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Burden of cardiovascular disease from 1990 to 2017 in Henan Province, China

Yan-Fang Zhao1, Tai Zhang2, Zhuo-Qun Wang1

  • 1Division of Science, Education & International Cooperation, National Center for Chronic and Non-communicable Disease Control and Prevention, China CDC, Beijing, People's Republic of China.

Global Health Action
|August 23, 2021
PubMed

Insights

Cardiovascular diseases (CVDs) remain a significant health concern in Henan Province. While age-standardized disability-adjusted life years (DALYs) decreased, the overall number of DALYs increased, highlighting the need for targeted interventions for stroke and ischemic heart disease.

Area of Science:

  • Public Health
  • Epidemiology
  • Cardiology

Background:

  • Cardiovascular diseases (CVDs) represent a leading cause of mortality in China.
  • Limited data exists regarding the specific CVD burden and associated risk factors within Henan Province.

Purpose of the Study:

  • To conduct a comprehensive analysis of the CVD burden in Henan Province from 1990 to 2017.
  • To identify the primary risk factors contributing to the CVD burden in this region during the study period.

Main Methods:

  • Utilized the methodological framework and analytical strategies from the Global Burden of Disease Study 2017.
  • Analyzed trends in age-standardized mortality rates, disability-adjusted life years (DALYs), years lived with disability (YLDs), and years of life lost (YLLs).

Main Results:

  • Age-standardized CVD mortality rates increased from 355.0 to 364.1 per 100,000 persons between 1990 and 2017.
  • While age-standardized DALY rates decreased by 3.9%, the total number of DALYs surged by 75.9% (4.2 to 7.3 million person-years).
  • Stroke and ischemic heart diseases were the dominant contributors to CVD DALYs (91.1% in 2017), with high sodium intake, alcohol use, low fruit intake, high systolic blood pressure, and tobacco use identified as key risk factors.

Conclusions:

  • Despite a decline in age-standardized DALY rates, the absolute burden of CVDs in Henan remains substantial.
  • Effective prevention and control strategies for stroke and ischemic heart diseases are crucial.
  • Focusing on modifiable risk factors, including diet, high blood pressure, and tobacco use, is essential for mitigating the CVD burden.
Abstract

Keywords:
Cardiovascular diseasesburden of diseasedisability-adjusted life yearsrisk factors

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