Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
BMC Public Health
Published in: BMC Public Health 1/2013

Open Access 01-12-2013 | Research article

Chronic disease mortality in rural and urban residents in Hubei Province, China, 2008–2010

Authors: Liwei Cheng, Li Tan, Lan Zhang, Sheng Wei, Li Liu, Lu Long, Jie Zhang, Yaqiong Wu, Qingjun Zhang, Shaofa Nie

Published in: BMC Public Health | Issue 1/2013

Login to get access

Abstract

Background

Chronic non-communicable diseases have become the major cause of death in China. This study describes and compares chronic disease mortality between urban and rural residents in Hubei Province, central China.

Methods

Death records of all individuals aged 15 years and over who died from 2008 through 2010 in Hubei were obtained from the Disease Surveillance Points system maintained by the Hubei Province Centers for Disease Control and Prevention. Average annual mortality, standardized death rates, years of potential life lost (YLL), average years of potential life lost (AYLL) and rates of life lost were calculated for urban and rural residents. Standardized rate ratios (SRR) were calculated to compare the death rates between urban and rural areas.

Results

A total of 86.2% of deaths were attributed to chronic non-communicable diseases in Hubei. Cerebrovascular diseases, ischemic heart disease and neoplasms were the main leading causes in both urban and rural areas, and the mortality rates were higher among rural residents. Lung cancer was the principal cause of mortality from cancer among urban and rural residents, and stomach cancer and liver cancer were more common in rural than urban areas. Breast cancer mortality among women in rural areas was lower than in urban areas (SRR=0.73, 95% CI=0.63–0.85). The standardized mortality for chronic lower respiratory disease among men in rural areas was higher than in urban areas (SRR=4.05, 95% CI=3.82–4.29). Among men, total AYLL from liver cancer and other diseases of liver were remarkably higher than other causes in urban and rural areas. Among women the highest AYLL were due to breast cancer in both urban and rural areas.

