山东省各地市心血管疾病负担现状及应对情况评价  

Evaluation of the current status and countermeasures of cardiovascular disease burden in cities of Shandong Province

作　　者：张丙银 唐俊利[1] 鹿子龙[1] 楚洁[1] 徐春晓[1] 郭晓雷[1] 徐爱强[1] 姜莹莹[2] 毛凡[2] 周脉耕[2] ZHANG Bing-yin;TANG Jun-li;LU Zi-long;CHU Jie;XU Chun-xiao;GUO Xiao-lei;XU Ai-qiang;JIANG Ying-ying;MAO Fan;ZHOU Mai-geng(Department of Chronic and Non-communicable Diseases Control and Prevention,Shandong Center for Disease Control and Prevention,Jinan,Shxuidong Province 250014,China;不详)

机构地区：[1]山东省疾病预防控制中心慢性非传染性疾病防制所,山东省济南250014 [2]中国疾病预防控制中心慢性非传染性疾病预防控制中心,北京100050

出　　处：《中国慢性病预防与控制》2021年第9期660-664,共5页Chinese Journal of Prevention and Control of Chronic Diseases

基　　金：山东省医药卫生科技发展计划项目(2019WS437)。

摘　　要：目的了解山东省各地市心血管疾病负担现状及应对情况,为政府部门针对性制定心血管疾病防控策略提供科学依据。方法参考国家心血管健康指数的指标体系,采用综合指数法构建包含5个维度52个指标的山东省分市心血管健康指数体系,对各指标进行同向化、标准化、百分化、加权求和等处理,计算各地市各个指标得分的加权合计总分,得分越高表现越好。本研究采用山东省分市心血管健康指数体系中A维度心血管疾病流行情况和E维度公共卫生政策与服务能力评价各地市心血管疾病负担现状及应对情况。采用SAS 9.3软件进行统计学分析。结果从心血管疾病流行情况维度来看,威海(20.67分)得分最高,聊城(0.01分)得分最低,排名前5位的地市为威海、淄博、烟台、青岛和东营,排名后5位的地市为聊城、德州、菏泽、泰安和临沂。从公共卫生政策与服务能力维度来看,东营(11.03分)得分最高,菏泽(0.27分)得分最低,排名前5位的地市为东营、莱芜、济南、威海和青岛,排名后5位的地市为菏泽、日照、德州、泰安和滨州。从心脑血管疾病流行情况具体指标来看,权重最高的总心血管病早死概率方面,青岛市最低,为5.49%,菏泽市最高,为9.10%。从公共卫生政策与服务能力维度具体指标来看,威海市在危险因素干预政策方面表现最好,临沂市在慢性病保障政策方面表现最好,莱芜市卫生投入占政府财政支出的比例最高(5.55%),青岛市居民健康素养水平最好(23.40%),济南市疾控人员配比(1.91/万人)、东营市全科医生数占比(3.53/万人)较其他地市更好。结论山东省各地市心血管疾病流行情况及应对能力不尽相同,经济和社会发展程度较高的地市整体心血管健康状况和应对情况较好,各地市在心血管疾病防治政策与服务能力每一个具体指标都存在着进步的空间,各市应关注弱项,为将来的心�Objective To understand the current status and countermeasures of cardiovascular disease burden in cities of Shandong Province,and to provide the scientific basis for formulating the prevention and control strategies of cardiovascular disease by government.Methods According to the National Cardiovascular Health Index,a comprehensive index method was used to build a cardiovascular health index system with 52 indicators in 5 dimensions,and all indicators were treated by isotropic,standardized,hundred differentiation,weighted summation,etc.The weighted total score of each index in each city was calculated,the higher the score was,the better the performance was.The A-dimensional cardiovascular disease epidemic situation and the E-dimensional public health policy and service capacity were used to evaluate the current status and response measures of cardiovascular disease burden in various cities.Statistical analysis was performed with SAS 9.3 software.Results According to the dimension of cardiovascular disease prevalence,the score(20.67) of Weihai was the highest,the score(0.01) of Liaocheng was the lowest,the top five cities were Weihai,Zibo,Yantai,Qingdao and Dongying,the bottom five cities were Liaocheng,Dezhou,Heze,Tai’an and Linyi.According to the dimension of public health policy and service capacity,the score(11.03) of Dongying was the highest,the score(0.27) of Heze was the lowest,the top five cities were Dongying,Laiwu,Jinan,Weihai and Qingdao,and the bottom five cities were Heze,Rizhao,Dezhou,Tai’an and Binzhou.According to the prevalence indexes of cardiovascular disease,the highest weighted premature death rate for cardiovascular disease in Qingdao was the lowest(5.49%),the highest weighted premature death rate for cardiovascular disease in Heze was the highest(9.10%).According to the dimension index of public health policy and service capability,the intervention policy of risk factors in Weihai was the best,the safeguard policy for chronic diseases in Linyi was the best,the proportion of health inves

关 键 词：综合指数法 心血管疾病负担 应对情况 

分 类 号：R54[医药卫生—心血管疾病]