scholarly journals The Top 5 Causes of Death In China From 2000 To 2017

2022 ◽  
Author(s):  
Haiyin Zou ◽  
Xinjie Tian ◽  
Yongcheng Ren
Keyword(s):  
Cerebrovascular Disease ◽  
Respiratory Disease ◽  
Malignant Tumor ◽  
Rural Areas ◽  
Urban Areas ◽  
Causes Of Death ◽  
Permutation Test ◽  
Limited Information ◽  
Epidemiological Characteristics ◽  
Heart Trouble

Abstract Background: Limited information is available on the epidemiological characteristics of major causes of death in the last 18 years. In this study, we investigated the epidemiological characteristics of the top 5 causes of death in China from 2000 to 2017. Methods: Data were obtained from the 18-year reports of Ministry of Health and analyzed by Grid Search Method, Permutation test, and log-linear regression model. Results: The top 5 consistent causes of death, malignant tumor, cerebrovascular disease, heart trouble, respiratory disease, trauma and toxicosis accounted for 82.6% in 2000, 86.49% in 2017 in urban areas and 83.31% in 2000, 88.34% in 2017 in rural areas. The increasing trends (P<0.05) of proportions of death of malignant tumor, cerebrovascular disease, and heart trouble have average annual percent change (AAPC) = 0.5%, 0.3%, 2.4% in urban areas and 1.7%, 1.5%, 4.3% in rural areas. The AAPCs of respiratory disease are -1.4% in urban areas and -3.6% in rural areas. Cardio-cerebrovascular disease increased (Urban: 39.02% to 43.56%, AAPC=1.3%, P<0.05; Rural: 32.03% to 45.91%, AAPC=2.7%, P<0.05) steeply from 2000 to 2017 which are higher than that of malignant tumor (P<0.05). Conclusion: The top 5 causes of death in China accounted for more than 85% of all deaths in 2017, in which cardio-cerebrovascular disease accounted for the largest proportion with the steepest increasing trend.

scholarly journals Epidemiological characteristics and temporal trends of new leprosy cases in Brazil: 2006 to 2017

2021 ◽  
Vol 37 (7) ◽  
Author(s):  
Júlia Moreira Pescarini ◽  
Camila Silveira Silva Teixeira ◽  
Nívea Bispo da Silva ◽  
Mauro Niskier Sanchez ◽  
Marcio Santos da Natividade ◽  
...  
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Physical Disabilities ◽  
Temporal Trends ◽  
Sharp Decrease ◽  
Urban Rural ◽  
Adequate Evaluation ◽  
Race Ethnicity ◽  
Epidemiological Characteristics ◽  
Multibacillary Leprosy

Abstract: Our study aims to describe trends in new case detection rate (NCDR) of leprosy in Brazil from 2006 to 2017 overall and in subgroups, and to analyze the evolution of clinical and treatment characteristics of patients, with emphasis on cases diagnosed with grade 2 physical disabilities. We conducted a descriptive study to analyze new cases of leprosy registered in the Brazilian Information System for Notificable Diseases (SINAN), from 2006-2017. We calculated the leprosy NCDR per 100,000 inhabitants (overall and for individuals aged < 15 and ≥ 15 years) by sex, age, race/ethnicity, urban/rural areas, and Brazilian regions, and estimated the trends using the Mann-Kendall non-parametric test. We analyzed the distributions of cases according to relevant clinical characteristics over time. In Brazil, there was a sharp decrease in the overall NCDR from 23.4/100,000 in 2006 to 10.3/100,000 in 2017; among children < 15 years, from 6.94 to 3.20/100,000. The decline was consistent in all Brazilian regions and race/ethnicity categories. By 2017, 70.2% of the cases were multibacillary, 30.5% had grade 1 (G1D) or 2 (G2D) physical disabilities at diagnosis and 42.8% were not evaluated at treatment completion/discharge; cases with G2D at diagnosis were mostly detected in urban areas (80%) and 5% of cases died during the treatment (leprosy or other causes). Although the frequency of leprosy NCDR decreased in Brazil from 2006 to 2017 across all evaluated population groups, the large number of cases with multibacillary leprosy, physical disabilities or without adequate evaluation, and among children suggest the need to reinforce timely diagnosis and treatment to control leprosy in Brazil.

scholarly journals Epidemiological Study and Spatial Modeling of Cutaneous Leishmaniasis in Bushehr Province Using the Geographic Information System (GIS) from 2011 to 2015

