All-cause mortality and cardiovascular disease mortality in three American Indian populations, aged 45-74 years, 1984-1988 - The Strong Heart Study
All-cause mortality and cardiovascular disease mortality in three American Indian populations, aged 45-74 years, 1984-1988 - The Strong Heart Study
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DOI：
10.1093/oxfordjournals.aje.a009406
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发表时间：
1998-06-01
影响因子：
5
通讯作者：
Howard, BV
中科院分区：
文献类型：
--
作者：
Lee, ET;Cowan, LD;Howard, BV
1984-1988年的社区死亡率监测是由强心脏研究的研究人员进行的，该研究检查了亚利桑那州、俄克拉荷马州和南/北达科他州三个年龄在45-74岁的美洲印第安人群体中心血管疾病的发病率、流行率和危险因素。通过使用死亡证明数据确定全因和心血管疾病死亡率。通过对医疗记录的独立系统审查确认心血管疾病死亡。在这三个人群中，男性的全因死亡率和心血管疾病死亡率都高于女性。俄克拉荷马州5年经年龄调整的全因死亡率（96/ 1000）略低于亚利桑那州（107/ 1000）和南/北达科他州（114/ 1000）。在俄克拉荷马州和南/北达科他州，男女死亡的主要原因是心血管疾病。糖尿病在亚利桑那州妇女中占主导地位。其他主要死亡原因是癌症、肝病（包括肝硬化）和损伤。与各州的死亡率相比，几乎每个年龄组的美洲印第安人的年平均全因死亡率都更高。这三个印第安人群体的全因年死亡率接近美国黑人的死亡率，高于整个美国人口和美国白人的死亡率。这一趋势在45岁至64岁年龄组中更为明显。只有在65至74岁年龄组，印度人口的死亡率接近美国人口。在亚利桑那州和俄克拉荷马州，心血管疾病死亡率接近美国平均水平，但在南/北达科他州，45岁至64岁的人群中，心血管疾病死亡率高出两倍多。因此，亚利桑那州、俄克拉荷马州和南/北达科他州的美洲印第安人表现出很高的全因死亡率。特别是，南/北达科他州人口心血管疾病死亡率似乎为社区项目提供了一个潜在的目标，以干预已知的风险因素，促进健康的生活方式。
Community mortality surveillance for 1984-1988 was conducted by researchers of the Strong Heart Study, which examined the incidence, prevalence, and risk factors of cardiovascular disease in three American Indian populations, aged 45-74 years, in Arizona, Oklahoma, and South/North Dakota. All-cause and cardiovascular disease mortality rates were determined through the use of death certificate data. Cardiovascular disease deaths were confirmed by independent systematic review of medical records. In all three populations, men had higher all-cause and cardiovascular disease mortality rates than did women. Oklahoma exhibited slightly lower 5-year, age-adjusted, all-cause mortality (96/1,000) than did Arizona (107/1,000) and South/North Dakota (114/1,000). The leading cause of death among both sexes in Oklahoma and in South/North Dakota was cardiovascular disease. Diabetes mellitus led among Arizona women. The other major causes of death were cancer, liver disease including cirrhosis, and injury. When compared with the rates in each state, average annual all-cause mortality rates were higher for the American Indian populations in almost every age group. The all-cause annual mortality rates in the three Indian populations were close to rates in the US black population and higher than the rates of the entire US population and of US whites. This trend was amplified in the 45- to 64-year age group. Only in the 65- to 74-year age group did mortality rates in the Indian population approach those of the US population. Cardiovascular disease mortality rates were close to the US averages in Arizona and Oklahoma, but they were more than two times higher in South/North Dakota among those between 45 and 64 years of age. Thus, American Indians in Arizona, Oklahoma, and South/North Dakota exhibit high all-cause mortality rates. In particular, the South/North Dakota population cardiovascular disease death rate appears to present a potential target for community-based programs to intervene on known risk factors to promote healthy lifestyles.