The Trends in Cardiovascular Diseases and Respiratory Diseases Mortality in Urban and Rural China, 1990–2015
Abstract
:1. Introduction
2. Materials and Methods
2.1. Data Sources
2.2. Statistical Analysis
3. Results
3.1. Trends in Mortality Rates
3.2. YLLs and Age-Standardized YLL Rates
4. Discussion
5. Conclusions
Acknowledgments
Author Contributions
Conflicts of Interest
References
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Mortality Rate (per 100,000) | Total Study Period b | Period 1 | Period 2 | Period 3 | Period 4 | |||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
1990 | 2015 | Average APC (%) | 95% CI | Years | APC (%) | Years | APC (%) | Years | APC (%) | Years | APC (%) | |
CVDs in urban areas | 332.7 | 227.7 | −1.9 c | (−2.4, −1.4) | - | |||||||
Chronic rheumatic heart diseases | 10.4 | 2.7 | −6.1 c | (−6.9, −5.2) | 1990–2011 | −7.2 c | 2011–2015 | 8.3 | ||||
Hypertensive heart disease | 8.3 | 10.8 | 1.3 | (−0.3, 2.9) | 1990–2007 | −1.6 | 2007–2015 | 10.6 c | ||||
Ischemic heart disease | 29.1 | 47.3 | 0.8 | (−0.2, 1.9) | 1990–1998 | 3.3 | 1998–2006 | −5.4 c | 2006–2015 | 8.5 c | ||
Cerebrovascular disease | 181.1 | 107.2 | −2.8 c | (−3.4, −2.2) | 1990–2008 | −3.7 c | 2008–2015 | 0.8 | ||||
CVDs in rural areas | 275.2 | 261.4 | 0.0 | (−0.5, 0.4) | 1990–2001 | 0.7 | 2001–2006 | −4.6 | 2006–2009 | 9.19 | 2009–2015 | −1.71 |
Chronic rheumatic heart diseases | 10.8 | 2.9 | −5.9 c | (−6.8, −5.1) | - | |||||||
Hypertensive heart disease | 9.9 | 16.5 | 1.0 | (−0.9, 2.9) | 1990–2006 | −3.2 c | 2006–2015 | 11.2 c | ||||
Ischemic heart disease | 18.7 | 60.0 | 5.2 c | (3.7, 6.7) | 1990–2000 | 4.1 c | 2000–2005 | −8.2 | 2005–2008 | 37.0 | 2008–2015 | 5.7 |
Cerebrovascular disease | 159.5 | 131.6 | −0.6 c | (−1.1, −0.2) | - | |||||||
RDs in urban areas | 143.5 | 60.7 | −4.2 c | (−4.9, −3.5) | 1990–2005 | −3.5 c | 2005–2008 | −14.4 | 2008–2015 | 1.9 | ||
Chronic lower respiratory diseases | 117.9 | 44.0 | −5.6 c | (−6.7, −4.6) | - | |||||||
Pneumonia | 13.9 | 11.7 | 0.0 | (−1.0, 1.0) | 1990–2005 | −2.7 c | 2005–2015 | 5.0 | ||||
Pneumoconiosis | 0.8 | 0.6 | −2.3 c | (−3.4, −1.1) | - | |||||||
RDs in rural areas | 232.1 | 67.5 | −5.3 c | (−6.0, −4.5) | - | |||||||
Chronic lower respiratory diseases | 199.0 | 56.3 | −5.3 c | (−6.0, −4.5) | - | |||||||
Pneumonia | 24.2 | 7.5 | −5.6 c | (−6.7, −4.5) | 1990–2000 | −2.5 c | 2000–2003 | 21.7 | 2003–2015 | −1.4 | ||
Pneumoconiosis | 0.5 | 0.5 | 0.9 | (−1.1, 3.0) | - |
Age Group | CVDs in Urban Areas | CVDs in Rural Areas | RDs in Urban Areas | RDs in Rural Areas | ||||
---|---|---|---|---|---|---|---|---|
Average APC (%) | 95% CI | Average APC (%) | 95% CI | Average APC (%) | 95% CI | Average APC (%) | 95% CI | |
0 | 3.7 a | (0.4, 7.2) | 6.4 a | (2.5, 10.4) | −7.4 a | (−9.1, −5.8) | −13.6 a | (−15.4, −11.5) |
1–4 | 3.8 a | (1.6, 6.0) | 3.8 a | (1.1, 6.6) | −3.2 a | (−4.5, −1.8) | −9.1 a | (−11.1, −7.1) |
5–9 | 1.4 | (−0.6, 3.4) | 1.3 | (−0.8, 3.5) | −3.6 a | (−5.0, −2.1) | −10.9 a | (−13.7, −8.0) |
10–14 | 0.6 | (−0.9, 2.0) | 1.6 | (−0.0, 3.3) | −1.9 a | (−3.6, −0.1) | −9.9 a | (−12.8, −6.9) |
15–19 | 2.2 | (1.1, 3.3) | 0.9 | (−0.9, 2.7) | −1.2 | (−2.9, 0.5) | −5.8 a | (−9.1, −2.3) |
20–24 | 0.1 | (−0.9, 1.2) | −2.0 a | (−3.3, −0.6) | −2.4 a | (−3.9, 0.8) | −7.0 a | (−8.8, −5.1) |
25–29 | −0.2 | (−0.8, 0.5) | −1.8 a | (−3.4, −0.1) | −2.1 a | (−3.0, −1.1) | −8.0 a | (−10.2, −5.7) |
30–34 | −0.1 | (−0.8, 0.6) | −1.1 | (−2.7, 0.6) | −3.0 a | (−3.9, −2.0) | −7.4 a | (−9.4, −5.4) |
