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Cardiovascular Disease Mortality and Potential Risk Factor in China: A Multi-Dimensional Assessment by a Grey
Shazia Rehman1,2,3, Erum Rehman4, Ayesha Mumtaz5
1Department of Dermatology, Shenzhen People's Hospital, The Second Clinical Medical College, Jinan University, The first Affiliated Hospital, Southern University of Science and Technology, Shenzhen, China.
Insights
Hypertension significantly impacts stroke and pulmonary heart disease mortality, while high cholesterol drives coronary heart disease deaths. Addressing these cardiovascular disease risks requires a comprehensive public health strategy.
Area of Science:
- Public Health
- Epidemiology
- Cardiovascular Research
Background:
- Cardiovascular diseases (CVDs) pose a significant global health challenge.
- Hypertension, diabetes, and high blood cholesterol are established risk factors for CVDs.
- Understanding the differential impact of these risk factors on specific CVD mortality is crucial for targeted interventions.
Purpose of the Study:
- To investigate the multi-dimensional impact of hypertension, diabetes, and high blood cholesterol on mortality from coronary heart disease, stroke, and pulmonary heart disease.
- To identify the primary risk factor contributing to increased cardiac mortality using advanced analytical methods.
Main Methods:
- Grey relational analysis was employed to assess the association between cardiac risk factors and mortality.
- Hurwicz and Conservative (Min-Max) criterion approaches were utilized to pinpoint the most significant risk factor.
Main Results:
- Hypertension demonstrated a strong link with mortality from stroke and pulmonary heart disease.
- High blood cholesterol was identified as the leading contributor to coronary heart disease mortality.
- Dyslipidemia showed a robust association with coronary heart disease and overall cardiovascular disease mortality.
Conclusions:
- A multi-pronged national and local strategy is essential to manage uncontrolled blood cholesterol and blood pressure.
- The applied methodologies offer valuable insights for public health policymakers to combat the rising CVD burden.
- Evidence-based decision-making is critical for effective CVD prevention and control programs.
Abstract:
Objectives: This study aims to investigate the impact of hypertension, diabetes, and high blood cholesterol on increased mortality from cardiovascular diseases such as coronary heart disease, stroke, and pulmonary heart disease in a multi-dimensional way. Methods: The grey relational analysis methodology is adopted to assess the connection between cardiac risk factors and related mortality. The Hurwicz and the Conservative (Min-Max) criterion approach are also utilized to identify the prospective risk factor that contributes the most to increased cardiac mortality. Results: The findings reveal that hypertension has a more grounded relationship with stroke and pulmonary heart disease mortality, whereas high blood cholesterol appears to be the leading contributor to deaths from coronary heart disease. The results based on the Hurwicz and the Min-Max criterion show a robust connection between dyslipidemia, coronary heart disease, and cardiovascular disease mortality. Conclusion: Combating uncontrolled blood cholesterol and blood pressure levels would necessitate a multi-pronged strategy at both the national and local levels. Besides, the suggested methodologies provide a valuable tool and additional practical knowledge for public health policymakers and decision-makers in drawing rational decisions to combat China's rising CVD burden.
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