| Objectives Based on the data of stroke in mortality surveillance sites in Hebei Province,this study analyzed the death status of stroke in 2014-2017 in some areas of Hebei Province,explored the life loss and disease burden caused by stroke,and for the region to provide the references basis for the establishment of the stroke prevention and control policy.Methods The data of all causes of death among residents from January 1,2014 to December 31,2017 in mortality surveillance sites registered by the Hebei Disease Control and Prevention Center was collected.The study extracted the information related to stroke death,and the data about stroke death of residents of different genders,ages and regions was collected and described by Excel 2010 and SPSS 22.0.The mortality,life expectancy,stroke-removed life expectancy,years of potential life lost(YPLL)and work years of potential life lost(WYPLL)were calculated to explore the epidemiological characteristics and disease burden of stroke death.Results 1 During 2014-2017,the mortality rate of stroke in some areas of Hebei Province was 124.50/100000,standardized mortality rate was 119.58/100000.Males(the mortality rate was 137.99/100000,standardized mortality rate was 132.95/100000)was higher than females(the mortality rate was 110.28/100000,standardized mortality rate was 105.88/100000)(χ~2=903.627,P<0.05).Stroke deaths were highest in winter and lowest in summer,concentrated in December.Hemorrhagic stroke(the mortality rate was 63.31/100000,standardized mortality rate was 60.47/100000)was higher than Ischemic stroke(the mortality rate was 58.93/100000,standardized mortality rate was 56.92/100000)(χ~2=92.163,P<0.001).The mortality of hemorrhagic stroke was higher than that of ischemic stroke in males(χ~2=144.461,P<0.001),and females hemorrhagic and ischemic stroke mortality difference was not statistically significant(χ~2=0.663,P=0.416).Rural areas(the mortality rate was 136.53/100000,standardized mortality rate was 138.85/100000)was higher than urban areas(the mortality rate was 87.71/100000,standardized mortality rate was 72.97/100000)(χ~2=2084.746,P<0.001).The mortality rate had increased with the age,and the peak was reached at ≥85 years old(the mortality rate was 3644.79/100000).The number of stroke deaths aged 55 and over accounted for 90.82% of the total stroke deaths.2 From 2014 to 2017,the life expectancy of residents in some areas of Hebei Province was 78.48 years(the stroke-removed life expectancy was 81.06 years),and males(the life expectancy was 76.04 years,stroke-removed life expectancy was 78.56 yeaars)was lower than females(the life expectancy was 81.17 years,stroke-removed life expectancy was 83.76 years).The hemorrhagic stroke-removed life expectancy was 79.68 years and the ischemic stroke-removed life expectancy was 79.60 years.The life expectancy of urban areas(the life expectancy was 79.44 years,the stroke-removed life expectancy was 81.26 years)was higher than that of rural areas(the life expectancy was 78.13 years,the stroke-removed life expectancy was 80.98 years).3 During 2014-2017,the YPLL was 278160 person-year,AYPLL was 10.61 person-year,YPLLR was 5.11‰.Males AYPLL was 11.13 person-year,YPLLR was 6.86‰,and 9.60 person-year for females AYPLL,YPLLR was 3.25‰.Urban areas AYPLL was 11.34 person-year,YPLLR was 3.76‰;Rural areas AYPLL was 10.46 person-year,YPLLR was 5.55‰.AYPLL for hemorrhagic stroke was 11.96 person-year,and YPLLR was 3.74‰,AYPLL for ischemic stroke was 8.01 person-year,and YPLLR was 1.29‰.WYPLL caused by stroke death was 169083 person-year,AWYPLL was 9.76 person-year,and WYPLLR was 3.22‰.Males AWYPLL was 10.17 person-year,WYPLLR was 4.41‰,and females AWYPLL was 8.88 person-year,WYPLLR was 1.94‰.Urban areas AWYPLL was 10.09 person-year,WYPLLR was 2.43‰,and rural areas AWYPLL was 9.69 person-year,WYPLLR was 3.48‰.AWYPLL for hemorrhagic stroke was 10.78 person-year,and WYPLLR was 2.49‰,AWYPLL for ischemic stroke was 7.27 person-year,and YPLLR was 0.69‰.Conclusions 1 The mortality rate of stroke in some areas of Hebei Province from 2014 to 2017 was high.The mortality rate of stroke in males was higher than females,the mortality rate of hemorrhagic stroke was higher than ischemic stroke,and the mortality rate of stroke in rural areas was higher than that of urban areas.The mortality rate of stroke rised as the age increased,55 and older account for the vast majority of stroke death.2 From 2014 to 2017,the stroke-removed life expectancy of females was higher than that of males,the stroke-removed life expectancy of urban areas was higher than that of rural areas,and the loss of life expectancy caused by hemorrhagic stroke was higher than that caused by ischemic stroke.3 The years of potential life loss and work years of potential life loss caused by stroke death were higher in males than in females,and higher in rural areas than in urban areas.The average potential years of life lost and average work potential years of life lost in urban areas were higher than those in rural areas.Hemorrhagic stroke was the main cause of potential years of life lost and work potential years of life lost.4 The prevention and control measures of stroke should be strengthened for middle-aged and old people in rural areas of Hebei Province.Figure6;Table33;Reference 238... |
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