Burden of hemorrhagic stroke and hypertensive heart disease attributed to alcohol consumption in China.
10.3760/cma.j.cn112338-20220610-00516
- VernacularTitle:中国出血性卒中和高血压性心脏病归因于饮酒的疾病负担研究
- Author:
Yue Hui FANG
1
;
Yi Na HE
1
;
Yi Yao LIAN
1
;
Zeng Wu WANG
2
;
Peng YIN
3
;
Zhen Ping ZHAO
3
;
Yu Ting KANG
4
;
Ke Hong FANG
5
;
Gang Qiang DING
1
Author Information
1. National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing 100050, China Key Laboratory of Trace Element Nutrition, National Health Commission of the People's Republic of China, Beijing 100050, China.
2. Division of Prevention and Community Health, National Center for Cardiovascular Diseases and Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 102308, China.
3. National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
4. Office of National Clinical Research Center for Geriatric Diseases, Beijing Hospital/National Center of Gerontology/Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing 100730, China.
5. Institute for Health Risk Factor Monitoring, Hangzhou Municipal Center for Disease Control and Prevention, Hangzhou 310021, China.
- Publication Type:Journal Article
- MeSH:
Adult;
Male;
Humans;
Female;
Hemorrhagic Stroke;
Hypertension/epidemiology*;
Alcohol Drinking/epidemiology*;
Heart Diseases/epidemiology*;
China/epidemiology*
- From:
Chinese Journal of Epidemiology
2023;44(3):393-400
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To describe the prevalence of alcohol consumption and the burden of hemorrhagic stroke and hypertensive heart disease attributed to alcohol consumption in adults aged ≥20 years in 31 provinces in China from 2005 to 2018. Methods: Data from several national representative surveys was used to estimate provincial alcohol exposure level of adults aged ≥20 years from 2005 to 2018 by using kriging interpolation and locally weighted regression methods. Global disease burden research method and data, and China's death cause surveillance data were used to calculate the population attributable fraction (PAF) of hemorrhagic stroke and hypertensive heart disease and the deaths due to alcohol consumption in men and women aged ≥20 years in 31 provinces in China. China census data of 2010 were used to calculate the attributable standardized mortality rate. Results: In 2005 and 2018, the prevalence of alcohol consumption was 58.7% (95%CI: 57.8%-59.5%) and 58.4% (95%CI: 57.6%-59.3%), respectively, in men and 17.0% (95%CI: 16.6%-17.4%) and 18.7% (95%CI:18.1%-19.3%), respectively, in women. The daily alcohol intake was 24.6 (95%CI: 23.8-25.3) g and 27.7 (95%CI: 26.8-28.7) g, respectively, in men and 6.3 (95%CI: 6.0-6.5) g and 5.3 (95%CI: 5.0-5.6) g, respectively, in women. Alcohol exposure level was higher in the provinces in central and eastern China than in western provinces. The lowest exposure level was found in northwestern provinces. From 2005 to 2018, the PAF of hemorrhagic stroke death due to alcohol consumption increased from 5.5% to 6.8%, the attributable deaths increased from 50 200 to 59 100, while the PAF of hypertensive heart disease death due to alcohol consumption increased from 7.0% to 7.7%, the attributable deaths increased from 15 200 to 29 300. The PAF of hypertensive heart disease and hemorrhagic stroke was higher in men than in women, and in central and eastern provinces than in western provinces. In 2018, the standardized mortality rates of hemorrhagic stroke and hypertensive heart disease attributed to alcohol consumption were 4.58/100 000 and 2.11/100 000, respectively. Conclusions: The prevalence of alcohol consumption in men and daily alcohol intake of drinkers were relatively high in China, especially in eastern provinces. Alcohol exposure level was lower in women than in men. Regional measures should be taken to reduce the alcohol intakes in men and current drinkers in order to reduce the health problems caused by alcohol consumption.
