Associations of socioeconomic factors with cause-specific Mortality and burden of cardiovascular diseases: findings from

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RESEARCH ARTICLE

Open Access

Associations of socioeconomic factors with cause-specific Mortality and burden of cardiovascular diseases: findings from the vital registration in urban Shanghai, China, during 1974–2015 Lijuan Zhang1†, Qi Li1†, Xue Han2†, Shuo Wang3†, Peng Li4†, Yibo Ding4, Tao Zhang2, Jia Zhao2, Yifan Chen4, Jiluo Liu4, Jue Li1, Xiaojie Tan4, Wenbin Liu4, Rong Zhang2 and Guangwen Cao1,4*

Abstract Background: Cardiovascular disease (CVD) is the leading cause of mortality worldwide. The effect of socioeconomic factors on cause-specific mortality and burden of CVD is rarely evaluated in low- and middleincome countries, especially in a rapidly changing society. Methods: Original data were derived from the vital registration system in Yangpu, a representative, populationstable district of urban Shanghai, China, during 1974–2015. Temporal trends for the mortality rates and burden of CVD during 1974–2015 were evaluated using Joinpoint Regression Software. The burden was evaluated using agestandardized person years of life loss per 100,000 persons (SPYLLs). Age-sex-specific CVD mortality rates were predicted by using age-period-cohort Poisson regression model. (Continued on next page)

* Correspondence: [email protected] † Lijuan Zhang, Qi Li, Xue Han, Shuo Wang and Peng Li contributed equally to this work. 1 Shanghai East Hospital, Key Laboratory of Arrhythmias, Ministry of Education, Tongji University School of Medicine, Tongji University, Shanghai 200120, China 4 Department of Epidemiology, Second Military Medical University, 800 Xiangyin Rd., Yangpu District, Shanghai 200433, People’s Republic of China Full list of author information is available at the end of the article © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

Zhang et al. BMC Public Health

(2020) 20:1291

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Results: A total of 101,822 CVD death occurred during 1974–2015, accounting for 36.95% of total death. Hemorrhagic stroke, ischemic heart disease, and ischemic stroke were the 3