心血管疾病导致的潜在寿命损失年数在西班牙裔中。
Years of Potential Life Lost from Cardiovascular Disease Among Hispanics.
机构信息
Department of Internal Medicine, Stanford University, Stanford, CA.
Department of Primary Care and Population Health, Stanford University, Stanford, CA.
出版信息
Ethn Dis. 2019 Jul 18;29(3):477-484. doi: 10.18865/ed.29.3.477. eCollection 2019 Summer.
OBJECTIVE
To quantify the impact of cardiovascular disease and its subtypes on the premature mortality of Hispanics in the United States.
METHODS
We used national death records to identify deaths for the three largest Hispanic subgroups (Mexicans, Puerto Ricans, and Cubans) in the United States from 2003 to 2012 (N = 832,550). We identified all deaths from cardiovascular disease and by subtype (ie, ischemic, cerebrovascular, hypertensive and heart failure) using the underlying cause of death via ICD-10 codes. Years of potential life lost (YPLL) was calculated by age categories standardizing with the 2000 US Census population. Population estimates were calculated using linear interpolation from 2000 and 2010 US Census data.
RESULTS
After standardization, Puerto Ricans experienced the highest YPLL for all types of cardiovascular disease compared with Mexicans and Cubans (1,139 years per 100,000 compared with 868 and 841, respectively), a disparity that remained consistent over the course of a decade. Among different subcategories of cardiovascular disease, Puerto Ricans had the highest YPLL for ischemic and hypertensive heart disease, while Mexicans had the highest YPLL from cerebrovascular disease.
CONCLUSIONS
In conclusion, disaggregation of Hispanic subgroups revealed marked heterogeneity in premature cardiovascular mortality. These findings suggest that measures to improve the cardiovascular health of Hispanics should incorporate subgroup status as a key part of public health strategy.
目的
量化心血管疾病及其亚型对美国西班牙裔人群过早死亡的影响。
方法
我们使用国家死亡记录，确定了 2003 年至 2012 年期间美国三个最大的西班牙裔群体（墨西哥裔、波多黎各裔和古巴裔）的死亡人数（N=832550）。我们使用 ICD-10 编码确定了所有心血管疾病和各亚型（即缺血性、脑血管、高血压和心力衰竭）的死亡。通过年龄类别计算潜在寿命损失（YPLL），并通过 2000 年美国人口普查数据进行标准化。使用 2000 年和 2010 年美国人口普查数据的线性插值计算人口估计数。
结果
标准化后，与墨西哥裔和古巴裔相比，波多黎各裔因所有类型的心血管疾病导致的 YPLL 最高（每 10 万人 1139 年，分别为 868 年和 841 年），这一差距在十年间保持一致。在不同的心血管疾病亚类中，波多黎各裔因缺血性和高血压性心脏病导致的 YPLL 最高，而墨西哥裔因脑血管疾病导致的 YPLL 最高。
结论
总之，对西班牙裔亚群的细分揭示了过早心血管死亡率的显著异质性。这些发现表明，改善西班牙裔人群心血管健康的措施应将亚群状况作为公共卫生战略的关键部分。
Zotero 插件