Global, regional, and national burden of ischemic heart disease attributable to secondhand smoke from 1990 to 2019.

IF 2.2 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Tobacco Induced Diseases Pub Date : 2024-07-04 eCollection Date: 2024-01-01 DOI:10.18332/tid/189771

Xinyue Yang, Zhiqiang Zhang, Jiayi Sun, Wenjuan Zhang

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引用次数: 0

Abstract

Introduction: Assessing the burden of ischemic heart disease (IHD) attributable to secondhand smoke (SHS) exposure is crucial for informing evidence-based healthcare practices, prevention strategies, and resource allocation planning.

Methods: The burden of IHD attributable to SHS from 1990 to 2019 was assessed using the comparative risk assessment method as part of the Global Burden of Disease (GBD) study 2019.

Results: Globally, the absolute number of deaths and disability-adjusted life-years (DALYs) from IHD due to SHS increased substantially from 270.0 thousand and 6971.3 thousand in 1990 to 397.4 thousand and 9566.1 thousand in 2019. The corresponding age-standardized mortality rates (ASMR) and age-standardized DALYs rates (ASDR) were both in a decreasing trend with estimate of the annual percentage change (EAPC) of -1.38 (-1.42 - -1.34) and -1.43 (-1.47 - -1.38). Central Asia has the highest ASMR (16 per 100000, 95% uncertainty interval, UI: 12.8-19.4), and Oceania has the highest ASDR (323.2 per 100000, 95% UI: 228.9-443.1 per 100000) in 2019. All sociodemographic index (SDI) category regions showed a decreasing trend in ASMR and ASDR, with the decrease being more obvious in high and high-middle SDI regions. Our analysis identified an escalating trend concerning ASMR and ASDR in Oceania from 1990 to 2019. In 2019, the most significant number of deaths and DALYs occurred in the age group of 80-84 years (5.4 thousand, 95% UI: 3.7-7.3 in thousands) and the age group of 55-59 years (1140.8 thousand, 95% UI: 876.1-1435 in thousands).

Conclusions: Our study reveals an absolute global increase in deaths and DALYs from IHD due to SHS from 1990 to 2019. Despite a declining trend in ASMR and ASDR, regional disparities persist. The elderly and middle-aged populations bore the most significant burden. These findings highlight the ongoing global health impact of SHS on IHD and emphasize the need for targeted interventions in regions with rising trends and vulnerable age groups.

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1990 至 2019 年全球、地区和国家因二手烟导致的缺血性心脏病负担。

导言：评估二手烟暴露导致的缺血性心脏病（IHD）的负担对循证医疗实践、预防策略和资源分配规划至关重要：评估可归因于二手烟（SHS）暴露的缺血性心脏病（IHD）的负担对于为循证医疗实践、预防策略和资源分配规划提供信息至关重要：方法：作为 2019 年全球疾病负担（GBD）研究的一部分，采用比较风险评估方法对 1990 年至 2019 年可归因于 SHS 的缺血性心脏病负担进行了评估：在全球范围内，SHS导致的IHD死亡绝对数和残疾调整生命年（DALYs）从1990年的27.0万和69.713万大幅增加到2019年的39.74万和95.661万。相应的年龄标准化死亡率（ASMR）和年龄标准化残疾调整寿命年数（ASDR）均呈下降趋势，估计年百分比变化（EAPC）分别为-1.38（-1.42 --1.34）和-1.43（-1.47 --1.38）。2019 年，中亚的 ASMR 最高（16/100000，95% 不确定区间 UI：12.8-19.4），大洋洲的 ASDR 最高（323.2/100000，95% 不确定区间 UI：228.9-443.1/100000）。所有社会人口指数（SDI）类别地区的 ASMR 和 ASDR 均呈下降趋势，SDI 高和中高地区的下降趋势更为明显。我们的分析发现，从 1990 年到 2019 年，大洋洲的 ASMR 和 ASDR 呈上升趋势。2019年，80-84岁年龄组（540万人，95% UI：3.7-7.3（以千人计））和55-59岁年龄组（1140.8万人，95% UI：876.1-1435（以千人计））的死亡人数和残疾调整寿命年数最多：我们的研究揭示了从 1990 年到 2019 年，全球因社会和人文因素导致的高密度脂蛋白血症死亡人数和残疾调整寿命年数的绝对增长。尽管 ASMR 和 ASDR 呈下降趋势，但地区差异依然存在。老年人和中年人承受的负担最为沉重。这些研究结果突显了可吸入沼气对慢性阻塞性肺疾病的持续全球健康影响，并强调有必要在有上升趋势的地区和弱势年龄组采取有针对性的干预措施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Tobacco Induced Diseases SUBSTANCE ABUSE-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

CiteScore

5.30

自引率

5.40%

发文量

审稿时长

12 weeks

期刊介绍： Tobacco Induced Diseases encompasses all aspects of research related to the prevention and control of tobacco use at a global level. Preventing diseases attributable to tobacco is only one aspect of the journal, whose overall scope is to provide a forum for the publication of research articles that can contribute to reducing the burden of tobacco induced diseases globally. To address this epidemic we believe that there must be an avenue for the publication of research/policy activities on tobacco control initiatives that may be very important at a regional and national level. This approach provides a very important "hands on" service to the tobacco control community at a global scale - as common problems have common solutions. Hence, we see ourselves as "connectors" within this global community. The journal hence encourages the submission of articles from all medical, biological and psychosocial disciplines, ranging from medical and dental clinicians, through health professionals to basic biomedical and clinical scientists.