Trend change of the mortality and disease burden of hypertensive nephropathy in Chongqing in 2012-2023
10.3969/j.issn.1006-2483.2025.06.011
- VernacularTitle:2012—2023年重庆市高血压肾病死亡疾病负担及趋势变化
- Author:
Xianbin DING
1
;
Yan JIAO
1
;
Rui DING
2
;
Biao KANG
3
;
Hao MU
4
;
Jie XU
1
;
Ting CHEN
1
;
Jiawei XIE
5
Author Information
1. Department of Chronic and Non-communicable Disease Prevention and Control , Chongqing Center for Disease Prevention and Control , Chongqing 400707, China
2. First Medical Colleg , Chongqing Medical Universit , Chongqing 400016 , China
3. Department of Chronic and Non-communicable Disease Control and Prevention , Liangping District Center for Disease Control and Prevention , Chongqing 401420 , China
4. Public Health College , Chongqing Medical University , Chongqing 400016 , China
5. Rongchang District Center for Disease Control and Prevention , Chongqing 402460 , China
- Publication Type:Journal Article
- Keywords:
Hypertensive nenephropathy;
Mortality;
Years of life lost;
Average year of life lost;
Disease burden
- From:
Journal of Public Health and Preventive Medicine
2025;36(6):43-47
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze trend changes of disease burden of hypertensive nephropathy (HTN) between 2012 and 2023 in Chongqing, and to provide the suggestion for HTN prevention and treatment. Methods Death cases of HTN from Chongqing death registration data between 2012 and 2023 were analyzed to calculate indicators such as mortality, age standardization mortality rate (ASMR), rate of years of life lost (YLL) and Average years of life lost. The mortality of HTN between male and female, urban and rural were compared by Chi-square test. The trend change was explained by average annual percent of change (AAPC). Results The mortality and standardized mortality of HTN in Chongqing decreased from 5.44/100 000 and 3.13/100 000 in 2012 to 2.76/100 000 and 1.07/100,000 in 2023 respectively. The average annual percent change (AAPC) was -5.41% and -8.35% respectively, and the differences in the change trends were statistically significant (P<0.01). The mortality and standardized mortality of HTN in males and females decreased with AAPC of 5.50%, 8.07%, 5.27% and 8.69% respectively, and the differences in the change trends were all statistically significant (all P< 0.05). From 2012 to 2014, 2019 and 2021, the mortality rate of HTN in rural areas was higher than that in urban areas (all P < 0.05). The mortality and standardized mortality of HTN in rural areas decreased with AAPC of 6.58% and 9.46% respectively, and the differences in the change trends were all statistically significant (all P<0.05). The rate of YLL and standardized YLL of HTN in Chongqing decreased from 96.02/100 000 and 60.42/100 000 in 2012 to 44.98/100 000 and 21.49/100 000 in 2023 respectively. The AAPC was -5.83% and -7.80% respectively, and the differences in the change trends were statistically significant (both P < 0.05). AYLL of HTN were 17.88 years in 2012, and it was 17.08 years in 2023. There were no statistically significant differences in the changes (both P > 0.05). The standardized AYLL of HTN in rural areas increased at an average annual rate of 1.14%, and the difference was statistically significant (P < 0.05). Conclusion The mortality and YLL rate of HNT in Chongqing was lower than it in China. Moreover, its trend was decreased. It should be strengthened early screening and healthy management of HNT.
