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. 2017 Nov 15;14(11):1391.
doi: 10.3390/ijerph14111391.

The Trends in Cardiovascular Diseases and Respiratory Diseases Mortality in Urban and Rural China, 1990-2015

Weiwei Sun  1   2 , Yun Zhou  3   4 , Zhuang Zhang  5   6 , Limin Cao  7   8 , Weihong Chen  9   10
Affiliations

The Trends in Cardiovascular Diseases and Respiratory Diseases Mortality in Urban and Rural China, 1990-2015

Weiwei Sun et al. Int J Environ Res Public Health. .

Abstract

With the rapid development of the economy over the past 20 years, the mortality rates from cardiovascular diseases (CVDs) and respiratory diseases (RDs) have changed in China. This study aimed to analyze the trends of mortality rates and years of life lost (YLLs) from CVDs and RDs in the rural and urban population from 1990 to 2015. Using data from Chinese yearbooks, joinpoint regression analysis was employed to estimate the annual percent change (APC) of mortality rates from CVDs and RDs. YLLs due to CVDs and RDs were calculated by a standard method, adopting recommended standard life expectancy at birth values of 80 years for men and 82.5 years for women. Age-standardized mortality rates and YLL rates were calculated by using the direct method based on the Chinese population from the sixth population census of 2010. Age-standardized mortality rates from CVDs for urban residents and from RDs for both urban and rural residents showed decreasing trends in China from 1990 to 2015. Age-standardized mortality rates from CVDs among rural residents remained constant during above period and outstripped those among urban residents gradually. The age-standardized YLL rates of CVDs for urban and rural residents decreased 35.2% and 8.3% respectively. Additionally, the age-standardized YLL rates of RDs for urban and rural residents decreased 64.2% and 79.0% respectively. The age-standardized mortality and YLL rates from CVDs and RDs gradually decreased in China from 1990 to 2015. We observed more substantial declines of the mortality rates from CVDs in urban areas and from RDs in rural areas.

Keywords: burden of disease; cardiovascular diseases; mortality; respiratory diseases; trends; years of life lost.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
The trend on the age-standardized mortality rates of CVDs and RDs in urban and rural areas during 1990 to 2015.
Figure 2
Figure 2
The age-specific mortality rates of CVDs in urban and rural areas in 1990 and 2015.
Figure 3
Figure 3
The age-specific mortality rates of RDs in urban and rural areas in 1990 and 2015.
See this image and copyright information in PMC

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