The burden of cardiovascular diseases among US States, 1990-2016
<h4>Importance</h4> <p>Cardiovascular disease (CVD) is the leading cause of death in the United States, but regional variation within the United States is large. Comparable and consistent state-level measures of total CVD burden and risk factors have not been produced previously.&...
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| Format: | Journal article |
| Język: | English |
| Wydane: |
American Medical Association
2018
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| _version_ | 1826302510401323008 |
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| author | Roth, GA Johnson, CO Abate, KH Abd-Allah, F Ahmed, M Alam, K Alam, T Alvis-Guzman, N Ansari, H Ärnlöv, J Atey, TM Awasthi, A Awoke, T Barac, A Bärnighausen, T Bedi, N Bennett, D Bensenor, I Biadgilign, S Castañeda-Orjuela, C Catalá-López, F Davletov, K Dharmaratne, S Ding, EL Dubey, M Faraon, EJA Farid, T Farvid, MS Feigin, V Fernandes, J Frostad, J Gebru, A Geleijnse, JM Gona, PN Griswold, M Hailu, GB Hankey, GJ Hassen, HY Havmoeller, R Hay, S Heckbert, SR Irvine, CMS James, SL Jara, D Kasaeian, A Khan, AR Khera, S Khoja, AT Khubchandani, J Kim, D Kolte, D Lal, D Larsson, A Linn, S Lotufo, PA Razek, H Mazidi, M Meier, T Mendoza, W Mensah, GA Meretoja, A Mezgebe, HB Mirrakhimov, E Mohammed, S Moran, AE Nguyen, G Nguyen, M Ong, KL Owolabi, M Pletcher, M Pourmalek, F Purcell, CA Qorbani, M Rahman, M Rai, RK Ram, U Reitsma, MB Renzaho, AMN Rios-Blancas, MJ Safiri, S Salomon, JA Sartorius, B Sepanlou, SG Shaikh, MA Silva, D Stranges, S Tabarés-Seisdedos, R Atnafu, N Thakur, JS Topor-Madry, R Truelsen, T Tuzcu, EM Tyrovolas, S Ukwaja, KN Vasankari, T Vlassov, V Vollset, SE Wakayo, T Weintraub, R Wolfe, C Workicho, A Xu, G Yadgir, S Yano, Y Yip, P Yonemoto, N Younis, M Yu, C Zaidi, Z Zaki, MES Zipkin, B Afshin, A Gakidou, E Lim, SS Mokdad, AH Naghavi, M Vos, T Murray, CJL |
| author_facet | Roth, GA Johnson, CO Abate, KH Abd-Allah, F Ahmed, M Alam, K Alam, T Alvis-Guzman, N Ansari, H Ärnlöv, J Atey, TM Awasthi, A Awoke, T Barac, A Bärnighausen, T Bedi, N Bennett, D Bensenor, I Biadgilign, S Castañeda-Orjuela, C Catalá-López, F Davletov, K Dharmaratne, S Ding, EL Dubey, M Faraon, EJA Farid, T Farvid, MS Feigin, V Fernandes, J Frostad, J Gebru, A Geleijnse, JM Gona, PN Griswold, M Hailu, GB Hankey, GJ Hassen, HY Havmoeller, R Hay, S Heckbert, SR Irvine, CMS James, SL Jara, D Kasaeian, A Khan, AR Khera, S Khoja, AT Khubchandani, J Kim, D Kolte, D Lal, D Larsson, A Linn, S Lotufo, PA Razek, H Mazidi, M Meier, T Mendoza, W Mensah, GA Meretoja, A Mezgebe, HB Mirrakhimov, E Mohammed, S Moran, AE Nguyen, G Nguyen, M Ong, KL Owolabi, M Pletcher, M Pourmalek, F Purcell, CA Qorbani, M Rahman, M Rai, RK Ram, U Reitsma, MB Renzaho, AMN Rios-Blancas, MJ Safiri, S Salomon, JA Sartorius, B Sepanlou, SG Shaikh, MA Silva, D Stranges, S Tabarés-Seisdedos, R Atnafu, N Thakur, JS Topor-Madry, R Truelsen, T Tuzcu, EM Tyrovolas, S Ukwaja, KN Vasankari, T Vlassov, V Vollset, SE Wakayo, T Weintraub, R Wolfe, C Workicho, A Xu, G Yadgir, S Yano, Y Yip, P Yonemoto, N Younis, M Yu, C Zaidi, Z Zaki, MES Zipkin, B Afshin, A Gakidou, E Lim, SS Mokdad, AH Naghavi, M Vos, T Murray, CJL |
| author_sort | Roth, GA |
| collection | OXFORD |
