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目的调查我省成年人的主要死亡原因及其可以改变的危险因素。方法前瞻性队列研究。该队列包括年龄≥40岁的有代表性的男女性样本13267例,基线调查时间为1990年,于1999和2000年进行随访,随访率为99.0%。结果浙江省40~64岁人群中,恶性肿瘤、脑血管病、心脏病分别为:326.21/10万人.年、100.97/10万人.年、89.87/10万人.年。与未患高血压病者相比,高血压患者冠心病、脑卒中急性事件的发病相对危险度分别为:2.96、6.96;高血压患者的总死亡以及心脏病、脑卒中死亡的相对危险度分别为:2.4、2.6和6.9。结论肿瘤、心脑血管病是浙江省成人死亡的主要原因。控制高血压是降低心脑血管病发病率、死亡率和降低人群疾病死亡负担的重要策略。
Objective To investigate the main causes of death in adults in our province and the risk factors that can be changed. Methods A prospective cohort study. The cohort included 13,267 representative male and female samples aged 40 years or older. The baseline investigation time was 1990. Follow-up was conducted in 1999 and 2000. The follow-up rate was 99.0%. Results The incidence of malignant tumor, cerebrovascular disease and heart disease in the population aged 40~64 in Zhejiang Province was 326.21/100 000 people, 100.97/100 000 person-years, and 89.87/100 000 person-years respectively. Compared with those without hypertension, the relative risk of coronary heart disease and stroke acute events in hypertensive patients were 2.96 and 6.96 respectively; the total deaths of hypertensive patients and the relative risk of death from heart disease and stroke were For: 2.4, 2.6 and 6.9. Conclusion Tumor, cardio-cerebral vascular disease is the main cause of adult death in Zhejiang Province. Controlling hypertension is an important strategy for reducing the incidence of cardiovascular and cerebrovascular diseases, mortality, and reducing the burden of death from disease in populations.