心血管疾病风险因素的时间趋势 归因负担在伊朗,1990-2021年
Amir Hossein Behnoush1,2, Sobhan Younesian1,2, Seyede Maryam Mousavi1,2
1Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Second Floor, No.10, Jalal Al-e-Ahmad Highway, Tehran, 1411713137, Iran.
Scientific reports
|April 24, 2025
概括
心血管疾病的风险因素在伊朗造成了重大负担,高血压等代谢因素是主要的贡献者. 尽管年龄标准化率下降,但针对性干预对高风险群体和地区至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 全球健康 全球健康
背景情况:
- 心血管疾病 (CVD) 是全球主要的死亡原因.
- 了解心血管疾病风险因素对于医疗保健干预至关重要,特别是在像伊朗这样的发展中国家.
- 伊朗面临着独特的经济和人口挑战,影响健康结果.
研究的目的:
- 评估1990年至2021年伊朗心血管疾病风险因素负担的时间趋势.
- 分析代谢,行为和环境/职业风险因素对心血管疾病负担的贡献.
- 确定伊朗各省和人口群体中心血管疾病风险因素负担的差异.
主要方法:
- 利用了2021年伊朗全球疾病负担 (GBD) 研究 (1990-2021) 的数据.
- 提取并分析了包括死亡,残疾调整寿命年 (DALYs),生命损失年 (YLLs) 和残疾生活年 (YLDs) 在内的指标.
- 报告的负担估计有95%的不确定性区间 (UI),按风险因素类别和人口统计学分层.
主要成果:
- 总心血管疾病风险因素死亡和DALY显著增加 (分别为99.28%和65.85%).
- 年龄标准化的死亡率和DALY率大幅下降 (分别为43.16%和45.82%).
- 代谢风险因素,特别是高静脉压,是主要的贡献者;男性和老年人面临更大的负担.
结论:
- 伊朗面临着相当大的心血管疾病风险因素负担,尽管年龄标准化率下降.
- 高静脉压需要集中注意力和干预.
- 针对高风险人群和较低SDI的省份的国家以下,特定风险的政策对于减少差异和CVD负担至关重要.
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