1990年至2019年炎症性心肌病和心肌炎的全球负担和归因危险因素

IF 3.2 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Guilan Wu, Wenlin Xu, Shuyi Wu, Chengfu Guan, Jinhua Zhang
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引用次数: 0

摘要

背景:我们对炎症性心肌病和心肌炎的全球负担分布的了解非常有限。目的:综合评估1990 - 2019年全球炎症性心肌病和心肌炎的负担分布及归因危险因素。方法:我们从2019年全球疾病负担(GBD)研究中提取炎症性心肌病和心肌炎的死亡、残疾调整生命年(DALY)和年龄标准化率(ASR)数据,包括综合数据和按年龄/性别分类的数据。通过计算上述变量的估计年百分比变化(EAPC)来评估流行趋势。本文从全球、5个社会人口指数区域、21个GBD区域和204个国家和地区四个方面探讨了空间差异。我们还估计了炎症性心肌病和心肌炎相关死亡的危险因素。结果:2019年,全球炎症性心肌病和心肌炎死亡人数为340349人,年龄标准化死亡率(ASDR)为4.40/10万,其中以老年人和男性为主。虽然发达地区的ASR有所下降,但在相对欠发达地区,炎症性心肌病和心肌炎仍然是重要的健康问题。在研究期间,炎症性心肌病和心肌炎也观察到类似的DALYs负担模式。在全球范围内,2019年60岁以上男性和65岁以上女性因高收缩压导致的死亡比例高于1990年。结论:炎症性心肌病和心肌炎仍是重要的全球公共卫生问题。炎症性心肌病和心肌炎负担的变化规律因地区、年龄、性别的不同而不同,因此改善资源配置,制定更有效、更有针对性的预防策略是必要的。此外,还应重视血压的控制。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Global burden and attributable risk factors of inflammatory cardiomyopathy and myocarditis from 1990 to 2019.

Background: Our understanding of the global burden distribution of inflammatory cardiomyopathy and myocarditis is very limited.

Objective: To comprehensively assess the global burden distribution and attributable risk factors of inflammatory cardiomyopathy and myocarditis from 1990 to 2019.

Methods: We extracted the data on death, disability-adjusted life years (DALY), and age-standardized rate (ASR) of inflammatory cardiomyopathy and myocarditis from the 2019 Global Burden of Disease (GBD) study, including the comprehensive data and the data classified by age/sex. Evaluate the epidemic trend by calculating the estimated annual percentage change (EAPC) of the above variables. This paper discusses the spatial differences from four aspects: global, five socio-demographic index regions, 21 GBD regions, and 204 countries and regions. We also estimated the risk factors attributable to inflammatory cardiomyopathy and myocarditis-related deaths.

Results: In 2019, the global death toll from inflammatory cardiomyopathy and myocarditis was 340,349, and the age-standardized mortality rate (ASDR) was 4.40/100,000, of which the elderly and men were the majority. Although ASR has decreased in developed areas, inflammatory cardiomyopathy and myocarditis are still important health problems in those relatively underdeveloped areas. Similar DALYs burden pattern of inflammatory cardiomyopathy and myocarditis was also observed during the study period. Globally, among men over 60 and women over 65, the proportion of deaths caused by high systolic blood pressure in 2019 was higher than that in 1990.

Conclusions: Inflammatory cardiomyopathy and myocarditis are still important global public health problems. The changing pattern of the burden of inflammatory cardiomyopathy and myocarditis varies with location, age, and sex, so it is essential to improve resource allocation to formulate more effective and targeted prevention strategies. In addition, the control of blood pressure should be emphasized.

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来源期刊
Archives of Public Health
Archives of Public Health Medicine-Public Health, Environmental and Occupational Health
CiteScore
4.80
自引率
3.00%
发文量
244
审稿时长
16 weeks
期刊介绍: rchives of Public Health is a broad scope public health journal, dedicated to publishing all sound science in the field of public health. The journal aims to better the understanding of the health of populations. The journal contributes to public health knowledge, enhances the interaction between research, policy and practice and stimulates public health monitoring and indicator development. The journal considers submissions on health outcomes and their determinants, with clear statements about the public health and policy implications. Archives of Public Health welcomes methodological papers (e.g., on study design and bias), papers on health services research, health economics, community interventions, and epidemiological studies dealing with international comparisons, the determinants of inequality in health, and the environmental, behavioural, social, demographic and occupational correlates of health and diseases.
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