A Global Decomposition Analysis of the Effect of Population Aging on Disability-Adjusted Life Years Associated with Cardiovascular Disease - 204 Countries and Territories, 1990-2021.

IF 4.3 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH 中国疾病预防控制中心周报 Pub Date : 2024-09-27 DOI:10.46234/ccdcw2024.209
Na Sun, Xiaocan Jia, Xuezhong Shi, Feng Jiang, Chaojun Yang, Yongli Yang
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Abstract

What is already known about this topic?: The influence of population aging on the disability-adjusted life years (DALYs) associated with cardiovascular disease (CVD) is acknowledged, yet the magnitude of this impact remains unclear.

What is added by this report?: This research quantified the influence of population aging on CVD DALYs from 1990 to 2021 through decomposition analysis. The findings revealed that the proportion of DALYs attributable to aging varied widely, ranging from ‒77.0% to 148.9% across 204 countries. There was significant variation in the attributed DALY proportions among different countries or territories and types of CVD. Ischemic heart disease and stroke emerged as the leading contributors to DALYs influenced by aging.

What are the implications for public health practice?: Globally, the association of population aging with increased CVD DALYs underscores the critical need for enhancing health systems to cater to the needs of older adults. Mitigating the burden of CVD DALYs linked to demographic aging can be achieved by investing in resources and adjusting fertility policies.

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人口老龄化对心血管疾病相关残疾调整寿命年数影响的全球分解分析--204 个国家和地区,1990-2021 年。
本专题的已知信息:人口老龄化对心血管疾病相关残疾调整生命年(DALYs)的影响已得到公认,但这种影响的程度仍不清楚:本研究通过分解分析,量化了 1990 年至 2021 年人口老龄化对心血管疾病残疾调整寿命年数的影响。研究结果显示,老龄化造成的残疾调整寿命年数比例差异很大,在204个国家中从-77.0%到148.9%不等。不同国家或地区以及不同类型的心血管疾病造成的残疾调整寿命年数比例差异很大。缺血性心脏病和中风是造成老龄化影响残疾调整寿命年数的主要因素:在全球范围内,人口老龄化与心血管疾病残疾调整寿命年数增加之间的联系突出表明,亟需加强卫生系统以满足老年人的需求。通过投入资源和调整生育政策,可以减轻与人口老龄化相关的心血管疾病残疾调整寿命年数负担。
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