Burden of cardiovascular disease from 1990 to 2017 in Henan Province, China
Background Cardiovascular diseases (CVDs) are the leading causes of death in China. Little is known about the CVD burden and risk factors in Henan Province, China. Objective To analyze the CVD burden and main risk factors between 1990 and 2017 in the Henan Province in China. Methods The methodologic...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2021-01-01
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| Series: | Global Health Action |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/16549716.2021.1959708 |
| _version_ | 1818289112504860672 |
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| author | Yan-fang Zhao Tai Zhang Zhuo-qun Wang Xiao-rong Chen Chun-xiao Wang Jin-lei Qi Jing Yang Jing Wu Mai-geng Zhou |
| author_facet | Yan-fang Zhao Tai Zhang Zhuo-qun Wang Xiao-rong Chen Chun-xiao Wang Jin-lei Qi Jing Yang Jing Wu Mai-geng Zhou |
| author_sort | Yan-fang Zhao |
| collection | DOAJ |
| description | Background Cardiovascular diseases (CVDs) are the leading causes of death in China. Little is known about the CVD burden and risk factors in Henan Province, China. Objective To analyze the CVD burden and main risk factors between 1990 and 2017 in the Henan Province in China. Methods The methodological framework and analytical strategies adopted in the Global Burden of Disease Study 2017 were used. Results (1) Age-standardized mortality rate attributed to CVDs increased from 355.0 per 100,000 persons in 1990 to 364.1 per 100,000 persons in 2017 in Henan. (2) Age-standardized disability adjusted life years (DALYs) rate fell by 3.9% from 1990 to 2017. However, the number of DALYs attributed to CVDs increased by 75.9% from 4.2 million person-years in 1990 to 7.3 million person-years in 2017. (3) The age-standardized years lived with disability (YLDs) rate increased by 27.5% from 1990 to 2017. However, years of life lost (YLLs) rate decreased by 6.7% from 1990 to 2017. The contribution of YLLs to the DALYs decreased from 91.4% in 1990 to 89.2% in 2017. (4) Stroke (52.3%) and ischemic heart diseases (38.8%) accounted for 91.1% of total CVDs DALYs among adults in 2017. (5) Dietary factors such as high intake of sodium, alcohol use and low intake of fruits, high systolic blood pressure, and tobacco use were the top risk factors for CVDs, and the estimated population attributable fraction in 2017 was 69.4%, 56.7% and 25.2%, respectively. Conclusions The absolute burden of CVDs in Henan is still high, although age-standardized DALYs declined between 1990 and 2017. The prevention and control of stroke and ischemic heart diseases should focus on a few modifiable risk factors which mainly contributed to the burden of CVDs, such as dietary factors, high systolic blood pressure, and tobacco use. |
| first_indexed | 2024-12-13T02:07:06Z |
| format | Article |
| id | doaj.art-cfac576f07244db0abe819f0ec38af3d |
| institution | Directory Open Access Journal |
| issn | 1654-9880 |
| language | English |
| last_indexed | 2024-12-13T02:07:06Z |
| publishDate | 2021-01-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Global Health Action |
| spelling | doaj.art-cfac576f07244db0abe819f0ec38af3d2022-12-22T00:03:07ZengTaylor & Francis GroupGlobal Health Action1654-98802021-01-0114110.1080/16549716.2021.19597081959708Burden of cardiovascular disease from 1990 to 2017 in Henan Province, ChinaYan-fang Zhao0Tai Zhang1Zhuo-qun Wang2Xiao-rong Chen3Chun-xiao Wang4Jin-lei Qi5Jing Yang6Jing Wu7Mai-geng Zhou8Division of Science, Education & International Cooperation, National Center for Chronic and Non-communicable Disease Control and Prevention, China CDC, Beijing, People’s Republic of ChinaEpidemiology and Biostatistics Unit, School of Public Health, Dali University, Dali, People’s Republic of ChinaDivision of Science, Education & International Cooperation, National Center for Chronic and Non-communicable Disease Control and Prevention, China CDC, Beijing, People’s