Bautista Rentero D, Pérez Hoyos S
Servicio de Medicina Preventiva, Hospital Dr Peset, Valencia.
Rev Clin Esp. 1997 Oct;197(10):675-9.
The present investigation was carried out to describe the evolution of mortality caused by coronary heart disease in the Valencia Community from 1976-1992. Annual rates were constructed for crude and specific rates for age and sex groups and standardized rates were estimated for age by the direct method. Later, a Poisson regression model was adjusted for each age group. The mortality rate due to ischaemic heart disease showed a very slight descending slope until 74 years of age, and particularly in the age group 55-64 years. A growing gradient of coronary mortality rate with age is observed. Female sex is a powerful protector factor, and its effect decreases gradually with increasing age. Alicante is the province with the highest mortality rate by ischaemic heart disease.
本次调查旨在描述1976 - 1992年巴伦西亚自治区冠心病所致死亡率的演变情况。构建了年龄和性别组的粗死亡率、特定死亡率的年度率,并采用直接法对年龄标准化率进行了估计。随后,针对每个年龄组调整了泊松回归模型。缺血性心脏病死亡率在74岁之前呈非常轻微的下降趋势,尤其是在55 - 64岁年龄组。观察到冠心病死亡率随年龄增长呈上升梯度。女性是一个强有力的保护因素,其作用随着年龄增长而逐渐减弱。阿利坎特是缺血性心脏病死亡率最高的省份。