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首页> 外文期刊>Annals of epidemiology >Widespread recent increases in county-level heart disease mortality across age groups
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Widespread recent increases in county-level heart disease mortality across age groups

机译：近期县级心脏病死亡率的近期增加

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Abstract Purpose Recent national trends show decelerating declines in heart disease mortality, especially among younger adults. National trends may mask variation by geography and age. We examined recent county-level trends in heart disease mortality by age group. Methods Using a Bayesian statistical model and National Vital Statistics Systems data, we estimated overall rates and percent change in heart disease mortality from 2010 through 2015 for four age groups (35–44, 45–54, 55–64, and 65–74?years) in 3098 US counties. Results Nationally, heart disease mortality declined in every age group except ages 55–64?years. County-level trends by age group showed geographically widespread increases, with 52.3%, 58.5%, 69.1%, and 42.0% of counties experiencing increases with median percent changes of 0.6%, 2.2%, 4.6%, and??1.5% for ages 35–44, 45–54, 55–64, and 65–74?years, respectively. Increases were more likely in counties with initially high heart disease mortality and outside large metropolitan areas. Conclusions Recent national trends have masked local increases in heart disease mortality. These increases, especially among adults younger than age 65?years, represent challenges to communities across the country. Reversing these trends may require intensification of primary and secondary prevention—focusing policies, strategies, and interventions on younger populations, especially those living in less urban counties.
机译：摘要目的近期国家趋势显示心脏病死亡率的减速下降，尤其是较年轻的成年人。国家趋势可能会掩盖地理和年龄的变化。我们通过年龄组检查了近期心脏病死亡率的县级趋势。使用贝叶斯统计模型和国家重要统计系统数据的方法，我们估计2010年至2015年四年年龄组（35-44,45-54,55-64和65-74的心脏病死亡率的总体率和百分比年份）在3098年美国县。结果全国性，每年年龄组的心脏病死亡率下降，除55-64岁以下几年。年龄组的县级趋势表现出地理位性普遍增加，52.3％，58.5％，69.1％，42.0％的县遇到的​​县中位数增加0.6％，2.2％，4.6％，和年龄的1.5％ 35-44,45-54,55-64和65-74？多年。县的巨大患有初始心脏病死亡率和大都市之外的县更有可能增加。结论最近的全国趋势掩盖了局部疾病死亡率的局部增加。这些增加，特别是在65岁年龄小的成年人中，几年来代表全国各地社区的挑战。扭转这些趋势可能需要加强对年轻人群的主要和二级预防措施，策略和干预措施，特别是生活在较少城市县的人。

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