Burden of cardiovascular diseases in the Eastern Mediterranean Region, 1990-2015: findings from the Global Burden of Disease 2015 study

被引：65

作者：

Mokdad, Ali H. ^{[1
]}

Tehrani-Banihashemi, Arash ^{[2
]}

Moradi-Lakeh, Maziar ^{[3
]}

El Bcheraoui, Charbel ^{[1
]}

Charara, Raghid ^{[4
]}

Khalil, Ibrahim ^{[1
]}

Afshin, Ashkan ^{[1
]}

Collison, Michael ^{[1
]}

Daoud, Farah ^{[1
]}

Krohn, Kristopher J. ^{[1
]}

Chew, Adrienne ^{[1
]}

Cornaby, Leslie ^{[1
]}

Foreman, Kyle J. ^{[1
,5
]}

Frostad, Joseph ^{[1
]}

Kassebaum, Nicholas J. ^{[1
,6
]}

Kemmer, Laura ^{[1
]}

Kutz, Michael ^{[1
]}

Liu, Patrick ^{[1
]}

Mirarefin, Mojde ^{[1
,7
]}

Nguyen, Grant ^{[1
]}

Wang, Haidong ^{[1
]}

Zipkin, Ben ^{[1
]}

Abajobir, Amanuel Alemu ^{[8
]}

Abouzeid, Marian ^{[9
]}

Abu-Rmeileh, Niveen M. E. ^{[10
]}

Kiadaliri, Aliasghar Ahmad ^{[11
]}

Ahmed, Muktar Beshir ^{[12
]}

Aksut, Baran ^{[13
]}

Alam, Khurshid ^{[14
,16
]}

Alasfoor, Deena ^{[17
]}

Ali, Raghib ^{[18
]}

Alizadeh-Navaei, Reza ^{[19
]}

Al-Raddadi, Rajaa ^{[20
]}

Alsharif, Ubai ^{[21
]}

Altirkawi, Khalid A. ^{[22
]}

Alvis-Guzman, Nelson ^{[23
]}

Anber, Nahla ^{[24
]}

Anwari, Palwasha

Arnlov, Johan ^{[25
,26
]}

Asgedom, Solomon Weldegebreal ^{[27
]}

Atey, Tesfay Mehari ^{[27
]}

Awasthi, Ashish ^{[28
]}

Baernighausen, Till ^{[29
,30
,31
]}

Bacha, Umar ^{[32
]}

Barac, Aleksandra ^{[33
]}

Barker-Collo, Suzanne L. ^{[34
]}

Bedi, Neeraj ^{[35
]}

Bennett, Derrick A. ^{[36
]}

Berhe, Derbew Fikadu ^{[37
]}

Biadgilign, Sibhatu

机构：

[1] Univ Washington, Inst Hlth Metr & Evaluat, Seattle, WA 98195 USA

[2] Iran Univ Med Sci, Prevent Med & Publ Hlth Res Ctr, Tehran, Iran

[3] Iran Univ Med Sci, Dept Community Med, Prevent Med Publ Hlth Res Ctr, Gastrointestinal & Liver Dis Res Ctr GILDRC, Tehran, Iran

[4] Amer Univ Beirut, Beirut, Lebanon

[5] Imperial Coll London, London, England

[6] Seattle Childrens Hosp, Dept Anesthesiol & Pain Med, Seattle, WA USA

[7] Hunger Action Los Angeles, Los Angeles, CA USA

[8] Univ Queensland, Sch Publ Hlth, Brisbane, Qld, Australia

[9] Telethon Kids Inst, Perth, WA, Australia

[10] Birzeit Univ, Inst Community & Publ Hlth, Ramallah, Palestine

[11] Lund Univ, Dept Clin Sci Lund, Clin Epidemiol Unit, Orthoped, Lund, Sweden

[12] Jimma Univ, Coll Hlth Sci, Dept Epidemiol, Jimma, Ethiopia

[13] Cleveland Clin, Cleveland, OH USA

[14] Univ Melbourne, Murdoch Childrens Res Inst, Parkville, Vic, Australia

[15] Univ Melbourne, Melbourne, Vic, Australia

[16] Univ Sydney, Sydney, NSW, Australia

[17] Minist Hlth, Muscat, Oman

[18] Univ Oxford, Oxford, England

[19] Mazandaran Univ Med Sci, Gastrointestinal Canc Res Ctr, Sari, Iran

[20] Joint Program Family & Community Med, Jeddah, Saudi Arabia

[21] Charite, Berlin, Germany

[22] King Saud Univ, Riyadh, Saudi Arabia

[23] Univ Cartagena, Cartagena, Colombia

[24] Mansoura Univ, Mansoura, Egypt

[25] Karolinska Inst, Div Family Med & Primary Care, Dept Neurobiol, Care Sci & Soc, Stockholm, Sweden

