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1997 - 2017年糖尿病、肿瘤及循环系统疾病所致主要死因信息,向全体美国民众敲响了与体重相关的警示警钟。

1997-2017 Leading Causes of Death Information Due to Diabetes, Neoplasms, and Diseases of the Circulatory System, Issues Cautionary Weight-Related Lesson to the US Population at Large.

作者信息

D'Souza Malcolm J, Li Riza C, Gannon Morgan L, Wentzien Derald E

机构信息

Professor of Chemistry & Dean of Interdisciplinary/ Collaborative Sponsored Research at Wesley College, Dover, Delaware, 19901, USA. He is the principal lead on the listed grants and the Wesley College STEM Undergraduate Research Center for Analytics, Talent, and Success.

Wesley College 2016 summa cum laude graduate in mathematics. Currently, she is a PhD candidate in the Center for Bioinformatics and Computational Biology, University of Delaware, Newark, Delaware, 19711, USA.

出版信息

IEEE Netw. 2019;2019:1-6. doi: 10.1109/ICESI.2019.8863033. Epub 2019 Oct 10.

Abstract

In the US, cardiovascular disease, cancer, and diabetes are in the top ten leading causes of death categories. The diseases compromise US life-expectancy and account for significant US health-care costs. This observational study investigates the US population's 1997-2017 Centers for Disease Control and Prevention (CDC) WONDER ICD-10 mortality records to extract the prevalence rates for leading causes of death by diabetes, neoplasms (cancers), and diseases of the circulatory system. The variables of race and age are examined for each disease in order to evaluate demographic and age-group risks. To document the public health burden from these three chronic conditions, mortality data from CDC WONDER was analyzed using MS-Excel and Statistical Analysis System (SAS) software. The general trend of deaths by diabetes, neoplasms, and diseases of the circulatory system has been progressively decreasing nationally; however, a significantly higher trend in mortality rates is observed for the Black or African American populations. Furthermore, over the 1997-2017 observational period, the crude mortality rates for the 45-54 (middle-age) and lower age-groups are below national mortality rate averages but are troublingly increasing for diabetes and notably, for the diseases of the circulatory system, the (younger) 25-34 age-group had a crude mortality rate increase of 6.78%.

摘要

在美国,心血管疾病、癌症和糖尿病位列十大主要死因类别之中。这些疾病降低了美国人的预期寿命,并占美国医疗保健成本的很大一部分。这项观察性研究调查了美国人口1997 - 2017年疾病控制与预防中心(CDC)的WONDER ICD - 10死亡率记录,以提取糖尿病、肿瘤(癌症)和循环系统疾病等主要死因的患病率。针对每种疾病,对种族和年龄变量进行了研究,以评估人口统计学和年龄组风险。为了记录这三种慢性病造成的公共卫生负担,使用MS - Excel和统计分析系统(SAS)软件对来自CDC WONDER的死亡率数据进行了分析。糖尿病、肿瘤和循环系统疾病导致的死亡总体趋势在全国范围内一直在逐渐下降;然而,黑人或非裔美国人的死亡率趋势明显更高。此外,在1997 - 2017年观察期内,45 - 54岁(中年)及以下年龄组的粗死亡率低于全国死亡率平均水平,但糖尿病的粗死亡率令人担忧地上升,尤其值得注意的是,对于循环系统疾病,(较年轻的)25 - 34岁年龄组的粗死亡率上升了6.78%。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed41/6800725/689282b2432d/nihms-1042723-f0001.jpg

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