| description | <h4>Importance</h4> <p>Cardiovascular disease (CVD) is the leading cause of death in the United States, but regional variation within the United States is large. Comparable and consistent state-level measures of total CVD burden and risk factors have not been produced previously.</p> <h4>Objective</h4> <p>To quantify and describe levels and trends of lost health due to CVD within the United States from 1990 to 2016 as well as risk factors driving these changes.</p> <h4>Design, Setting, and Participants</h4> <p>Using the Global Burden of Disease methodology, cardiovascular disease mortality, nonfatal health outcomes, and associated risk factors were analyzed by age group, sex, and year from 1990 to 2016 for all residents in the United States using standardized approaches for data processing and statistical modeling. Burden of disease was estimated for 10 groupings of CVD, and comparative risk analysis was performed. Data were analyzed from August 2016 to July 2017.</p> <h4>Exposures</h4> <p>Residing in the United States.</p> <h4>Main Outcomes and Measures</h4> <p>Cardiovascular disease disability-adjusted life-years (DALYs).</p> <h4>Results</h4> <p>Between 1990 and 2016, age-standardized CVD DALYs for all states decreased. Several states had large rises in their relative rank ordering for total CVD DALYs among states, including Arkansas, Oklahoma, Alabama, Kentucky, Missouri, Indiana, Kansas, Alaska, and Iowa. The rate of decline varied widely across states, and CVD burden increased for a small number of states in the most recent years. Cardiovascular disease DALYs remained twice as large among men compared with women. Ischemic heart disease was the leading cause of CVD DALYs in all states, but the second most common varied by state. Trends were driven by 12 groups of risk factors, with the largest attributable CVD burden due to dietary risk exposures followed by high systolic blood pressure, high body mass index, high total cholesterol level, high fasting plasma glucose level, tobacco smoking, and low levels of physical activity. Increases in risk-deleted CVD DALY rates between 2006 and 2016 in 16 states suggest additional unmeasured risks beyond these traditional factors.</p> <h4>Conclusions and Relevance</h4> <p>Large disparities in total burden of CVD persist between US states despite marked improvements in CVD burden. Differences in CVD burden are largely attributable to modifiable risk exposures.</p> |
| first_indexed | 2024-03-07T05:48:45Z |
| format | Journal article |
| id | oxford-uuid:e81119bb-bf84-4466-9e36-a6d2894e4dec |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-07T05:48:45Z |
| publishDate | 2018 |
| publisher | American Medical Association |
| record_format | dspace |
| spelling | oxford-uuid:e81119bb-bf84-4466-9e36-a6d2894e4dec2022-03-27T10:44:25ZThe burden of cardiovascular diseases among US States, 1990-2016Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:e81119bb-bf84-4466-9e36-a6d2894e4decEnglishSymplectic Elements at OxfordAmerican Medical