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贫血与心力衰竭相关死亡的差异:一项为期23年的全国性分析见解

Disparities in Anemia and Heart Failure-Related Deaths: Insights from a 23-Year National Analysis.

作者信息

Khan Sardar Muhammad Imran, Agha Muhammad Asim, Khawar Muneeb, Shahid Hafsa, Naeem Khadija, Aisha Azka, Waqas Muhammad, Qadeer Abdul, Haider Mobeen Z

机构信息

National University of Medical Sciences, Rawalpindi, Pakistan.

Nishtar Medical University, Multan, Pakistan.

出版信息

J Racial Ethn Health Disparities. 2025 Sep 2. doi: 10.1007/s40615-025-02617-0.

Abstract

BACKGROUND

Anemia and heart failure (HF) often coexist, contributing to increased morbidity and mortality. This study analyzed mortality trends linked to anemia and HF in U.S. adults aged ≥ 25 years from 1999-2022, focusing on demographic, geographic, and urban-rural disparities.

METHODS

Mortality data from CDC records were analyzed. AAMRs per 1000,000 and annual percentage changes (APCs) with 95% confidence intervals (CIs) were calculated using Joinpoint Regression.

RESULTS

From 1999-2022, total deaths amounted to 254,903 deaths for adults (25- 85 + years of age) due to anemia and HF. Sex analysis revealed consistently higher mortality in men, with a sharp rise post-2016. By race, Black populations exhibited the highest rates, followed by White and Hispanic groups, while Asian or Pacific Islander populations showed the lowest. Urban-rural analysis indicated persistently higher rates in rural areas. Geographic disparities showed that the Midwest and South had the highest rates, while the Northeast had the lowest. States like Rhode Island and West Virginia reported the highest rates, contrasting with Nevada and Arizona, which had the lowest.

CONCLUSION

Mortality due to anemia and HF rose significantly post-2016 across all groups, highlighting disparities by sex, race, location, and region. These findings underscore the need for targeted interventions and equitable healthcare strategies to address these disparities.

摘要

背景

贫血与心力衰竭(HF)常并存,导致发病率和死亡率增加。本研究分析了1999年至2022年美国25岁及以上成年人中与贫血和HF相关的死亡率趋势,重点关注人口统计学、地理和城乡差异。

方法

分析了疾病控制与预防中心记录中的死亡率数据。使用Joinpoint回归计算每10万人的年龄调整死亡率(AAMRs)和95%置信区间(CIs)的年度百分比变化(APCs)。

结果

1999年至2022年,25至85岁及以上成年人因贫血和HF导致的总死亡人数为254,903人。性别分析显示,男性死亡率一直较高,2016年后急剧上升。按种族划分,黑人人口的死亡率最高,其次是白人和西班牙裔群体,而亚洲或太平洋岛民人口的死亡率最低。城乡分析表明,农村地区的死亡率一直较高。地理差异显示,中西部和南部的死亡率最高,而东北部最低。罗德岛州和西弗吉尼亚州等州的死亡率最高,而内华达州和亚利桑那州的死亡率最低。

结论

2016年后,所有群体中因贫血和HF导致的死亡率均显著上升,突出了性别、种族、地点和地区的差异。这些发现强调了需要有针对性的干预措施和公平的医疗保健策略来解决这些差异。

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