1. Joinpoint regression analysis for the trends in incidence of acutemyocardial infarction, Wuhan, 2016-2023.
- Author
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DENG Qing, LUO Jun, JIN Qi-man, ZHANG Xiao-xia, ZHANG Wei, and DAI Juan
- Subjects
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CITY dwellers , *CARDIOVASCULAR diseases , *TREND analysis , *REGRESSION analysis ,POPULATION of China - Abstract
Objective To analyze the trends in incidence of acutemyocardialinfarction (AMI)in Wuhan from 2016 to 2023, and to provide scientific basis for prevention and control of AMI in Wuhan. Methods The incidence data during 2016-2023 from the Surveillance System of cardiovascular diseases in Wuhan were collected to compute the incidence, age-standardized rate by China population 2010 (ASR-C) and by Segi's world standard population (ASR-W). The annual percent change (APC) and average annual percent change (AAPC) of incidence of AMI were evaluated using Joinpoint regression model, to analyze the incidence trends of AMI. Results The incidence of AMI in Wuhan increased from 56.67/105 in 2016 to 115.29/105 in 2023 (APC = 10.24%, P < 0.05); and ASR-C of AMI increased from 40.45/105 in 2016 to 79.57/105 in 2023 (APC = 9.75%, P < 0.05).The AMI incidence of males(83.65/105) was significantly higher than that of females(34.99/105) from 2016 to 2023 (P < 0.05).The AMI incidence of urban area(62.59/105) was significantly higher than that of rural area(55.35/105)(P < 0.05).The regression model showed that the incidence and ASR-C of AMI in male and female all showed a significant upward trend (all P < 0.05);the incidence and ASR-C of AMI of urban residents all showed a significant upward trend (all P < 0.05), while the trends of rural residents from 2016 to 2020 were not statistically significant, but they all showed a significant upward trend from 2020 to 2023 (all P < 0.05).The incidence of AMI in age groups < 30,30- < 40,40- < 50, 50- < 60, 60- < 70 years and ≥70 years in Wuhan increased at different rates from 2016 to 2023(P < 0.05).Incidence in age groups 30- < 40,40- < 50 years increased rapidly, with the AAPCs of 16.73% and 13.87%, respectively. Conclusion The incidence of AMI in Wuhan showed an upward trend from 2016 to 2023, young adult males are the crucial population for prevention and control. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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