35–39 | −0.5 a | (−0.5, −0.0) | −0.0 | (−0.7, 0.6) | −3.4 a | (−4.3, −2.5) | −6.7 a | (−7.9, −5.4) |
40–44 | −0.4 | (−0.9, 0.1) | −0.1 | (−0.8, 0.7) | −3.4 a | (−4.1, −2.6) | −7.2 a | (−8.5, −5.7) |
45–49 | −1.3 a | (−2.0, −0.6) | −1.2 a | (−2.4, −0.1) | −3.6 a | (−4.5, −2.7) | −8.1 a | (−9.6, −6.5) |
50–54 | −1.0 a | (−1.7, −0.4) | −0.8 a | (−1.5, −0.1) | −3.3 a | (−4.3, −2.4) | −7.7 a | (−8.9, −6.6) |
55–59 | −2.6 a | (−3.2, −2.1) | −0.9 a | (−1.4, −0.5) | −4.6 a | (−5.5, −3.6) | −7.6 a | (−8.8, −6.5) |
60–64 | −3.4 a | (−4.2, −2.5) | −1.6 a | (−2.1, −1.0) | −5.7 a | (−6.8, −4.6) | −8.1 a | (−9.2, −7.1) |
65–69 | −3.3 a | (−4.1, −2.5) | −0.9 a | (−1.6, −0.3) | −5.6 a | (−6.6, −4.5) | −7.1 a | (−8.1, −6.0) |
70–74 | −3.1 a | (−3.8, −2.5) | −1.2 a | (−1.8, −0.6) | −5.5 a | (−6.4, −4.6) | −6.6 a | (−7.5, −5.7) |
75–79 | −2.3 a | (−2.8, −1.9) | −0.0 | (−0.5, 0.5) | −4.7 a | (−5.5, −4.0) | −5.1 a | (−5.9, −4.3) |
80–84 | −1.5 a | (−2.0, −1.1) | 0.4 | (−0.1, 0.9) | −4.0 a | (−4.7, −3.3) | −4.3 a | (−5.0, −3.6) |
85+ | 0.0 | (−0.6, 0.7) | 2.2 a | (1.2, 3.2) | −2.7 a | (−3.3, −2.2) | −2.4 a | (−3.2, −1.5) |
YLLs (10,000) | Age-Standardized YLL Rate (per 100,000) | |||||
---|---|---|---|---|---|---|
1990 | 2015 | Percent Change (%), 1990–2015 | 1990 | 2015 | Percent Change (%), 1990–2015 | |
CVDs in urban areas | 800.9 | 2385.6 | 197.9 | 4365.6 | 2828.4 | −35.2 |
Chronic rheumatic heart disease | 50.9 | 34.4 | −32.4 | 234.1 | 40.7 | −82.6 |
Hypertensive heart disease | 16.0 | 95.7 | 498.1 | 93.9 | 113.5 | 20.9 |
Ischemic heart disease | 166.7 | 919.0 | 451.3 | 920.4 | 1085.7 | 18.0 |
Cerebrovascular disease | 428.3 | 1144.7 | 167.3 | 2369.5 | 1359.1 | −42.6 |
CVDs in rural areas | 1983.3 | 2656.8 | 34.0 | 3745.4 | 3434.3 | −8.3 |
Chronic rheumatic heart disease | 152.5 | 34.4 | −77.4 | 252.3 | 45.5 | −82.0 |
Hypertensive heart disease | 60.3 | 139.7 | 131.7 | 118.8 | 175.0 | 47.3 |
Ischemic heart disease | 281.0 | 941.4 | 235.0 | 524.5 | 1221.4 | 132.9 |
Cerebrovascular disease | 1069.9 | 1366.3 | 27.7 | 2069.5 | 1754.6 | −15.2 |
RDs in urban areas | 371.0 | 532.5 | 43.5 | 1790.4 | 640.5 | −64.2 |
Chronic lower respiratory disease | 226.8 | 361.8 | 59.5 | 1317.5 | 432.4 | −67.2 |
Pneumonia | 117.6 | 120.0 | 2.0 | 337.1 | 147.4 | −56.3 |
Pneumoconiosis | 2.5 | 5.6 | 124.0 | 12.8 | 6.8 | −46.9 |
RDs in rural areas | 2783.0 | 590.9 | −78.8 | 3571.0 | 751.5 | −79.0 |
Chronic lower respiratory disease | 1299.8 | 457.9 | −64.8 | 2511.4 | 568.1 | −77.4 |
Pneumonia | 1420.1 | 88.1 | −93.8 | 937.7 | 121.5 | −87.0 |
Pneumoconiosis | 5.3 | 7.7 | 45.3 | 10.1 | 10.5 | 4.0 |
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Sun, W.; Zhou, Y.; Zhang, Z.; Cao, L.; Chen, W. The Trends in Cardiovascular Diseases and Respiratory Diseases Mortality in Urban and Rural China, 1990–2015. Int. J. Environ. Res. Public Health 2017, 14, 1391. https://doi.org/10.3390/ijerph14111391
Sun W, Zhou Y, Zhang Z, Cao L, Chen W. The Trends in Cardiovascular Diseases and Respiratory Diseases Mortality in Urban and Rural China, 1990–2015. International Journal of Environmental Research and Public Health. 2017; 14(11):1391. https://doi.org/10.3390/ijerph14111391
Chicago/Turabian StyleSun, Weiwei, Yun Zhou, Zhuang Zhang, Limin Cao, and Weihong Chen. 2017. "The Trends in Cardiovascular Diseases and Respiratory Diseases Mortality in Urban and Rural China, 1990–2015" International Journal of Environmental Research and Public Health 14, no. 11: 1391. https://doi.org/10.3390/ijerph14111391