Association between Cardiovascular Mortality and Economic Development: A Spatio-Temporal Study for Prefectures in Japan
Association between Cardiovascular Mortality and Economic Development: A Spatio-Temporal Study for Prefectures in Japan
复制标题
DOI：
10.3390/ijerph17041311
复制
发表时间：
2020-02-01
影响因子：
--
通讯作者：
Queiroz, Bernardo Lanza
中科院分区：
文献类型：
--
作者：
Baptista, Emerson Augusto;Kakinuma, Kaoru;Queiroz, Bernardo Lanza
本文使用双变量Choropleth地图，调查了1996年至2015年日本各都道府县心血管病（CVD）死亡率与性别人均国内生产总值（GDP）之间的关系。总体结果显示，所有都道府县男女的年龄标准化心血管疾病死亡率都有所下降，并表明在此期间人均国内生产总值有所变化。此外，我们还观察到，CVD死亡率与地级市人均GDP之间的关系并不存在整体上的同相关或负相关，而是一种异质性关系。我们认为，这项研究提供了有用的线索，政策制定者建立有效的措施，公共卫生规划和预防心血管疾病死亡。如本研究所示，绘制日本CVD负担图有助于澄清各地区预期寿命和健康状况的地区差异，并确定可能需要更有针对性的政策关注的县。
In this paper, we use a bivariate choropleth map to investigate the relationship between mortality from cardiovascular disease (CVD) and gross domestic product (GDP) per capita, by sex, in Japanese prefectures from 1996 to 2015. The overall results show a decline in age-standardized CVD mortality rates in all prefectures, for both men and women, and suggest that GDP per capita has varied over the period. We also observed that the relationship between CVD mortality rates and GDP per capita at the prefecture level does not have an overall pattern of the same or inverse association, but is instead a heterogeneous relationship. We argue that this study provides useful clues to policy makers for establishing effective measures for public health planning and the prevention of deaths from CVD. As demonstrated by this study, mapping of the CVD burden in Japan helps to clarify regional differences in life expectancy and health status across regions and identify prefectures where more targeted policy attention may be needed.