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Trends and Inequalities in the Incidence of Acute Myocardial Infarction among Beijing Townships, 2007–2018

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  • Jie Chang

    (Department of Epidemiology, Beijing An Zhen Hospital, Capital Medical University, Beijing 100029, China
    Beijing Institute of Heart, Lung and Blood Vessel Diseases, Beijing 100029, China
    National Clinical Research Center of Cardiovascular Diseases, Beijing 100029, China
    Beijing Municipal Key Laboratory of Clinical Epidemiology, Beijing 100069, China)

  • Qiuju Deng

    (Department of Epidemiology, Beijing An Zhen Hospital, Capital Medical University, Beijing 100029, China
    Beijing Institute of Heart, Lung and Blood Vessel Diseases, Beijing 100029, China
    National Clinical Research Center of Cardiovascular Diseases, Beijing 100029, China
    Beijing Municipal Key Laboratory of Clinical Epidemiology, Beijing 100069, China)

  • Moning Guo

    (Beijing Municipal Health Commission Information Center, Beijing 100034, China)

  • Majid Ezzati

    (Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London W2 1PG, UK
    MRC Centre for Environment and Health, School of Public Health, Imperial College London, London W2 1PG, UK
    Abdul Latif Jameel Institute for Disease and Emergency Analytics, Imperial College London, London W2 1PG, UK
    Regional Institute for Population Studies, University of Ghana, Accra P.O. Box LG 96, Ghana)

  • Jill Baumgartner

    (Institute for Health and Social Policy & Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, QC H3A 1G1, Canada)

  • Honor Bixby

    (Institute for Health and Social Policy & Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, QC H3A 1G1, Canada)

  • Queenie Chan

    (Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London W2 1PG, UK
    MRC Centre for Environment and Health, School of Public Health, Imperial College London, London W2 1PG, UK)

  • Dong Zhao

    (Department of Epidemiology, Beijing An Zhen Hospital, Capital Medical University, Beijing 100029, China
    Beijing Institute of Heart, Lung and Blood Vessel Diseases, Beijing 100029, China
    National Clinical Research Center of Cardiovascular Diseases, Beijing 100029, China
    Beijing Municipal Key Laboratory of Clinical Epidemiology, Beijing 100069, China)

  • Feng Lu

    (Beijing Municipal Health Commission Information Center, Beijing 100034, China)

  • Piaopiao Hu

    (Department of Epidemiology, Beijing An Zhen Hospital, Capital Medical University, Beijing 100029, China
    Beijing Institute of Heart, Lung and Blood Vessel Diseases, Beijing 100029, China
    National Clinical Research Center of Cardiovascular Diseases, Beijing 100029, China
    Beijing Municipal Key Laboratory of Clinical Epidemiology, Beijing 100069, China)

  • Yuwei Su

    (School of Urban Design, Wuhan University, Wuhan 430072, China
    School of Architecture, Tsinghua University, Beijing 100084, China)

  • Jiayi Sun

    (Department of Epidemiology, Beijing An Zhen Hospital, Capital Medical University, Beijing 100029, China
    Beijing Institute of Heart, Lung and Blood Vessel Diseases, Beijing 100029, China
    National Clinical Research Center of Cardiovascular Diseases, Beijing 100029, China
    Beijing Municipal Key Laboratory of Clinical Epidemiology, Beijing 100069, China)

  • Ying Long

    (Key Laboratory of Eco Planning & Green Building, Ministry of Education, Beijing 100084, China
    School of Architecture and Hang Lung Center for Real Estate, Tsinghua University, Beijing 100084, China)

  • Jing Liu

    (Department of Epidemiology, Beijing An Zhen Hospital, Capital Medical University, Beijing 100029, China
    Beijing Institute of Heart, Lung and Blood Vessel Diseases, Beijing 100029, China
    National Clinical Research Center of Cardiovascular Diseases, Beijing 100029, China
    Beijing Municipal Key Laboratory of Clinical Epidemiology, Beijing 100069, China)

Abstract

Acute myocardial infarction (AMI) poses a serious disease burden in China, but studies on small-area characteristics of AMI incidence are lacking. We therefore examined temporal trends and geographic variations in AMI incidence at the township level in Beijing. In this cross-sectional analysis, 259,830 AMI events during 2007–2018 from the Beijing Cardiovascular Disease Surveillance System were included. We estimated AMI incidence for 307 consistent townships during consecutive 3-year periods with a Bayesian spatial model. From 2007 to 2018, the median AMI incidence in townships increased from 216.3 to 231.6 per 100,000, with a greater relative increase in young and middle-aged males (35–49 years: 54.2%; 50–64 years: 33.2%). The most pronounced increases in the relative inequalities was observed among young residents (2.1 to 2.8 for males and 2.8 to 3.4 for females). Townships with high rates and larger relative increases were primarily located in Beijing’s northeastern and southwestern peri-urban areas. However, large increases among young and middle-aged males were observed throughout peri-urban areas. AMI incidence and their changes over time varied substantially at the township level in Beijing, especially among young adults. Targeted mitigation strategies are required for high-risk populations and areas to reduce health disparities across Beijing.

Suggested Citation

  • Jie Chang & Qiuju Deng & Moning Guo & Majid Ezzati & Jill Baumgartner & Honor Bixby & Queenie Chan & Dong Zhao & Feng Lu & Piaopiao Hu & Yuwei Su & Jiayi Sun & Ying Long & Jing Liu, 2021. "Trends and Inequalities in the Incidence of Acute Myocardial Infarction among Beijing Townships, 2007–2018," IJERPH, MDPI, vol. 18(23), pages 1-12, November.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:23:p:12276-:d:685607
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    References listed on IDEAS

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