2019 ◽  
Author(s):  
Ali Dehghani ◽  
Mohamad Hasan Lotfi ◽  
Hossein Falahzadeh ◽  
Katayon Vahdat ◽  
Zahra Shabani
Keyword(s):  
Information System ◽  
Geographic Information System ◽  
Cutaneous Leishmaniasis ◽  
Health Problem ◽  
Rural Areas ◽  
Urban Areas ◽  
Geographic Information ◽  
Cross Sectional ◽  
Important Health ◽  
Epidemiological Characteristics

Introduction: It is generally accepted that cutaneous leishmaniasis is considered as an important health problem all over the world which is caused by leishmaniasis protozoan. This disease is also known as a health problem in some regions of Iran including Bushehr province. The present study investigated the geographical dispersion and the epidemiological characteristics of subjects with the cutaneous leishmaniasis in this province from 2011 to 2015. Method: In this cross-sectional and analytical study, the epidemiologic data including the age, gender, residential area, and counties with this disease was analyzed and collected from 663 patients who were followed up and treated from 2011 to 2015. Results: 422 (63.7%) of studied people were residents of urban areas and 241 (36.3%) lived in rural areas. 59.4% (394 people) were male and 40.6% (269) were female. The mean age of the subjects was 21.91± 17.01 (ranging from 1 to 80). Kangan County with an average 5-year incidence of 17.72 per a hundred thousand people had the highest incidence, but Tangestan County with the incidence of 8.47 per a hundred thousand people had the lowest average incidence. Based on GIS results, Jam County, which was not recognized as the focus of this disease in the past, has been considered as a new focus of disease in recent years. Conclusion: The geographic information system (GIS) is regarded as an effective tool for the organization of diseases and health data. The crisis can be identified and controlled by taking proper measures with the discovery of spatial accumulation of diseases.

Cancer Mortality by Urbanization and Proximity to the Sea Coast in Campania Region, Southern Italy

1998 ◽  
Vol 84 (4) ◽  
pp. 460-466 ◽  
Author(s):  
Ettore Bidoli ◽  
Silvia Franceschi ◽  
Maurizio Montella
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Causes Of Death ◽  
Control Strategies ◽  
Cancer Control ◽  
Mortality Rates ◽  
Hepatitis B Vaccination ◽  
Linear Regression Models ◽  
Campania Region ◽  
Rural Municipalities

Aims and background The risk for several cancers is higher in urban than in rural areas. The gradient has seldom been studied in southern Europe. Patients and methods The geographical pattern of mortality for different cancers and all causes was studied in the Campania Region (about 5.6 million inhabitants), whose largest town is Naples. The key variables were residence in urban/rural and coastal/inland municipalities. Relative risks of death and corresponding 95% confidence intervals by residence were evaluated by means of Poisson log-linear regression models. Results Significantly increased mortality rates in urban compared to rural municipalities were found for several cancer causes of death. In particular, in both sexes, excesses in the order of 30-50% were observed for tobacco-related neoplasms (i.e., larynx, lung, and bladder) and cancers of the intestine, liver, brain, multiple myeloma and non-Hodgkin's lymphoma, in addition to all-cancer, and all-cause mortality. In females, specific excesses were also noticed for cancer of the gallbladder, pancreas, breast and uterus (corpus and cervix). Conversely, significantly decreased mortality rates in urban with respect to rural municipalities were observed for cancer of the oral cavity and pharynx in males. Coastal location and degree of urbanization were strongly correlated, thus showing similar associations with most causes of death. However, a significant excess of cancer of the pleura in males was restricted to coastal municipalities. Conclusions Anti-smoking campaigns, sanitation improvements, hepatitis B vaccination, and a decrease in obesity emerge as high priorities with respect to cancer control strategies in the Campania Region, particularly in overpopu-lated, underprivileged urban areas.

scholarly journals Epidemiological study of scarlet fever in Shenyang, China

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Huijie Chen ◽  
Ye Chen ◽  
Baijun Sun ◽  
Lihai Wen ◽  
Xiangdong An
Keyword(s):  
Rural Areas ◽  
Scarlet Fever ◽  
Urban Areas ◽  
Primary Schools ◽  
Prevention And Control ◽  
Hot Spot ◽  
Temporal Distribution ◽  
Control Measures ◽  
And Control ◽  
Epidemiological Characteristics

