从1990年到2019年,由于环境温度高而导致的中风负担:全球分析
Yacong Bo1, Yongjian Zhu2, Ruiqi Lu3,4
1School of Public Health, Zhengzhou University, Zhengzhou, China.
概括
高温正在增加全球中风的负担,特别是影响老年人,男性和低社会经济水平的地区. 这一趋势凸显了全球变暖带来的重大公共卫生挑战.
科学领域:
- 环境健康 环境健康
- 流行病学 流行病学
- 气候变化的影响 气候变化的影响
背景情况:
- 高环境温度是全球日益关注的问题,可能会影响心血管健康.
- 脑卒中是导致死亡和残疾的主要原因,可能会因暴露于热量而恶化.
- 了解因高温而导致的中风负担对于公共卫生干预至关重要.
研究的目的:
- 量化与高温相关的全球和区域中风负担.
- 分析从1990年到2019年因热而产生的中风负担的时空空间趋势.
- 为了确定与热有关的中风负担的人口和地理差异.
主要方法:
- 利用了204个国家和地区的2019年全球疾病负担研究的数据.
- 计算死亡人数,残疾调整寿命年 (DALYs),年龄标准化死亡率 (ASMR) 和年龄标准化DALY率 (ASDR) 对于因热引起的中风.
- 使用线性回归来估计从1990年到2019年的ASMR和ASDR趋势.
主要成果:
- 由于高温导致的全球中风负担在1990年至2019年之间呈现出增加的趋势.
- 在2019年,估计有0.048万例死亡和101万例DALY与高温有关.
- 在西撒哈拉以南非洲,南亚,东南亚和北非/中东地区观察到的负担最高,老年人,男性和低SDI地区的比例增加.
结论:
- 在全球范围内,因高温而导致的中风的负担正在上升,这构成了重大的公共卫生问题.
- 老年人 (65-75岁),男性和社会人口指数 (SDI) 较低的国家的人口承受不成比例的更高负担.
- 在持续的全球变暖及其对健康的影响背景下,解决与热相关的中风至关重要.
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