2004年至2019年伊朗南部高血压死亡率和寿命损失:一项基于人群的研究

IF 1.9 4区医学 Q3 PERIPHERAL VASCULAR DISEASE International Journal of Hypertension Pub Date : 2022-01-01 DOI:10.1155/2022/7759699

Alireza Mirahmadizadeh, Mohebat Vali, Jafar Hassanzadeh, Seyed Parsa Dehghani, Ahmadreza Razeghi, Habibollah Azarbakhsh

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引用次数: 6

摘要

导论:高血压是全世界公认的可预防的心血管疾病及其死亡的重要危险因素。本研究旨在确定法尔斯省因高血压引起的死亡率和生命损失年数(YLL)。方法:在本横断面研究中，我们根据EDRS系统(电子死亡登记系统)的ICD-10，根据年龄、性别和死亡年份提取所有因高血压死亡的报告。高血压相关过早死亡的YLL分析采用EXCEL 2016软件中WHO 2015年YLL模板进行。为了检验不同年份的粗死亡率和标准化死亡率以及YLL率的趋势，采用基于对数线性模型的联点回归。结果:2004-2019年16年间，法尔斯省共发生13443例死亡病例，其中51.0%(6859例)为女性，48.5%(6515例)为80岁以上年龄组。在这16年的研究中，男性因高血压导致的YLL总数为61,344例(1.9 / 1000)，女性为64,903例(2.1 / 1000)，两性为126,247例(2.0 / 1000)。联点回归分析显示，16年男性因过早死亡导致的YLL率呈上升趋势，年均变化百分比(AAPC)为4.9% (95% CI -2.6 ~ 12.85, p值=0.205)，8.4% (95% CI 5.2 ~ 11.7, p值)。考虑到高血压导致的粗死亡率和标准化死亡率以及YLL呈上升趋势，卫生政策中心的决策者和决策者必须促进和告知人们控制高血压的重要性，并使他们熟悉适当的预防性干预措施，如健康饮食、常规体育活动、以及针对社会上不同人群的常规学习计划特别是针对高血压风险较高的人群。

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Mortality Rate and Years of Life Lost due to Hypertension in the South of Iran between 2004 and 2019: A Population-Based Study.

Introduction: Hypertension is known worldwide as a preventable significant risk factor for cardiovascular diseases and their mortality. This study was designed to determine the mortality rate and years of life lost (YLL) due to hypertension in Fars Province.

Method: In this cross-sectional study, we extracted all death reports due to hypertension based on age, gender, and the year of death based on ICD-10 from the EDRS system (Electronic Death Registration System). The YLL analysis due to premature death related to hypertension was executed by the 2015 YLL template from WHO in EXCEL 2016 software. To examine the trend of crude and standardized mortality rates and YLL rates for different years, joinpoint regression was used based on the log-linear model.

Results: In the 16 years that the study was done (2004-2019), 13443 death cases occurred in the Fars Province, 51.0% of which (6859 cases) were in females and 48.5% (6515 cases) of which were in the 80+ age group. Total YLL due to hypertension in these 16 years of study was 61,344 (1.9 per 1000) in males, 64,903 (2.1 per 1000) in females, and 126,247 (2.0 in 1000) in both genders. According to the joinpoint regression analysis, the 16-year trend of YLL rate due to premature mortality was increasing: the average annual percent change (AAPC) was 4.9% (95% CI -2.6 to 12.85, p value=0.205) for males and 8.4% (95% CI 5.2 to 11.7, p value <0.001) for females.

Conclusion: Considering the increasing trend in crude and standardized mortality rates and YLL due to hypertension, it is important for policymakers and decision makers of Health Policy Centers to promote and inform people about the importance of hypertension control and to familiarize them with proper, preventive interventions such as the importance of a healthy diet, routine physical activity, and routine learning programs for different groups in the society especially for people at a higher risk of hypertension.

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来源期刊

International Journal of Hypertension Medicine-Internal Medicine

CiteScore

4.00

自引率

5.30%

发文量

期刊介绍： International Journal of Hypertension is a peer-reviewed, Open Access journal that provides a forum for clinicians and basic scientists interested in blood pressure regulation and pathophysiology, as well as treatment and prevention of hypertension. The journal publishes original research articles, review articles, and clinical studies on the etiology and risk factors of hypertension, with a special focus on vascular biology, epidemiology, pediatric hypertension, and hypertensive nephropathy.