糖尿病（4%-21%）和脑血管疾病（1%-13%）。男性因癌症和心脏病的年龄标准化死亡率高于女性，但该地区任何一种非传染性疾病均无显著的死亡率趋势。
这些加勒比国家和属地非传染性疾病死亡率高的原因仍是一个关键的公共卫生问题，值得进一步调查。