Conclusions

Chronic diseases were the major cause of death in Hubei Province. While circulatory system diseases were the leading causes in both urban and rural areas, our study highlights that attention should also be paid to breast cancer among women and chronic lower respiratory disease among rural residents. It is important that governments focus on this public health issue and develop preventive strategies to reduce morbidity and premature mortality from chronic non-communicable diseases.
Literature
1.
Mathers CD, Boerma T, Fat DM: Global and regional causes of death. Br Med Bull. 2009, 92 (1): 7-32. 10.1093/bmb/ldp028.CrossRefPubMed
2.
Sun H, Zhang Q, Luo X, Quan H, Zhang F, Liu C, Liu M: Changes of adult population health status in China from 2003 to 2008. PLoS ONE. 2011, 6 (12): e28411-10.1371/journal.pone.0028411.CrossRefPubMedPubMedCentral
3.
Liu Y, Rao K, Wu J, Gakidou E: China’s health system performance. Lancet. 2008, 372 (9653): 1914-1923. 10.1016/S0140-6736(08)61362-8.CrossRefPubMed
4.
Wang Y, Li L: Evaluation of impact of major causes of death on life expectancy changes in China, 1990–2005. Biomed Environ Sci. 2009, 22 (5): 430-441. 10.1016/S0895-3988(10)60022-0.CrossRefPubMed
5.
Yang G, Kong L, Zhao W, Wan X, Zhai Y, Chen LC, Koplan JP: Emergence of chronic non-communicable diseases in China. Lancet. 2008, 372 (9650): 1697-1705. 10.1016/S0140-6736(08)61366-5.CrossRefPubMed
6.
Cook IG, Dummer TJB: Changing health in China: re-evaluating the epidemiological transition model. Health Policy. 2004, 67 (3): 329-343. 10.1016/j.healthpol.2003.07.005.CrossRefPubMed
7.
Wang L, Kong L, Wu F, Bai Y, Burton R: Preventing chronic diseases in China. Lancet. 2005, 366 (9499): 1821-1824. 10.1016/S0140-6736(05)67344-8.CrossRefPubMed
8.
Tian M, Chen Y, Zhao R, Chen L, Chen X, Feng D, Feng Z: Chronic disease knowledge and its determinants among chronically ill adults in rural areas of Shanxi Province in China: a cross-sectional study. BMC Publ Health. 2011, 11: 948-10.1186/1471-2458-11-948.CrossRef
9.
Center for health statistics and information M: An Analysis Report of National Health Services Survey in China. Volume 2009. 2008, Peking Union Medical College Press, 8-12. 126
10.
11.
Gaziano TA, Galea G, Reddy KS: Scaling up interventions for chronic disease prevention: the evidence. Lancet. 2007, 370 (9603): 1939-1946. 10.1016/S0140-6736(07)61697-3.CrossRefPubMed
12.
Kim S, Symons M, Popkin BM: Contrasting socioeconomic profiles related to healthier lifestyles in China and the United States. Am J Epidemiol. 2004, 159 (2): 184-191. 10.1093/aje/kwh006.CrossRefPubMed
13.
Mao Z, Wu B: Urban–rural, age and gender differences in health behaviors in the Chinese population: findings from a survey in Hubei, China. Public Health. 2007, 121 (10): 761-764. 10.1016/j.puhe.2007.02.015.CrossRefPubMed
14.
Joshi R, Cardona M, Iyengar S, Sukumar A, Raju CR, Raju KR, Raju K: Chronic diseases now a leading cause of death in rural India-mortality data from the Anhra Pradesh Rural Health Initiative. Int J Epidemiol. 2006, 35 (6): 1522-1529. 10.1093/ije/dyl168.CrossRefPubMed
15.
Yang G, Hu J, Rao KQ, Ma J, Rao C, Lopez AD: Mortality registration and surveillance in China: History, current situation and challenges. Popul Health Metr. 2005, 3: 3-10.1186/1478-7954-3-3.CrossRefPubMedPubMedCentral
16.
17.
Sun X, Ye T, Hu G, Lv Y, Zhang Z, Zhang L: Analysis of health service needs of residents in Hubei province and its influential factors. Medicine and Society. 2010, 23 (9): 42-43. (in Chinese)
18.
Liu Q, Zhang L, Li J, Zuo D, Kong D, Shen X, Guo Y, Zhang Q: The gap in injury mortality rates between urban and rural residents of Hubei province, China. BMC Public Health. 2012, 12: 180-10.1186/1471-2458-12-180.CrossRefPubMedPubMedCentral
19.
20.
Schmidt MI, Duncan BB, Silva GA, Menezes AM, Monteiro CA, Barreto SM, Chor D, Menezes PR: Chronic non-communicable diseases in Brazil: burden and current challenges. Lancet. 2011, 377 (9781): 1949-1961. 10.1016/S0140-6736(11)60135-9.CrossRefPubMed
21.
Dans A, Ng N, Varghese C, Tai ES, Firestone R, Bonita R: The rise of chronic non-communicable diseases in southeast Asia: time for action. Lancet. 2011, 377 (9766): 680-689. 10.1016/S0140-6736(10)61506-1.CrossRefPubMed
22.
Hu SS, Kong LZ, Gao RL, Zhu ML, Wang W, Wang YJ, Wu ZS, Chen WW, Liu MB: Ourline of the report on cardiovascular disease in China, 2010. Biomed Environ Sci. 2012, 25 (3): 251-256.PubMed
23.
24.
Lin JD, Zhang L, Xu ZZ, Xu LC: Research on burden of chronic diseases among rural–urban residents in Xuzhou. Public Health. 2010, 124 (6): 345-349. 10.1016/j.puhe.2010.03.004.CrossRefPubMed
25.
Faria M: Lung cancer mortality in an urban and industrialised area of Brazil: 1980–93. Occup Environ Med. 2001, 58 (2): 136-137. 10.1136/oem.58.2.136.CrossRefPubMedPubMedCentral
26.
Luo J, Hendryx M: Environmental carcinogen releases and lung cancer mortality in rural–urban areas of the united states. J Rural Health. 2011, 27 (4): 342-349. 10.1111/j.1748-0361.2010.00357.x.CrossRefPubMed
27.
Zhao Y, Wang S, Aunan K, Seip HM, Hao J: Air pollution and lung cancer risks in China - a meta-analysis. Sci Total Environ. 2006, 366 (2–3): 500-513.CrossRefPubMed
28.
Tie X, Wu D, Brasseur G: Lung cancer mortality and exposure to atmospheric aerosol particles in Guangzhou, China. Atmospheric Environment. 2009, 43 (14): 2375-2377. 10.1016/j.atmosenv.2009.01.036.CrossRef
29.
Yang W, Lu J, Weng J, Jia W, Ji L, Xiao J, Shan Z: Prevalence of diabetes among men and women in China. N Engl J Med. 2010, 362 (25): 1090-1101.CrossRefPubMed
30.
Yan S, Li J, Li S, Zhang B, Du S, Gordon-Larsen P, Adair L, Popkin B: The expanding burden of cardiometabolic risk in China: the China Health and Nutrition. Obesity Reviews. 2012, 13 (9): 810-821. 10.1111/j.1467-789X.2012.01016.x.CrossRefPubMedPubMedCentral
31.
Wild S, Roglic G, Green A, Sicree R, King H: Global prevalence of diabetes: estimates for the year 2000 and projections for 2030. Diabetes Care. 2004, 27 (5): 1047-1053. 10.2337/diacare.27.5.1047.CrossRefPubMed
32.
Wang Y, Mi J, Shan XY, Wang QJ, Ge KY: Is China facing an obesity epidemic and the consequences? The trends in obesity and chronic disease in China. Int J Obes (Lond). 2007, 31 (1): 177-188. 10.1038/sj.ijo.0803354.CrossRef
33.
He J, Gu D, Wu X, Reynolds K, Duan X, Yao C, Wang J, Chen C-S, Chen J, Wildman RP, et al: Major causes of death among men and women in China. N Engl J Med. 2005, 353 (11): 1124-1134. 10.1056/NEJMsa050467.CrossRefPubMed
34.
Daar AS, Singer PA, Persad DL, Pramming SK, Matthews DR, Beaglehole R, Bernstein A: Grand challenges in chronic non-communicable diseases. Nature. 2007, 450 (7169): 494-496. 10.1038/450494a.CrossRefPubMed
Metadata
Title
Chronic disease mortality in rural and urban residents in Hubei Province, China, 2008–2010
Authors
Liwei Cheng
Li Tan
Lan Zhang
Sheng Wei
Li Liu
Lu Long
Jie Zhang
Yaqiong Wu
Qingjun Zhang
Shaofa Nie
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2013
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-13-713

Other articles of this Issue 1/2013

BMC Public Health 1/2013 Go to the issue

Research article

Physical and mental health perspectives of first year undergraduate rural university students

Research article

Reasons for poor adherence to antiretroviral therapy postnatally in HIV-1 infected women treated for their own health: experiences from the Mitra Plus study in Tanzania

Research article

Modeling predictors of risky drug use behavior among male street laborers in urban Vietnam

Study protocol

Internet-based interventions for disordered gamblers: study protocol for a randomized controlled trial of online self-directed cognitive-behavioural motivational therapy

Research article

Cardiovascular disease in relation to diabetes status in immigrants from the Middle East compared to native Swedes: a cross-sectional study

Research article

Quantifying the burden of disease due to premature mortality in Hong Kong using standard expected years of life lost