Analysis of Rheumatic Heart Disease Mortality in the Chinese Population

A JoinPoint and Age–Period–Cohort Study

Datos Bibliográficos

ID15499155
AutoresJiameng Cui (0000-0002-7902-5942, Jilin University), Xinru Guo (Jilin University), Xin Yuan (0000-0001-6997-9227, Jilin University), Hao Wu (0000-0001-5323-516X, Jilin University), Ge Yu (0000-0002-0891-2501, Jilin University), Biao Li (0009-0009-1726-6917, Jilin University), Changgui Kou (0000-0001-9544-4066, Jilin University, autor de correspondencia)
Año2022
Volumen19
Número16
Páginas9872-9872
Fecha de publicación2022-08-10
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaInternational Journal of Environmental Research and Public Health (JOURNAL)
Identificadores de la revistaISSN: 1661-7827 • E-ISSN: 1660-4601
EditorialMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph19169872
PMID36011500
OpenAlexW4291001747
IdiomaEN
Referencias citadas27

(1) Background: We aimed to analyze rheumatic heart disease (RHD) mortality trends in China's urban and rural areas and to determine the roles of age, period, and cohort effects. (2) Methods: Based on mortality data extracted from the China Health Statistics Yearbook, we calculated the crude mortality rate of RHD. Age-adjusted rates were computed by the direct method using the 2020 census as the standard population. The annual percentage change (APC) and average annual percentage change (AAPC) were determined by the JoinPoint regression model. The age-period-cohort model was used to estimate the effects of age, period, and cohort. (3) Results: From 2006 to 2020, the general trend in RHD standardized mortality declined. The RHD mortality rate was higher in rural than in urban areas and among females than males. The elderly (over 60 years old) were at high risk for RHD deaths in China. The age effect increased with age, and the cohort effect showed a declining trend as chronology grew, but the period effect was not significant. (4) Conclusions: China has achieved great success in RHD, but RHD mortality may increase with age. Compared with the period effect, age and cohort effects dominated the risk of RHD deaths

China · Cohort · Cohort effect · Cohort study · Environmental health · Geography · Mortality rate · Population · Demography · Medicine · Streptococcal Infections and Treatments · Epidemiology · Internal Medicine · Pediatrics