Trends in Heart Disease Mortality among Mississippi Adults over Three Decades, 1980-2013.
Trends in Heart Disease Mortality among Mississippi Adults over Three Decades, 1980-2013.
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DOI：
10.1371/journal.pone.0161194
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发表时间：
2016
期刊：
影响因子：
3.7
通讯作者：
El-Sadek L
中科院分区：
文献类型：
--
作者：
Mendy VL;Vargas R;El-Sadek L
心脏病（HD）仍然是密西西比人死亡的主要原因；然而，尽管这种情况很重要，但密西西比州 HD 死亡率的趋势尚未得到充分探讨。这项研究调查了 1980 年至 2013 年密西西比州成年人 HD 死亡率的趋势，并进一步按种族和性别调查了这些趋势。我们使用密西西比州人口统计 (1980-2013) 的数据来计算 25 岁或以上密西西比州人口的年龄调整 HD 死亡率。使用《国际疾病分类》第九版（ICD-9：390-398、402、404-429）和第十版（ICD-10）中的根本死因代码识别病例，包括 I00-I09、I11、I13 和 I20-I51。 Joinpoint 软件用于计算总人口、种族和性别的 HD 死亡率的年平均百分比变化。总体而言，1980 年至 2013 年间，密西西比州成年人的年龄调整 HD 死亡率下降了 36.5%，年均百分比变化为 -1.60%（95% CI -2.00 至 -1.30）。这种趋势因亚组而异：黑人成人 HD 死亡率的年平均变化为 -1.34%（95% CI -1.98 至 -0.69）；白人成人为 -1.60%（95% CI -1.74 至 -1.46）；所有女性为 -1.30%（95% CI -1.50 至 -1.10），所有男性为 -1.90%（95% -2.20 至 -1.50）。从 1980 年到 2013 年，成年密西西比人的 HD 死亡率持续下降。然而，这种减少的幅度因种族和性别而异。
Heart disease (HD) remains the leading cause of death among Mississippians; however, despite the importance of the condition, trends in HD mortality in Mississippi have not been adequately explored. This study examined trends in HD mortality among adults in Mississippi from 1980 through 2013 and further examined these trends by race and sex. We used data from Mississippi Vital Statistics (1980–2013) to calculate age-adjusted HD mortality rates for Mississippians age 25 or older. Cases were identified using underlying cause of death codes from the International Classification of Diseases, Ninth Revision (ICD-9: 390–398, 402, 404–429) and Tenth Revision (ICD-10), including I00-I09, I11, I13, and I20-I51. Joinpoint software was used to calculate the average annual percent change in HD mortality rates for the overall population and by race and sex. Overall, the age-adjusted HD mortality rate among Mississippi adults decreased by 36.5% between 1980 and 2013, with an average annual percent change of -1.60% (95% CI -2.00 to -1.30). This trend varied across subgroups: HD mortality rates experienced an average annual change of -1.34% (95% CI -1.98 to -0.69) for black adults; -1.60% (95% CI -1.74 to -1.46) for white adults; -1.30% (95% CI -1.50 to -1.10) for all women, and -1.90% (95% -2.20 to -1.50) for all men. From 1980 to 2013, there was a continuous decrease in HD mortality among adult Mississippians. However, the magnitude of this reduction differed by race and sex.