Abstract Background Since 2011, there has been an increase in the incidence of scarlet fever across China. The main objective of this study was to depict the spatiotemporal epidemiological characteristics of the incidence of scarlet fever in Shenyang, China, in 2018 so as to provide the scientific basis for effective strategies of scarlet control and prevention. Methods Excel 2010 was used to demonstrate the temporal distribution at the month level and ArcGIS10.3 was used to demonstrate the spatial distribution at the district/county level. Moran’s autocorrelation coefficient was used to examine the spatial autocorrelation and the Getis-Ord statistic was used to determine the hot-spot areas of scarlet fever. Results A total of 2314 scarlet fever cases were reported in Shenyang in 2018 with an annual incidence of 31.24 per 100,000. The incidence among males was higher than that among females(p<0.001). A vast majority of the cases (96.89%) were among children aged 3 to 11 years. The highest incidence was 625.34/100,000 in children aged 5–9 years. In 2018 there were two seasonal peaks of scarlet fever in June (summer-peak) and December (winter-peak). The incidence of scarlet fever in urban areas was significantly higher than that in rural areas(p<0.001). The incidence of scarlet fever was randomly distributed in Shenyang. There are hotspot areas located in seven districts. Conclusions Urban areas are the hot spots of scarlet fever and joint prevention and control measures between districts should be applied. Children aged 3–11 are the main source of scarlet fever and therefore the introduction of prevention and control into kindergarten and primary schools may be key to the control of scarlet fever epidemics.

Breastfeeding Support: A Geographic Perspective on Access and Equity

2017 ◽  
Vol 33 (4) ◽  
pp. 770-780 ◽  
Author(s):  
Tony H. Grubesic ◽  
Kelly M. Durbin
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
The State ◽  
Limited Information ◽  
Breastfeeding Support ◽  
Geographic Barriers ◽  
Catchment Areas ◽  
Support Resources ◽  
Access And Equity ◽  
Analytical Approaches

Background: Clinical lactation professionals, breastfeeding peer counseling, and mother-to-mother support are important sources of information and guidance for helping mothers initiate and maintain breastfeeding in the early weeks, months, and years postpartum. However, there is limited information concerning the geographic barriers that mothers face when seeking this support. Research aim: This study aimed to identify the geographic barriers to breastfeeding support, delineate gaps in access, assess inequities in the distribution of local support, and highlight the underlying differences in access and equity for different demographic and socioeconomic groups. Methods: The locations of formal breastfeeding support resources were collected for the state of Ohio for 2016 and were combined with demographic and socioeconomic estimates and derived transportation catchment areas to conduct an analysis of spatial access and equity. Results: Significant geographic gaps in formal breastfeeding support exist within the state of Ohio. Although urban areas benefit from a higher density of support options, including a wide variety of clinical experts and mother-to-mother support groups, inequities in exurban and rural areas were more strongly aligned with socioeconomic status than geography. In particular, the Special Supplemental Nutrition Program for Women, Infants, and Children offices in rural Ohio offer breastfeeding support to income-qualifying mothers but cannot address the needs of mothers who do not qualify. Conclusion: Spatial analytical approaches facilitate a more nuanced view of access and equity to breastfeeding support options, helping to both decompose important structural differences in the state of Ohio and identify locations that could benefit from additional breastfeeding support resources.

scholarly journals Epidemiological study of scarlet fever in Shenyang , China

2019 ◽  
Author(s):  
Huijie Chen ◽  
Ye Chen ◽  
Baijun Sun ◽  
Lihai Wen ◽  
Xiangdong An
Keyword(s):  
Rural Areas ◽  
Scarlet Fever ◽  
Urban Areas ◽  
Primary Schools ◽  
Prevention And Control ◽  
Hot Spot ◽  
Temporal Distribution ◽  
Control Measures ◽  
And Control ◽  
Epidemiological Characteristics

Abstract Background: Since 2011, there has been an increase in the incidence of scarlet fever across China. The main objective of this study was to depict the spatiotemporal epidemiological characteristics of the incidence of scarlet fever in Shenyang, China, in 2018 so as to provide the scientific basis for effective strategies of scarlet control and prevention. Methods: Excel 2010 was used to demonstrate the temporal distribution at the month level and ArcGIS10.3 was used to demonstrate the spatial distribution at the district/county level. Moran’s autocorrelation coefficient was used to examine the spatial autocorrelation and the Getis-Ord statistic was used to determine the hot-spot areas of scarlet fever. Results: A total of 2,314 scarlet fever cases were reported in Shenyang in 2018 with an annual incidence of 31.24 per 100,000. The incidence among males was higher than that among females（p＜0.001). A vast majority of the cases (96.89%) were among children aged 3 to 11 years. The highest incidence was 625.34/100,000 in children aged 5-9 years. In 2018 there were two seasonal peaks of scarlet fever in June (summer-peak) and December (winter-peak).The incidence of scarlet fever in urban areas was significantly higher than that in rural areas(p＜0.001).The incidence of scarlet fever was randomly distributed in Shenyang. There are hotspot areas located in seven districts. Conclusions: Urban areas are the hot spots of scarlet fever and joint prevention and control measures between districts should be applied. Children aged 3-11 are the main source of scarlet fever and therefore the introduction of prevention and control into kindergarten and primary schools may be key to the control of scarlet fever epidemics.

