Which chronic diseases contribute the most to healthy life years lost in Algeria?

IF 1.8 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Chronic Illness Pub Date : 2024-09-01 Epub Date: 2024-07-23 DOI:10.1177/17423953241264875

Meryem Chinoune, Farid Flici

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引用次数: 0

Abstract

Objectives: Chronic diseases contribute significantly to healthy years lost (HYLs). It is critical to investigate which are the most contributing diseases to enable enhancing health programs' effectiveness in improving health expectancy. This paper investigates disease-specific contributions to years lived with chronic diseases in Algeria and examines their recent evolution.

Methods: We used morbidity data from the last three waves of the Multiple Indicator Cluster Surveys of 2006, 2012-13, and 2018-19. The studied chronic diseases included hypertension, cardiovascular diseases (CVDs), joint diseases, respiratory diseases, and diabetes. We calculated disease-specific contributions using the cause-deleted health expectancy approach. Then, we analyzed time changes and gender-based differences in contributions.

Results: The leading cause of HYLs in women is hypertension, followed by diabetes, joint diseases, CVDs, and respiratory diseases. The same ranking applies to men, with joint diseases coming last. The time evolution of relative disease-specific contributions shows an increase in CVDs for women and diabetes for both genders, against a decrease for the other diseases.

Discussion: To improve chronic disease-free life expectancy in Algeria, effective prevention programs must be implemented, with an emphasis on hypertension and diabetes. Further investigation into the risk factors affecting the prevalence and incidence of these diseases is also required.

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在阿尔及利亚，哪些慢性病造成的健康寿命损失最大？

目标：慢性疾病是造成健康损失年数（HYLs）的主要原因。调查哪些疾病对健康损失年数的影响最大至关重要，这样才能提高卫生计划在改善预期健康年数方面的有效性。本文调查了特定疾病对阿尔及利亚慢性病患者生存年数的影响，并研究了这些疾病最近的演变情况：我们使用了 2006 年、2012-13 年和 2018-19 年最近三次多指标类集调查的发病率数据。研究的慢性病包括高血压、心血管疾病（CVD）、关节疾病、呼吸系统疾病和糖尿病。我们采用病因删除健康预期寿命法计算了特定疾病的贡献率。然后，我们分析了贡献率的时间变化和性别差异：结果：女性健康预期寿命的首要原因是高血压，其次是糖尿病、关节疾病、心血管疾病和呼吸系统疾病。男性的排名也是如此，关节疾病排在最后。特定疾病相对贡献率的时间变化显示，女性的心血管疾病和糖尿病在两性中都有所增加，而其他疾病则有所减少：讨论：要提高阿尔及利亚人的无慢性病预期寿命，必须实施有效的预防计划，重点是高血压和糖尿病。此外，还需要进一步调查影响这些疾病流行率和发病率的风险因素。

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

Chronic Illness Multiple-

CiteScore

3.80

自引率

0.00%

发文量

期刊介绍： Chronic illnesses are prolonged, do not resolve spontaneously, and are rarely completely cured. The most common are cardiovascular diseases (hypertension, coronary artery disease, stroke and heart failure), the arthritides, asthma and chronic obstructive pulmonary disease, diabetes and epilepsy. There is increasing evidence that mental illnesses such as depression are best understood as chronic health problems. HIV/AIDS has become a chronic condition in those countries where effective medication is available.