204个国家和地区的非最佳温度造成的中风负担:以人口为基础的研究,1990-2019年
Chunrun Qu1, Yu Chen1, Chen Liu1
1From the Department of Neurosurgery (C.Q., Y.C., J.Z., Q.C., Z.L.), National Clinical Research Center for Geriatric Disorders (C.Q., Y.C., J.Z., Q.C., Z.L.), Xiangya Hospital, and XiangYa School of Medicine (C.Q., Y.C., C.L., Z.H., L.Y., Y.L., W.L.), Central South University, Changsha, Hunan; Department of Neurosurgery (H.Z.), The Second Affiliated Hospital, Chongqing Medical University; and Department of Oncology (P.L.), Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
不理想的温度导致全球中风负担日益增加,低温导致大多数死亡. 然而,高温正在迅速增加中风病例,特别是在低收入地区和中亚.
科学领域:
- 环境健康 环境健康
- 流行病学 流行病学
- 气候变化影响 气候变化影响
背景情况:
- 由于气候变化,归因于非最佳温度的中风负担越来越令人担忧.
- 了解这种负担的全球分布和特征对于公共卫生干预至关重要.
研究的目的:
- 为了估计可归因于非最佳温度的全球中风负担.
- 分析与气候条件相关的中风负荷的分布特征.
主要方法:
- 生态研究利用气候研究单位格式时间序列,世界银行和全球疾病负担的数据.
- 雇员结合点模型,分解分析,年龄周期队列模型,小组数据分析和健康不平等分析.
主要成果:
- 2019年,非最佳温度导致全球521,031人死亡,9423,649人因残疾调整寿命年 (DALYs).
- 低温占了大部分负担,但高温显示出快速增长,特别是在SDI较低的地区.
- 中亚和北马其顿和蒙古等特定国家分别呈现出最严重的区域和国家负担.
结论:
- 这是第一个全面评估与非最佳温度相关的全球中风负担的研究.
- 高温带来的不断升级的负担需要紧急关注,特别是在社会人口指数较低的国家.
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