[26] Dalarna Univ, Sch Hlth & Social Studies, Falun, Sweden

[27] Mekelle Univ, Mekelle, Ethiopia

[28] Sanjay Gandhi Postgrad Inst Med Sci, Lucknow, Uttar Pradesh, India

[29] Harvard Univ, Dept Global Hlth & Populat, Harvard TH Chan Sch Publ Hlth, Boston, MA 02115 USA

[30] Africa Hlth Res Inst, Mtubatuba, South Africa

[31] Heidelberg Univ, Inst Publ Hlth, Heidelberg, Germany

[32] Univ Management & Technol, Sch Hlth Sci, Lahore, Pakistan

[33] Univ Belgrade, Fac Med, Belgrade, Serbia

[34] Univ Auckland, Sch Psychol, Auckland, New Zealand

[35] Coll Publ Hlth & Trop Med, Jazan, Saudi Arabia

[36] Univ Oxford, Nuffield Dept Populat Hlth, Oxford, England

[37] Mekelle Univ, Sch Pharm, Mekelle, Ethiopia

[38] Al Shifa Trust Eye Hosp, Rawalpindi, Pakistan

[39] Western Australia Univ, Telethon Kids Inst, Princess Margaret Hosp Children, Subiaco, WA, Australia

[40] Univ Diego Portales, Santiago, Region Metropol, Chile

[41] Minist Hlth, Baghdad, Iraq

[42] Republican Inst Cardiol & Internal Dis, Alma Ata, Kazakhstan

[43] Kazakh Natl Med Univ, Sch Publ Hlth, Alma Ata, Kazakhstan

[44] Univ Peradeniya, Dept Community Med, Fac Med, Peradeniya, Sri Lanka

[45] Undersecretary Res & Technol, Minist Hlth & Med Educ, Tehran, Iran

[46] Duy Tan Univ, Inst Global Hlth Innovat, Da Nang, Vietnam

[47] Int Inst Populat Sci, Bombay, Maharashtra, India

[48] Univ Tehran Med Sci, Noncommunicable Dis Res Ctr, Tehran, Iran

[49] Univ Tehran Med Sci, Digest Dis Res Inst, Shariati Hosp, Liver & Pancreaticobiliary Dis Res Ctr, Tehran, Iran

[50] Minist Hlth & Med Educ, Tehran, Iran

来源：

INTERNATIONAL JOURNAL OF PUBLIC HEALTH | 2018年 / 63卷

基金：

比尔及梅琳达.盖茨基金会;

关键词：

Cardiovascular disease; Burden of disease; Eastern Mediterranean Region; PERSONAL HEALTH-CARE; MIDDLE-INCOME; SAUDI-ARABIA; MORTALITY; HYPERTENSION; PREDICTORS; AFFORDABILITY; AVAILABILITY; MEDICINES; COMMUNITY;

D O I：

10.1007/s00038-017-1012-3

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

To report the burden of cardiovascular diseases (CVD) in the Eastern Mediterranean Region (EMR) during 1990-2015. We used the 2015 Global Burden of Disease study for estimates of mortality and disability-adjusted life years (DALYs) of different CVD in 22 countries of EMR. A total of 1.4 million CVD deaths (95% UI: 1.3-1.5) occurred in 2015 in the EMR, with the highest number of deaths in Pakistan (465,116) and the lowest number of deaths in Qatar (723). The age-standardized DALY rate per 100,000 decreased from 10,080 in 1990 to 8606 in 2015 (14.6% decrease). Afghanistan had the highest age-standardized DALY rate of CVD in both 1990 and 2015. Kuwait and Qatar had the lowest age-standardized DALY rates of CVD in 1990 and 2015, respectively. High blood pressure, high total cholesterol, and high body mass index were the leading risk factors for CVD. The age-standardized DALY rates in the EMR are considerably higher than the global average. These findings call for a comprehensive approach to prevent and control the burden of CVD in the region.

引用

页码：137 / 149

页数：13

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