インドの心臓血管疾患:現在の疫学と将来の方向性
Dorairaj Prabhakaran1, Panniyammakal Jeemon2, Ambuj Roy2
1From Centre for Chronic Disease Control, Gurgaon, India (D.P., P.J.); Centre for Control of Chronic Conditions, Public Health Foundation of India, Gurgaon, India (D.P., P.J.); and All India Institute of Medical Sciences, New Delhi, India (A.R.). dprabhakaran@ccdcindia.org.
Circulation
|May 5, 2016
まとめ
心血管疾患 (CVD) はインドの死因のトップであり,心臓病と脳卒中が主な原因です. CVDの流行は早期発症と高い死亡率を示し,緊急の公衆衛生戦略を要求しています.
科学分野:
- 公衆衛生
- 流行病学について
- 心臓病科
背景:
- 心血管疾患 (CVD) は,インドにおける死亡の主な原因であり,全死亡の4分の1を占めています.
- 心臓発作と脳卒中が 主な原因で,CVDによる死亡の80%以上を占めています.
- インドの年齢基準のCVD死亡率は世界の平均を上回り,早期発症と高死亡率などの懸念傾向があります.
研究 の 目的:
- 心血管疾患の流行の現状を分析する
- 加速した発症,早期発症,高症例死亡率などの特定の懸念を強調する.
- 流行病学的移行とそのCVDの流行に及ぼす影響について議論する.
主な方法:
- 疫学データと死亡統計のレビュー
- 心血管疾患の流行傾向とリスク要因の分析
- 社会経済的なグラデーションとそのCVDの結果への影響の検討
主要な成果:
- CVDは農村地域を含むインドのすべての地域で主要な死因です.
- CVDによる早死率は1990年から2010年に大幅に増加しました.
- 喫煙や栄養不良などの危険因子も 社会経済的に低いグループで増加しており 適切な治療を受けていません
結論:
- 心血管疾患の流行に 対処するには 根拠に基づいた政策と 強化された医療制度と 予防と早期発見と 治療に重点を置く必要があります
- 心血管疾患の増大と闘うには 革新的で従来の技術が必要です
- 効果的な介入戦略のテストと実施には,コミュニティベースの研究が不可欠です.
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