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Objective@#To analyze the incidence and trends for incidence of stroke in Jinhua City from 2015 to 2020, so as to provide insights into stroke control.@*Methods@#The data pertaining to incidence of stroke among registered residents in Jinhua City from 2015 to 2020 were collected from Zhejiang Provincial Information Management System for Surveillance on Chronic Diseases. The incidence of stroke was estimated and standardized to the Sixth National Population Census in 2010. The trend in incidence of stroke was evaluated using annual percent change (APC).@*Results@#Totally 120 993 stroke cases were reported in Jinhua City from 2015 to 2020, and the annual mean crude incidence and standardized incidence of stroke were 415.68/105 and 339.67/105, respectively. There were no significant trends in crude incidence (APC=0.30%, t=0.234, P=0.827) and standardized incidence of stroke (APC=-0.99%, t=0.946, P=0.398). The crude incidence of stroke was significantly higher in men than in women (457.38/105 vs. 372.62/105; χ2 =1 262.329, P<0.001), and the crude incidence of stroke appeared a tendency towards a rise with age (χ2 trend=377 708.263, P<0.001), with a tendency towards a decline among residents at ages of 75 years and older (APC=-2.66%, t=3.078, P=0.037). There were 94 038 residents with ischemic stroke (77.72%) and 24 176 residents with hemorrhagic stroke (19.98%), and both the crude incidence (APC=1.78%, t=3.440, P=0.026) and standardized incidence of hemorrhagic stroke (APC=2.66%, t=3.911, P=0.017) appeared a tendency towards a decline.@* Conclusions@#The incidence of stroke remained relatively stable in Jinhua City from 2015 to 2020; however, the overall incidence was still high. Ischemic stroke was the predominant type of stroke, and men and middle-aged and elderly people are at high risk of stroke.
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Objective@#To understand the epidemiological characteristics of injury in Jinhua from 2014 to 2018,and to provide scientific basis for formulating injury intervention and prevention measures.@*Methods@#The information of injury cases from three sentinel hospitals in Jinhua from 2014 to 2018 was collected through Zhejiang chronic diseases surveillance and management system. Descriptive analysis was conducted on the demographic characteristics,causes and time distribution of injury surveillance cases.@*Results@#A total of 38 052 injuries were reported from 2014 to 2018,with 1.55 men for every woman. The average age of injury cases was（37.21±20.46）years,and increased year by year（P<0.05）. The age of injury cases mainly concentrated in 25-44 years,with 13 880 cases accounting for 36.48%. The main occupation were migrant workers,with 17 694 cases accounting for 46.50%,and workers,with 6 441 cases accounting for 16.93%. The top five causes of injury were falls（13 555,35.62%）,blunt injuries（9 785,25.72%）,traffic injuries（4 990,13.12%）,stabs or cuts（4 830,12.69%）and animal injuries（2 661,6.99%）. The high incidence of injury lay in July to September,with 11 131 cases accounting for 29.25%. @*Conclusion@#The top cause of injury in Jinhua from 2014 to 2018 were fall. Males,migrant workers and people aged 25-44 years were at high risk of injury.
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Objective To evaluate the effectiveness of community?based standardized blood pressure control and lifestyle management in hypertensive patients in Jinhua. Methods The study included patients with primary hypertension from community health service centers in Yongkang, Lanxi, and an urban district in Jinhua. Electronic health record data from 2015 to 2017 were collected, and relevant indicators before and after standardized management were assessed. Rates and constituent ratios were used for statistical evaluation. Numeric data were compared using the chi square test, and means were compared using the t?test. Results Of 14 943 hypertensive patients who underwent standardized management, 8 052 were women (53.88%) and 6 891 were men (46.12%). The average age of these patients in early 2015 was 66.63 years. After 3 years of standardized management, the rate of blood pressure control increased from 42.85% to 49.50%. The difference was statistically significant (χ2=133.019, P<0.05). The mean systolic and diastolic blood pressure values (138.67 mmHg and 84.46 mmHg, respectively) (1 mmHg=0.133 kPa) after standardized management were significantly different from those (139.40 mmHg and 85.08 mmHg, respectively) before standardized management (t=7.667, P<0.05; t=6.583, P<0.05, respectively). The average body weight, number of cigarettes smoked daily, and regular exercise time (61.51 kg, 15.28 cigarettes, and 40.56 min, respectively) after standardized management were significantly different from those (61.62 kg, 15.49 cigarettes, and 40.31 min, respectively) before standardized management (t=5.015, P<0.05; t=1.848, P<0.05; t=2.455, P<0.05, respectively). The medication compliance and willingness of being managed had significantly increased. The difference was statistically significant (χ2=72.600, P<0.05; χ2=299.434, P<0.05, respectively). Conclusions Standardized community-based management of hypertension effectively improved the rate of blood pressure control and the overall health of residents.
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Objective To measure the financial burden incurred by hypertension to urban patients in Beijing, Nanjing and Hangzhou cities. Methods Two communities were sampled from the three cities randomly, and 300 hypertension patients were sampled randomly from hypertension control files in each community for questionnaire survey. Results Health expenditure of the families with hypertension patients accounts for 14. 4% of the family's income, and 18. 2% of the family's expenditure, a ratio far beyond the national average (10.6 %). However, the majority of them report the burden as affordable.The basic medical insurance for urban residents helps alleviate the financial burden of hypertension patients and the extent of such burden has a close bearing on the outcome of hypertension treatment and prevention. Conclusion Effective community-based blood-pressure monitoring and control system is key to reducing the financial burden of hypertension. The reimbursement policy for hypertensive patients within the basic medical insurance is expected to be further improved.