Global burden of stroke attributable to secondhand smoke in 204 countries and territories from 1990 to 2019: analysis of the global burden of disease study
BackgroundSecondhand smoke (SHS) continues a significant public health concern globally. This study aimed to assess the global burden of stroke attributable to SHS exposure during 1990–2019.MethodsThis analysis utilized data on stroke morbidity and mortality from the Global Burden of Disease (GBD) 2...
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Frontiers Media S.A.
2024-01-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2024.1320033/full |
| _version_ | 1797346213008244736 |
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| author | Xinyue Yang Jiayi Sun Wenjuan Zhang |
| author_facet | Xinyue Yang Jiayi Sun Wenjuan Zhang |
| author_sort | Xinyue Yang |
| collection | DOAJ |
| description | BackgroundSecondhand smoke (SHS) continues a significant public health concern globally. This study aimed to assess the global burden of stroke attributable to SHS exposure during 1990–2019.MethodsThis analysis utilized data on stroke morbidity and mortality from the Global Burden of Disease (GBD) 2019 study covering 204 countries and territories. We estimated stroke burden indicators attributable to SHS exposure, including age-standardized mortality rate (ASMR) and age-standardized disability-adjusted life-year rate (ASDR), stratified by age, sex, region, and stroke subtype.ResultsIn 2019, global SHS exposure accounted for 2.01 [95% uncertainty interval (UI): 1.49–2.58] million stroke mortality. The ASMR and ASDR were 2.5 (95% UI: 1.9–3.2) and 61.5 (95% UI: 46–78.8) per 100,000 population, respectively. The disease burden was higher among women than men and higher among the elderly than younger populations. Intracerebral hemorrhage and ischemic stroke had a more significant burden than subarachnoid hemorrhage. From 1990 to 2019, the ASMR and ASDR declined [estimated annual percentage change: −2.08 (95% CI: −2.21% to −1.95%) and −2.08% (95% CI: −2.19% to −1.97%) for each], but the absolute number of mortalities increased along with population growth. Substantial disparities existed across regions and sociodemographic groups.ConclusionDespite declining ASMR and ASDR over time, the absolute number of stroke deaths attributable to SHS continued to rise globally, imposing a considerable stroke burden worldwide. These findings can inform targeted interventions and policies aimed at SHS control. |
| first_indexed | 2024-03-08T11:28:47Z |
| format | Article |
| id | doaj.art-25b924702fc94006854ae4cd16ff7d6d |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-03-08T11:28:47Z |
| publishDate | 2024-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-25b924702fc94006854ae4cd16ff7d6d2024-01-26T04:19:33ZengFrontiers Media S.A.Frontiers in Neurology1664-22952024-01-011510.3389/fneur.2024.13200331320033Global burden of stroke attributable to secondhand smoke in 204 countries and territories from 1990 to 2019: analysis of the global burden of disease studyXinyue YangJiayi SunWenjuan ZhangBackgroundSecondhand smoke (SHS) continues a significant public health concern globally. This study aimed to assess the global burden of stroke attributable to SHS exposure during 1990–2019.MethodsThis analysis utilized data on stroke morbidity and mortality from the Global Burden of Disease (GBD) 2019 study covering 204 countries and territories. We estimated stroke burden indicators attributable to SHS exposure, including age-standardized mortality rate (ASMR) and age-standardized disability-adjusted life-year rate (ASDR), stratified by age, sex, region, and stroke subtype.ResultsIn 2019, global SHS exposure accounted for 2.01 [95% uncertainty interval (UI): 1.49–2.58] million stroke mortality. The ASMR and ASDR were 2.5 (95% UI: 1.9–3.2) and 61.5 (95% UI: 46–78.8) per 100,000 population, respectively. The disease burden was higher among women than men and higher among the elderly than younger populations. Intracerebral hemorrhage and ischemic stroke had a more significant burden than subarachnoid hemorrhage. From 1990 to 2019, the ASMR and ASDR declined [estimated annual percentage change: −2.08 (95% CI: −2.21% to −1.95%) and −2.08% (95% CI: −2.19% to −1.97%) for each], but the absolute number of mortalities increased along with population growth. Substantial disparities existed across regions and sociodemographic groups.ConclusionDespite declining ASMR and ASDR over time, the absolute number of stroke deaths attributable to SHS continued to rise globally, imposing a considerable stroke burden worldwide. These findings can inform targeted interventions and policies aimed at SHS control.https://www.frontiersin.org/articles/10.3389/fneur.2024.1320033/fullstrokesecondhand smokeglobal burdensociodemographic indexhealth policy and planning |
| spellingShingle | Xinyue Yang Jiayi Sun Wenjuan Zhang Global burden of stroke attributable to secondhand smoke in 204 countries and territories from 1990 to 2019: analysis of the global burden of disease study Frontiers in Neurology stroke secondhand smoke global burden sociodemographic index health policy and planning |
| title | Global burden of stroke attributable to secondhand smoke in 204 countries and territories from 1990 to 2019: analysis of the global burden of disease study |
| title_full | Global burden of stroke attributable to secondhand smoke in 204 countries and territories from 1990 to 2019: analysis of the global burden of disease study |
| title_fullStr | Global burden of stroke attributable to secondhand smoke in 204 countries and territories from 1990 to 2019: analysis of the global burden of disease study |
| title_full_unstemmed | Global burden of stroke attributable to secondhand smoke in 204 countries and territories from 1990 to 2019: analysis of the global burden of disease study |
| title_short | Global burden of stroke attributable to secondhand smoke in 204 countries and territories from 1990 to 2019: analysis of the global burden of disease study |
| title_sort | global burden of stroke attributable to secondhand smoke in 204 countries and territories from 1990 to 2019 analysis of the global burden of disease study |
| topic | stroke secondhand smoke global burden sociodemographic index health policy and planning |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2024.1320033/full |
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