Burden and Temporal Trends of Ischemic Stroke Attributed to Tobacco Exposure From 1990 to 2019 in China
10.3969/j.issn.1000-3614.2024.11.010
- VernacularTitle:1990～2019年中国归因于烟草暴露的缺血性脑卒中疾病负担及其变化趋势分析
- Author:
Xiaolu WANG
1
,
2
;
Shuai HOU
;
Yifeng ZHANG
;
Hang YANG
;
Yaozhen WANG
;
Yanqiang WANG
Author Information
1. 山东第二医科大学附属医院 神经内二科,潍坊 261031
2. 山东第二医科大学临床医学院,潍坊 261031
- Keywords:
ischemic stroke;
tobacco exposure;
passive smoking;
disease burden
- From:
Chinese Circulation Journal
2024;39(11):1117-1124
- CountryChina
- Language:Chinese
-
Abstract:
Objectives:To analyze and compare the disease burden of ischemic stroke due to tobacco exposure (including active and passive smoking) and its changing trends in China from 1990 to 2019,and to provide a reference for precise prevention and control of ischemic stroke. Methods:Based on the Global Burden of Disease Study 2019 database,we analyzed the burden of ischemic stroke disease attributable to tobacco exposure and its trends in different age and sex populations in China from 1990 to 2019,and compared the epidemiological differences in the burden of ischemic stroke disease attributable to active versus passive smoking. Results:Between 1990 and 2019,the disease burden of ischemic stroke attributable to tobacco exposure showed a decreasing trend in China and globally,but the decrease was relatively small in China.In 2019,the age-standardized mortality rate (ASMR) and age-standardized disability-adjusted life-year rate (ASDR) of ischemic stroke attributable to tobacco exposure in China were 10.64/100000 and 239.39/100000,both higher than the global average levels (5.85/100000 and 140.23/100000 respectively).The actual mortality and disability-adjusted life year (DALY) rates for ischemic stroke due to tobacco exposure in 2019 increased by 103.79％ and 90.48％,respectively,compared with 1990.There was a sex difference in the disease burden of ischemic stroke due to active and passive smoking,with the number of deaths,mortality,DALY,and DALY rates for ischemic stroke due to active smoking being significantly higher in men than in women.Conversely,the burden of ischemic stroke due to passive smoking was higher in women.At the age level,ischemic stroke attributable to both active and passive smoking presented the highest number of deaths,mortality,and DALY rates among those ≥70 years of age.Whereas DALY for ischemic stroke attributable to active smoking was mainly concentrated in those aged 50-69 years,DALY for ischemic stroke attributable to passive smoking was mainly concentrated in those aged ≥70 years. Conclusions:The disease burden of ischemic stroke attributable to tobacco exposure is higher in China than the global average level.The burden of ischemic stroke disease attributable to active and passive smoking varies significantly by sex and age,and more targeted tobacco control policies should be developed in China.
