Trends in the burden of stroke in Mexico: A national and subnational analysis of the global burden of disease 1990–2019
Summary: Background: Scarce epidemiological information on stroke in Mexico impedes evidence-based decisions and debilitates the design of effective prevention programmes at the local level. Methods: Ecological and secondary analysis of Global Burden of Disease national and subnational data for Mex...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-06-01
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| Series: | The Lancet Regional Health. Americas |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667193X22000217 |
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| author | Vanessa De la Cruz-Góngora Erwin Chiquete Héctor Gómez–Dantés Lucero Cahuana-Hurtado Carlos Cantú-Brito |
| author_facet | Vanessa De la Cruz-Góngora Erwin Chiquete Héctor Gómez–Dantés Lucero Cahuana-Hurtado Carlos Cantú-Brito |
| author_sort | Vanessa De la Cruz-Góngora |
| collection | DOAJ |
| description | Summary: Background: Scarce epidemiological information on stroke in Mexico impedes evidence-based decisions and debilitates the design of effective prevention programmes at the local level. Methods: Ecological and secondary analysis of Global Burden of Disease national and subnational data for Mexico, from 1990 to 2019. We analysed the incidence, prevalence, deaths, premature mortality, disability, and DALYs due to cerebrovascular disease included to identify the differences in the burden of stroke in Mexico by type of stroke (ischaemic [IS], intracerebral haemorrhage [ICH] and subarachnoid haemorrhage [SAH]), sex, age groups, and state levels ordered by quartiles of Sociodemographic Index (SDI). Means and 95% uncertainty intervals are reported. Findings: Reductions in all metrics of total stroke occurred during the 1990 to 2005 period; however, this declining trend was followed up by stagnation of progress from 2006 to 2019, except for premature mortality. This pattern of the declining trend was observed also for IS and to a lesser extent for ICH, while SAH showed no major changes during the 1990-2019 period. The magnitude of decline was higher in females for total stroke for incidence, prevalence and YLDs rates. The less developed states by SDI exhibited the lowest improvements during the period, particularly for ICH metrics. Interpretation: The reduction in stroke burden in Mexico did not follow the same pace for all types of stroke, with regional differences by SDI and by sex. Study findings reveal the need for strengthening prevention policies to address health disparities in the burden of stroke by sex and states, within the fragmented Mexican Healthcare System. Funding: Bill & Melinda Gates Foundation. |
| first_indexed | 2024-04-13T20:23:55Z |
| format | Article |
| id | doaj.art-93649b5a743a4144be86829804e29906 |
| institution | Directory Open Access Journal |
| issn | 2667-193X |
| language | English |
| last_indexed | 2024-04-13T20:23:55Z |
| publishDate | 2022-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | The Lancet Regional Health. Americas |
| spelling | doaj.art-93649b5a743a4144be86829804e299062022-12-22T02:31:26ZengElsevierThe Lancet Regional Health. Americas2667-193X2022-06-0110100204Trends in the burden of stroke in Mexico: A national and subnational analysis of the global burden of disease 1990–2019Vanessa De la Cruz-Góngora0Erwin Chiquete1Héctor Gómez–Dantés2Lucero Cahuana-Hurtado3Carlos Cantú-Brito4Center for Evaluation and Surveys Research, National Institute of Public Health, Cuernavaca, MexicoDepartment of Neurology, The Salvador Zubirán National Institute of Medical Sciences and Nutrition, Mexico City, MéxicoHealth Systems Research Centre, National Institute of Public Health, Cuernavaca, MexicoSchool of Public Health and Administration, Universidad Peruana Cayetano Heredia, Lima, PeruDepartment of Neurology, The Salvador Zubirán National Institute of Medical Sciences and Nutrition, Mexico City, México; Corresponding author at: Departamento de Neurología y Psiquiatría, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Vasco de Quiroga #15, Col. Sección XVI, Tlalpan. Ciudad de México, México.Summary: Background: Scarce epidemiological information on stroke in Mexico impedes evidence-based decisions and debilitates the design of effective prevention programmes at the local level. Methods: Ecological and secondary analysis of Global Burden of Disease national and subnational data for Mexico, from 1990 to 2019. We analysed the incidence, prevalence, deaths, premature mortality, disability, and DALYs due to cerebrovascular disease included to identify the differences in the burden of stroke in Mexico by type of stroke (ischaemic [IS], intracerebral haemorrhage [ICH] and subarachnoid haemorrhage [SAH]), sex, age groups, and state levels ordered by quartiles of Sociodemographic Index (SDI). Means and 95% uncertainty intervals are reported. Findings: Reductions in all metrics of total stroke occurred during the 1990 to 2005 period; however, this declining trend was followed up by stagnation of progress from 2006 to 2019, except for premature mortality. This pattern of the declining trend was observed also for IS and to a lesser extent for ICH, while SAH showed no major changes during the 1990-2019 period. The magnitude of decline was higher in females for total stroke for incidence, prevalence and YLDs rates. The less developed states by SDI exhibited the lowest improvements during the period, particularly for ICH metrics. Interpretation: The reduction in stroke burden in Mexico did not follow the same pace for all types of stroke, with regional differences by SDI and by sex. Study findings reveal the need for strengthening prevention policies to address health disparities in the burden of stroke by sex and states, within the fragmented Mexican Healthcare System. Funding: Bill & Melinda Gates Foundation.http://www.sciencedirect.com/science/article/pii/S2667193X22000217Global burden of diseaseHaemorrhagic strokeIschaemic strokeMexicoStroke |
| spellingShingle | Vanessa De la Cruz-Góngora Erwin Chiquete Héctor Gómez–Dantés Lucero Cahuana-Hurtado Carlos Cantú-Brito Trends in the burden of stroke in Mexico: A national and subnational analysis of the global burden of disease 1990–2019 The Lancet Regional Health. Americas Global burden of disease Haemorrhagic stroke Ischaemic stroke Mexico Stroke |
| title | Trends in the burden of stroke in Mexico: A national and subnational analysis of the global burden of disease 1990–2019 |
| title_full | Trends in the burden of stroke in Mexico: A national and subnational analysis of the global burden of disease 1990–2019 |
| title_fullStr | Trends in the burden of stroke in Mexico: A national and subnational analysis of the global burden of disease 1990–2019 |
| title_full_unstemmed | Trends in the burden of stroke in Mexico: A national and subnational analysis of the global burden of disease 1990–2019 |
| title_short | Trends in the burden of stroke in Mexico: A national and subnational analysis of the global burden of disease 1990–2019 |
| title_sort | trends in the burden of stroke in mexico a national and subnational analysis of the global burden of disease 1990 2019 |
| topic | Global burden of disease Haemorrhagic stroke Ischaemic stroke Mexico Stroke |
| url | http://www.sciencedirect.com/science/article/pii/S2667193X22000217 |
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