scholarly journals Ethnic and epidemiological characteristics of HIV-infected patients died in 2009-2010 in the Republic of Tatarstan

2014 ◽  
Vol 95 (3) ◽  
pp. 421-425
Author(s):  
A G Sharipova ◽  
I G Zakirov ◽  
A A Gilmanov
Keyword(s):  
Urban Areas ◽  
Causes Of Death ◽  
Disease Duration ◽  
Sexual Contact ◽  
Research Goal ◽  
The Mean ◽  
The Republic ◽  
Group 2 ◽  
Epidemiological Characteristics ◽  
Group 1

Aim. The research goal was to evaluate the ethnical and epidemiological characteristics of the deceased HIV-infected patients in the Republic of Tatarstan. Methods. Causes of death among HIV-infected patients were analyzed. Depending on ethnicity they were divided into two groups: group 1 (n=276, 71.1%) - Russian nationality, group 2 (n=112, 28.9%) - Tatar nationality. Results. Mortality of HIV-infected persons of group 1 was 3.2 times higher than among patients of group 2 (18.4 and 5.6 per 100 000 respectively, p 0.001). In both groups majority of patients (79.0 and 62.5% in 1 and 2 groups) were infected through drug injections. Highest mortality rate was observed in HIV-infected males younger than 40 years who lived in urban areas and was associated with tuberculosis, lung and cardiovascular diseases. The mean disease duration after diagnosis in the 1st and 2nd groups was similar (5.2±0.3 and 5.1±0.4 years, respectively). Shorter survival period was observed in females, older than 50 years, persons infected through sexual contact and patients with comorbidities. Conclusion. In the Republic of Tatarstan mortality among HIV-infected persons of Russian nationality was higher than in a group with Tatar nationality. Disease duration of HIV-infected persons had no association with their ethnic group.

scholarly journals Mass hysteria attack rates in children and adolescents: a meta-analysis

2021 ◽  
Vol 49 (12) ◽  
pp. 030006052110398
Author(s):  
Gang Zhao ◽  
Qinglin Cheng ◽  
Xianming Dong ◽  
Li Xie
Keyword(s):  
Children And Adolescents ◽  
Rural Areas ◽  
Urban Areas ◽  
Meta Analysis ◽  
Population Characteristics ◽  
School Students ◽  
Trigger Factors ◽  
History Of ◽  
Mass Hysteria ◽  
Epidemiological Characteristics

Objectives There are few systematic assessments of mass hysteria (MH) attack rates (ARs) in adolescents and children. The study aim was to assess the ARs of MH in this population. Methods We used a meta-analysis to systematically review studies and assess ARs. Results The reviewed studies included 32,887 participants, of which 2968 were children and adolescents with a history of MH. Twenty-eight studies were included, of which 22 (78.6%) had high to moderate methodological quality. The pooled AR of MH was 9.8% (95% confidence interval [CI] 6.3, 14.0). Of MH studies between 2010 and 2020, 78.6% were conducted between 2010 and 2014. ARs were higher between 2010 and 2014 (10.3%) than between 2015 and 2020 (8.1%). Regarding population characteristics, the AR in girls was 2.43 (95% CI 1.70, 3.46) times higher than in boys. Most studies were on primary school students (46.4%), who showed the highest AR (15.4%). Of six trigger factors, water pollution showed the highest AR (16.3%). ARs were higher in rural areas (11.1%) than in urban areas (5.6%). Conclusions MH in children and adolescents seems prevalent and shows some epidemiological characteristics. These findings may assist governments to control and prevent MH epidemics among children and adolescents.

scholarly journals Epidemiological Analysis of 1234 Cases of Laryngeal Cancer in Shanxi Province, China

