Comparative analysis of global and Chinese trends in the burden of ischemic stroke attributable to secondhand smoke from 1990-2021.

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

Tobacco Induced Diseases Pub Date : 2025-06-05 eCollection Date: 2025-01-01 DOI:10.18332/tid/204510

Xiao Zhou, Jiaming Liu, Xin Li

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引用次数: 0

Abstract

Introduction: Ischemic stroke (IS) represents a major health burden in China, and tobacco control is recognized as a practical and effective strategy to alleviate this impact. This study examines the influence of secondhand smoke (SHS) on the IS burden in China from 1990-2021.

Methods: Based on data from the Global Burden of Disease (GBD) 2021, this study analyzed the mortality and disability-adjusted life years (DALYs) burden of ischemic stroke (IS) attributable to secondhand smoke (SHS) in China and globally from 1990 to 2021. This study examined trends across different age and sex groups and projected future mortality and DALYs, providing a scientific basis for targeted public health strategies.

Results: Over the past 32 years, the number of IS deaths from SHS exposure in China rose from 23394.83 (95% UI: 15837.47-32315.19) in 1990 to 53697.88 (95% UI: 35003.84-76382.65) in 2021. Despite this increase, the ASMR declined from 3.94 (95% UI: 2.59-5.54) per 100000 population in 1990 to 2.92 (95% UI: 1.88-4.21) in 2021, with an AAPC of -0.04 (95% CI: -0.04-0.03). However, China's ASMR and ASDR remain significantly higher than the global average. APC analysis revealed greater mortality trends among the elderly and females. Over the next 30 years, mortality rates will decline across all ages, but deaths will rise, especially in those aged 75 years and older.

Conclusions: The mortality rate of SHS-related IS in China declined from 1990 to 2021, but elderly and female patients still face a high burden. China's disease burden remains higher than the global average. While mortality rates may continue to decline, deaths are expected to rise, especially among those aged 75 years and older.

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1990-2021年全球与中国二手烟缺血性卒中负担趋势比较分析

在中国，缺血性卒中（IS）是一个主要的健康负担，烟草控制被认为是减轻这一影响的一种实际有效的策略。本研究考察了1990-2021年中国二手烟对IS负担的影响。方法：基于全球疾病负担（GBD） 2021的数据，本研究分析了1990 - 2021年中国和全球二手烟（SHS）导致的缺血性卒中（IS）的死亡率和残疾调整生命年（DALYs）负担。这项研究审查了不同年龄和性别群体的趋势，并预测了未来的死亡率和伤残调整生命年，为有针对性的公共卫生战略提供了科学依据。结果：32年来，中国SHS暴露导致的IS死亡人数从1990年的23394.83人（95% UI: 15837.47-32315.19）上升到2021年的53697.88人（95% UI: 35003.84-76382.65）。尽管有所增加，但ASMR从1990年的每10万人3.94 （95% UI: 2.59-5.54）下降到2021年的2.92 (95% UI: 1.88-4.21)， AAPC为-0.04 （95% CI: -0.04-0.03）。然而，中国的ASMR和ASDR仍显著高于全球平均水平。APC分析显示，老年人和女性的死亡率趋势更高。在接下来的30年里，所有年龄段的死亡率都将下降，但死亡率将上升，尤其是75岁及以上的人。结论：1990年至2021年，中国shs相关IS死亡率下降，但老年人和女性患者仍面临较高负担。中国的疾病负担仍高于全球平均水平。虽然死亡率可能继续下降，但预计死亡人数将上升，特别是75岁及以上的人。

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.