Association2018Roth, GAJohnson, COAbate, KHAbd-Allah, FAhmed, MAlam, KAlam, TAlvis-Guzman, NAnsari, HÄrnlöv, JAtey, TMAwasthi, AAwoke, TBarac, ABärnighausen, TBedi, NBennett, DBensenor, IBiadgilign, SCastañeda-Orjuela, CCatalá-López, FDavletov, KDharmaratne, SDing, ELDubey, MFaraon, EJAFarid, TFarvid, MSFeigin, VFernandes, JFrostad, JGebru, AGeleijnse, JMGona, PNGriswold, MHailu, GBHankey, GJHassen, HYHavmoeller, RHay, SHeckbert, SRIrvine, CMSJames, SLJara, DKasaeian, AKhan, ARKhera, SKhoja, ATKhubchandani, JKim, DKolte, DLal, DLarsson, ALinn, SLotufo, PARazek, HMazidi, MMeier, TMendoza, WMensah, GAMeretoja, AMezgebe, HBMirrakhimov, EMohammed, SMoran, AENguyen, GNguyen, MOng, KLOwolabi, MPletcher, MPourmalek, FPurcell, CAQorbani, MRahman, MRai, RKRam, UReitsma, MBRenzaho, AMNRios-Blancas, MJSafiri, SSalomon, JASartorius, BSepanlou, SGShaikh, MASilva, DStranges, STabarés-Seisdedos, RAtnafu, NThakur, JSTopor-Madry, RTruelsen, TTuzcu, EMTyrovolas, SUkwaja, KNVasankari, TVlassov, VVollset, SEWakayo, TWeintraub, RWolfe, CWorkicho, AXu, GYadgir, SYano, YYip, PYonemoto, NYounis, MYu, CZaidi, ZZaki, MESZipkin, BAfshin, AGakidou, ELim, SSMokdad, AHNaghavi, MVos, TMurray, CJL <h4>Importance</h4> <p>Cardiovascular disease (CVD) is the leading cause of death in the United States, but regional variation within the United States is large. Comparable and consistent state-level measures of total CVD burden and risk factors have not been produced previously.</p> <h4>Objective</h4> <p>To quantify and describe levels and trends of lost health due to CVD within the United States from 1990 to 2016 as well as risk factors driving these changes.</p> <h4>Design, Setting, and Participants</h4> <p>Using the Global Burden of Disease methodology, cardiovascular disease mortality, nonfatal health outcomes, and associated risk factors were analyzed by age group, sex, and year from 1990 to 2016 for all residents in the United States using standardized approaches for data processing and statistical modeling. Burden of disease was estimated for 10 groupings of CVD, and comparative risk analysis was performed. Data were analyzed from August 2016 to July 2017.</p> <h4>Exposures</h4> <p>Residing in the United States.</p> <h4>Main Outcomes and Measures</h4> <p>Cardiovascular disease disability-adjusted life-years (DALYs).</p> <h4>Results</h4> <p>Between 1990 and 2016, age-standardized CVD DALYs for all states decreased. Several states had large rises in their relative rank ordering for total CVD DALYs among states, including Arkansas, Oklahoma, Alabama, Kentucky, Missouri, Indiana, Kansas, Alaska, and Iowa. The rate of decline varied widely across states, and CVD burden increased for a small number of states in the most recent years. Cardiovascular disease DALYs remained twice as large among men compared with women. Ischemic heart disease was the leading cause of CVD DALYs in all states, but the second most common varied by state. Trends were driven by 12 groups of risk factors, with the largest attributable CVD burden due to dietary risk exposures followed by high systolic blood pressure, high body mass index, high total cholesterol level, high fasting plasma glucose level, tobacco smoking, and low levels of physical activity. Increases in risk-deleted CVD DALY rates between 2006 and 2016 in 16 states suggest additional unmeasured risks beyond these traditional factors.</p> <h4>Conclusions and Relevance</h4> <p>Large disparities in total burden of CVD persist between US states despite marked improvements in CVD burden. Differences in CVD burden are largely attributable to modifiable risk exposures.</p> |