2021 ◽  
Vol 28 ◽  
pp. 107327482110412
Author(s):  
Hui Qi ◽  
Wenjie Chen ◽  
Chunming Zhang ◽  
Xiwang Zheng ◽  
Chen Peng ◽  
...  
Keyword(s):  
Incidence Rate ◽  
Laryngeal Cancer ◽  
Rural Areas ◽  
Urban Areas ◽  
Northern China ◽  
Shanxi Province ◽  
World Population ◽  
Drinking Status ◽  
Epidemiological Characteristics ◽  
The City

Background Laryngeal cancer is a common malignancy of the head and neck, especially in northern China, including Shanxi province. This study intends to describe the epidemiological characteristics of laryngeal cancer in Shanxi Province, China, in order to support prevention and treatment efforts. Methods Retrospective analysis of the medical records of patients diagnosed with laryngeal cancer in hospitals in Shanxi Province from 2008 to 2012. Results The average annual incidence rate of laryngeal cancer in Shanxi province from 2008 to 2012 was 0.70/105, the Chinese population standardized incidence rate was 0.57/105 and the world population standardized incidence rate was 0.60/105. The city with the highest incidence of laryngeal cancer in Shanxi Province is Taiyuan, followed by Yangquan, and the lowest incidence are Yuncheng and Jincheng. The cases included 723 farmers (58.6%), 338 workers (27.4%), 95 government cadres (7.7%), 35 unemployed individuals (2.8%), 30 teachers (2.4%) and 13 individuals with other occupations (1.1%). The incidence of laryngeal cancer in rural areas was 0.78/105, while urban areas was 0.60/105. Of 1006 patients with smoking and drinking status reported, there were 238 both smoking and drinking (23.7%), 491 only smoking but not drinking (48.8%), 4 only drinking but not smoking (0.4%), 273 both not smoking and not drinking (27.1%) (P<0.001), and there were 695 males smoking (95.3%), 34 females smoking (4.7%) (P<0.001). Of 879 patients for whom the primary cancer location was known, 406 cases (46.2%) were supraglottic and 428 cases (48.7%) were glottic. Among 1009 patients with known pathological classification, the vast majority had squamous cell carcinoma (992 cases, 98.3%). Conclusions To sum up, the incidence of laryngeal cancer in Shanxi Province exhibited a relatively stable trend from 2008 to 2012, and the incidence is higher in men than in women in all years. The high percentage of smokers in this study underscores the importance of smoking as a risk factor for laryngeal cancer, whereas rates of drinking did not appear to be linked. Incidence of laryngeal cancer was higher in rural areas than in urban areas, a pattern that differs from other regions of China and internationally.

scholarly journals Epidemiological study of scarlet fever in Shenyang City, China

2019 ◽  
Author(s):  
Huijie Chen ◽  
Ye Chen ◽  
Baijun Sun ◽  
Lihai Wen ◽  
Xiangdong An
Keyword(s):  
Rural Areas ◽  
Hot Spots ◽  
Scarlet Fever ◽  
Urban Areas ◽  
Primary Schools ◽  
Prevention And Control ◽  
Hot Spot ◽  
Control Measures ◽  
And Control ◽  
Epidemiological Characteristics

Abstract Objectives: To depict the Spatiotemporal epidemiological characteristics of the incidence of scarlet fever in Shenyang, China, in 2018 so as to provide the scientific basis for effective strategies of scarlet control and prevention. Methods: Excel 2010 was used to demonstrate the temporal distribution at the month level and ArcGIS10.3 was used to demonstrate the spatial distribution at the district/county level. Moran’s autocorrelation coefficient was used to examine the spatial autocorrelation and the Getis-Ord statistic was used to determine the hot-spot areas of scarlet fever. Results: A total of 2,314 scarlet fever cases were reported in Shenyang in 2018 with an annual incidence of 31.24 per 100,000. The incidence among males was higher than that among females(X2=95.013, P≤0.001). A vast majority of the cases (96.89%) were among children aged 3 to 11 years. The highest incidence was 625.34/100,000 in children aged 5-9 years. There are two seasonal peaks occurred in June (Summer-peak) and in December (Winter-peak) in 2018. The incidence of scarlet fever in urban areas was significantly higher than that in rural areas(X2=514.115, P≤0.001).The incidence of scarlet fever was randomly distributed in Shenyang. There are hot-spots areas located in seven districts. Conclusions: Urban areas are the hot spots of scarlet fever and joint prevention and control measures between districts should be applied. Children in the kindergartens and the primary school students are the main population of scarlet fever and the time distribution of scarlet fever is highly consistent with their school and vacation time. It is suggested that measure for prevention and control of scarlet fever in kindergartens and primary schools is the key to control the epidemic of scarlet fever.

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