世卫组织欧洲区域缺血性心脏病过早死亡率的不平等现象。

Inequalities in premature mortality from ischaemic heart disease in the WHO European region.

机构信息

Institute for Health Insurance, Faculty of Health Sciences, University of Pecs, Pecs, Hungary.

Faculty of Health Sciences, Szombathely Campus, University of Pecs, Pecs, Hungary.

出版信息

Cent Eur J Public Health. 2023 Jun;31(2):120-126. doi: 10.21101/cejph.a7287.

DOI:10.21101/cejph.a7287

PMID:37451245

Abstract

OBJECTIVES

Ischaemic heart disease (IHD) is one of the leading causes of premature mortality. Our aim was to analyse standardised premature mortality rates from IHD by geographical groups in the age group 45-59 years.

METHODS

We performed a retrospective, quantitative analysis of age-standardized mortality rates from IHD between 1990-2014 per 100,000 population in Western European (WE: N = 17), Eastern European countries (EE: N = 10), and countries of the former Soviet Union (fSU: N = 15) within the European Region of the World Health Organisation (WHO) based on data retrieved from the WHO European Mortality Database. Descriptive statistics, time series analysis and statistical tests were used for the analyses (ANOVA, Kruskal-Wallis test, Mann-Whitney test, paired t-test).

RESULTS

On average, age-standardized death rates (ASDR) from IHD per 100,000 population were the lowest in WE (men 1990: 143.67, 2014: 50.29; women 1990: 29.06, 2014: 9.89), and the highest in fSU (men 1990: 358.69, 2014: 253.25; women 1990: 99.78, 2014: 57.85). Between 1990 and 2014, all three groups experienced significant decrease in ASDR both in men and women (fSU: -29.39%, -42.02%; EE: -49.41%, -50.57%; WE: -64.99%, -65.97%, respectively) (p < 0.05). Between 1990 and 2004, ASDR decreased in WE in both sexes (p < 0.001), in EE among males (p = 0.032). Between 2004 and 2014, ASDR from IHD decreased significantly in both sexes in fSU and WE, in EE only among women (p < 0.05).

CONCLUSIONS

During the whole period analysed, ischaemic heart disease mortality significantly decreased in both sexes in all the groups.

摘要

目的

缺血性心脏病（IHD）是导致早逝的主要原因之一。我们的目的是分析 45-59 岁年龄段按地理区域分组的 IHD 标准化早逝率。

方法

我们对 1990-2014 年期间，在世界卫生组织（WHO）欧洲区域内，来自西欧（WE：N=17）、东欧国家（EE：N=10）和前苏联国家（fSU：N=15）的每 10 万人中 IHD 标准化死亡率进行了回顾性、定量分析，数据来源于 WHO 欧洲死亡率数据库。采用描述性统计、时间序列分析和统计检验（方差分析、克鲁斯卡尔-沃利斯检验、曼-惠特尼检验、配对 t 检验）进行分析。

结果

平均而言，WE 的每 10 万人中 IHD 的年龄标准化死亡率（ASDR）最低（男性 1990 年：143.67，2014 年：50.29；女性 1990 年：29.06，2014 年：9.89），fSU 最高（男性 1990 年：358.69，2014 年：253.25；女性 1990 年：99.78，2014 年：57.85）。1990 年至 2014 年间，所有三组男性和女性的 ASDR 均显著下降（fSU：-29.39%，-42.02%；EE：-49.41%，-50.57%；WE：-64.99%，-65.97%，分别）（p<0.05）。1990 年至 2004 年间，WE 两性的 ASDR 均下降（p<0.001），EE 中男性的 ASDR 下降（p=0.032）。2004 年至 2014 年间，fSU 和 WE 两性的 IHD 死亡率显著下降，EE 中仅女性的 ASDR 下降（p<0.05）。