Republic of ChinaDivision of Cardiovascular Disease Control and Prevention, National Center for Chronic and Non-communicable Disease Control and Prevention, China CDC, Beijing, People’s Republic of ChinaDivision of Oral Health, National Center for Chronic and Non-communicable Disease Control and Prevention, China CDC, Beijing, People’s Republic of ChinaDivision of Vital Registry and Mortality Surveillance, National Center for Chronic and Non-communicable Disease Control and Prevention, China CDC, Beijing, People’s Republic of ChinaDivision of Science, Education & International Cooperation, National Center for Chronic and Non-communicable Disease Control and Prevention, China CDC, Beijing, People’s Republic of ChinaNational Center for Chronic and Non-communicable Disease Control and Prevention, China CDC, Beijing, People’s Republic of ChinaNational Center for Chronic and Non-communicable Disease Control and Prevention, China CDC, Beijing, People’s Republic of ChinaBackground Cardiovascular diseases (CVDs) are the leading causes of death in China. Little is known about the CVD burden and risk factors in Henan Province, China. Objective To analyze the CVD burden and main risk factors between 1990 and 2017 in the Henan Province in China. Methods The methodological framework and analytical strategies adopted in the Global Burden of Disease Study 2017 were used. Results (1) Age-standardized mortality rate attributed to CVDs increased from 355.0 per 100,000 persons in 1990 to 364.1 per 100,000 persons in 2017 in Henan. (2) Age-standardized disability adjusted life years (DALYs) rate fell by 3.9% from 1990 to 2017. However, the number of DALYs attributed to CVDs increased by 75.9% from 4.2 million person-years in 1990 to 7.3 million person-years in 2017. (3) The age-standardized years lived with disability (YLDs) rate increased by 27.5% from 1990 to 2017. However, years of life lost (YLLs) rate decreased by 6.7% from 1990 to 2017. The contribution of YLLs to the DALYs decreased from 91.4% in 1990 to 89.2% in 2017. (4) Stroke (52.3%) and ischemic heart diseases (38.8%) accounted for 91.1% of total CVDs DALYs among adults in 2017. (5) Dietary factors such as high intake of sodium, alcohol use and low intake of fruits, high systolic blood pressure, and tobacco use were the top risk factors for CVDs, and the estimated population attributable fraction in 2017 was 69.4%, 56.7% and 25.2%, respectively. Conclusions The absolute burden of CVDs in Henan is still high, although age-standardized DALYs declined between 1990 and 2017. The prevention and control of stroke and ischemic heart diseases should focus on a few modifiable risk factors which mainly contributed to the burden of CVDs, such as dietary factors, high systolic blood pressure, and tobacco use.http://dx.doi.org/10.1080/16549716.2021.1959708cardiovascular diseasesburden of diseasedisability-adjusted life yearsrisk factors |
| spellingShingle | Yan-fang Zhao Tai Zhang Zhuo-qun Wang Xiao-rong Chen Chun-xiao Wang Jin-lei Qi Jing Yang Jing Wu Mai-geng Zhou Burden of cardiovascular disease from 1990 to 2017 in Henan Province, China Global Health Action cardiovascular diseases burden of disease disability-adjusted life years risk factors |
| title | Burden of cardiovascular disease from 1990 to 2017 in Henan Province, China |
| title_full | Burden of cardiovascular disease from 1990 to 2017 in Henan Province, China |
| title_fullStr | Burden of cardiovascular disease from 1990 to 2017 in Henan Province, China |
| title_full_unstemmed | Burden of cardiovascular disease from 1990 to 2017 in Henan Province, China |
| title_short | Burden of cardiovascular disease from 1990 to 2017 in Henan Province, China |
| title_sort | burden of cardiovascular disease from 1990 to 2017 in henan province china |
| topic | cardiovascular diseases burden of disease disability-adjusted life years risk factors |
| url | http://dx.doi.org/10.1080/16549716.2021.1959708 |
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