| spellingShingle | Roth, GA Johnson, CO Abate, KH Abd-Allah, F Ahmed, M Alam, K Alam, T Alvis-Guzman, N Ansari, H Ärnlöv, J Atey, TM Awasthi, A Awoke, T Barac, A Bärnighausen, T Bedi, N Bennett, D Bensenor, I Biadgilign, S Castañeda-Orjuela, C Catalá-López, F Davletov, K Dharmaratne, S Ding, EL Dubey, M Faraon, EJA Farid, T Farvid, MS Feigin, V Fernandes, J Frostad, J Gebru, A Geleijnse, JM Gona, PN Griswold, M Hailu, GB Hankey, GJ Hassen, HY Havmoeller, R Hay, S Heckbert, SR Irvine, CMS James, SL Jara, D Kasaeian, A Khan, AR Khera, S Khoja, AT Khubchandani, J Kim, D Kolte, D Lal, D Larsson, A Linn, S Lotufo, PA Razek, H Mazidi, M Meier, T Mendoza, W Mensah, GA Meretoja, A Mezgebe, HB Mirrakhimov, E Mohammed, S Moran, AE Nguyen, G Nguyen, M Ong, KL Owolabi, M Pletcher, M Pourmalek, F Purcell, CA Qorbani, M Rahman, M Rai, RK Ram, U Reitsma, MB Renzaho, AMN Rios-Blancas, MJ Safiri, S Salomon, JA Sartorius, B Sepanlou, SG Shaikh, MA Silva, D Stranges, S Tabarés-Seisdedos, R Atnafu, N Thakur, JS Topor-Madry, R Truelsen, T Tuzcu, EM Tyrovolas, S Ukwaja, KN Vasankari, T Vlassov, V Vollset, SE Wakayo, T Weintraub, R Wolfe, C Workicho, A Xu, G Yadgir, S Yano, Y Yip, P Yonemoto, N Younis, M Yu, C Zaidi, Z Zaki, MES Zipkin, B Afshin, A Gakidou, E Lim, SS Mokdad, AH Naghavi, M Vos, T Murray, CJL The burden of cardiovascular diseases among US States, 1990-2016 |
| title | The burden of cardiovascular diseases among US States, 1990-2016 |
| title_full | The burden of cardiovascular diseases among US States, 1990-2016 |
| title_fullStr | The burden of cardiovascular diseases among US States, 1990-2016 |
| title_full_unstemmed | The burden of cardiovascular diseases among US States, 1990-2016 |
| title_short | The burden of cardiovascular diseases among US States, 1990-2016 |
| title_sort | burden of cardiovascular diseases among us states 1990 2016 |
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burdenofcardiovasculardiseasesamongusstates19902016 AT tuzcuem burdenofcardiovasculardiseasesamongusstates19902016 AT tyrovolass burdenofcardiovasculardiseasesamongusstates19902016 AT ukwajakn burdenofcardiovasculardiseasesamongusstates19902016 AT vasankarit burdenofcardiovasculardiseasesamongusstates19902016 AT vlassovv burdenofcardiovasculardiseasesamongusstates19902016 AT vollsetse burdenofcardiovasculardiseasesamongusstates19902016 AT wakayot burdenofcardiovasculardiseasesamongusstates19902016 AT weintraubr burdenofcardiovasculardiseasesamongusstates19902016 AT wolfec burdenofcardiovasculardiseasesamongusstates19902016 AT workichoa burdenofcardiovasculardiseasesamongusstates19902016 AT xug burdenofcardiovasculardiseasesamongusstates19902016 AT yadgirs burdenofcardiovasculardiseasesamongusstates19902016 AT yanoy burdenofcardiovasculardiseasesamongusstates19902016 AT yipp burdenofcardiovasculardiseasesamongusstates19902016 AT yonemoton burdenofcardiovasculardiseasesamongusstates19902016 AT younism burdenofcardiovasculardiseasesamongusstates19902016 AT yuc burdenofcardiovasculardiseasesamongusstates19902016 AT zaidiz burdenofcardiovasculardiseasesamongusstates19902016 AT zakimes burdenofcardiovasculardiseasesamongusstates19902016 AT zipkinb burdenofcardiovasculardiseasesamongusstates19902016 AT afshina burdenofcardiovasculardiseasesamongusstates19902016 AT gakidoue burdenofcardiovasculardiseasesamongusstates19902016 AT limss burdenofcardiovasculardiseasesamongusstates19902016 AT mokdadah burdenofcardiovasculardiseasesamongusstates19902016 AT naghavim burdenofcardiovasculardiseasesamongusstates19902016 AT vost burdenofcardiovasculardiseasesamongusstates19902016 AT murraycjl burdenofcardiovasculardiseasesamongusstates19902016 |