Trend Analysis of the Mortality Rates of the Top Three Causes of Death Among Chinese Residents from 2003 to 2019

Objective: To delineate the mortality trends of malignant tumors, heart disease and cerebrovascular disease in China.Methods: The crude mortality from 2003 to 2019 was derived from the China Health Statistical Yearbook, and the mortality rates were analyzed through joinpoint regression supplemented...

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Main Authors: Zemiao Zhang, Yinhuan Hu, Sha Liu, Yeyan Zhang, Jinghan Zhou, Jiayi Li, Weilin Zhu, Zhen Qi, Vivien Xi Wu
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-09-01
Series:International Journal of Public Health
Subjects:
Online Access:https://www.ssph-journal.org/articles/10.3389/ijph.2022.1604988/full
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author Zemiao Zhang
Yinhuan Hu
Sha Liu
Yeyan Zhang
Jinghan Zhou
Jiayi Li
Weilin Zhu
Zhen Qi
Vivien Xi Wu
author_facet Zemiao Zhang
Yinhuan Hu
Sha Liu
Yeyan Zhang
Jinghan Zhou
Jiayi Li
Weilin Zhu
Zhen Qi
Vivien Xi Wu
author_sort Zemiao Zhang
collection DOAJ
description Objective: To delineate the mortality trends of malignant tumors, heart disease and cerebrovascular disease in China.Methods: The crude mortality from 2003 to 2019 was derived from the China Health Statistical Yearbook, and the mortality rates were analyzed through joinpoint regression supplemented by descriptive statistics and χ2 tests.Results: The fitting model of age-standardized mortality due to malignant tumors showed three joinpoints. The APCs from 2003 to 2005, 2005–2008, 2008–2012 and 2012–2019 were −11.00%, 9.63%, −4.67% and −1.40%, respectively, and the AAPC was −1.54%. The mortality rate of cerebrovascular disease consistently decreased (APC = AAPC = −0.98%). In the subgroup analyses, significant differences were observed between sexes and regions. The mortality rate of heart disease among rural females exhibited an upward trend (APC = AAPC = 2.33%). Older adults aged over 75 years had the highest mortality rates and the most drastic change.Conclusion: The three diseases had variable change trends. The government should focus more on policies that promote the equalization of basic public health services. Continuous education on heart disease, which includes not only beneficial behaviors but also knowledge of first aid, should be strengthened for rural females.
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spelling doaj.art-6379f567246a4418b2dec924afa43f042022-12-22T04:05:20ZengFrontiers Media S.A.International Journal of Public Health1661-85642022-09-016710.3389/ijph.2022.16049881604988Trend Analysis of the Mortality Rates of the Top Three Causes of Death Among Chinese Residents from 2003 to 2019Zemiao Zhang0Yinhuan Hu1Sha Liu2Yeyan Zhang3Jinghan Zhou4Jiayi Li5Weilin Zhu6Zhen Qi7Vivien Xi Wu8School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaSchool of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaSchool of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaSchool of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaSchool of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaSchool of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaShenzhen Health Development Research and Data Management Center, Shenzhen, ChinaSchool of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaAlice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, SingaporeObjective: To delineate the mortality trends of malignant tumors, heart disease and cerebrovascular disease in China.Methods: The crude mortality from 2003 to 2019 was derived from the China Health Statistical Yearbook, and the mortality rates were analyzed through joinpoint regression supplemented by descriptive statistics and χ2 tests.Results: The fitting model of age-standardized mortality due to malignant tumors showed three joinpoints. The APCs from 2003 to 2005, 2005–2008, 2008–2012 and 2012–2019 were −11.00%, 9.63%, −4.67% and −1.40%, respectively, and the AAPC was −1.54%. The mortality rate of cerebrovascular disease consistently decreased (APC = AAPC = −0.98%). In the subgroup analyses, significant differences were observed between sexes and regions. The mortality rate of heart disease among rural females exhibited an upward trend (APC = AAPC = 2.33%). Older adults aged over 75 years had the highest mortality rates and the most drastic change.Conclusion: The three diseases had variable change trends. The government should focus more on policies that promote the equalization of basic public health services. Continuous education on heart disease, which includes not only beneficial behaviors but also knowledge of first aid, should be strengthened for rural females.https://www.ssph-journal.org/articles/10.3389/ijph.2022.1604988/fullmortalityChinachronic diseasemalignant tumorsheart diseasecerebrovascular disease
spellingShingle Zemiao Zhang
Yinhuan Hu
Sha Liu
Yeyan Zhang
Jinghan Zhou
Jiayi Li
Weilin Zhu
Zhen Qi
Vivien Xi Wu
Trend Analysis of the Mortality Rates of the Top Three Causes of Death Among Chinese Residents from 2003 to 2019
International Journal of Public Health
mortality
China
chronic disease
malignant tumors
heart disease
cerebrovascular disease
title Trend Analysis of the Mortality Rates of the Top Three Causes of Death Among Chinese Residents from 2003 to 2019
title_full Trend Analysis of the Mortality Rates of the Top Three Causes of Death Among Chinese Residents from 2003 to 2019
title_fullStr Trend Analysis of the Mortality Rates of the Top Three Causes of Death Among Chinese Residents from 2003 to 2019
title_full_unstemmed Trend Analysis of the Mortality Rates of the Top Three Causes of Death Among Chinese Residents from 2003 to 2019
title_short Trend Analysis of the Mortality Rates of the Top Three Causes of Death Among Chinese Residents from 2003 to 2019
title_sort trend analysis of the mortality rates of the top three causes of death among chinese residents from 2003 to 2019
topic mortality
China
chronic disease
malignant tumors
heart disease
cerebrovascular disease
url https://www.ssph-journal.org/articles/10.3389/ijph.2022.1604988/full
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