Mortality and Years of Life Lost From Cardiometabolic Diseases in Mexico: National and State-Level Trends, 1998-2022.

IF 3 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Public Health Reports Pub Date : 2025-01-27 DOI:10.1177/00333549241308166

Marcela Agudelo-Botero, Claudio A Dávila-Cervantes

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Abstract

Objectives: Cardiometabolic diseases (CMDs) are highly prevalent in Mexico. We analyzed the evolution of mortality from CMDs in Mexico at the national and state level, as well as their contribution to years of life lost (YLL), from 1998 through 2022.

Methods: We conducted an observational study based on a public database. We calculated age-standardized mortality rates, conducted joinpoint regression analyses to determine changes in the trend and magnitude of mortality over time, and calculated YLL from CMDs among people in Mexico nationally and by state.

Results: From 1998 through 2022, the age-standardized mortality rate from CMDs increased by 14.9% in Mexico. These rates reached their highest levels in 2020 and 2021 during the COVID-19 pandemic. In 2022, people aged 0 through 84 years had 3.9 YLL from CMDs, which represented an increase of 0.4 years compared with 1998. From 1998 through 2022, age-standardized mortality rates increased for heart disease, diabetes mellitus, and hypertension but decreased for stroke.

Conclusions: Mortality and YLL from CMDs have steadily increased among people in Mexico, driven mainly by heart disease and diabetes mellitus. YLL attributable to CMDs could be prevented by early care and health prevention policies. Decision makers should work to implement robust and enduring health policies focused on shared risk factors underlying these diseases.

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目的：心脏代谢疾病（CMDs）在墨西哥的发病率很高。我们分析了从 1998 年到 2022 年墨西哥全国和各州 CMD 死亡率的变化情况，以及它们对生命损失年数（YLL）的贡献：我们基于公共数据库开展了一项观察性研究。我们计算了年龄标准化死亡率，进行了连接点回归分析，以确定死亡率随时间推移而发生的趋势和规模变化，并计算了墨西哥全国和各州 CMD 造成的寿命损失年数：结果：从 1998 年到 2022 年，墨西哥的 CMD 年龄标准化死亡率上升了 14.9%。这些死亡率在 COVID-19 大流行期间的 2020 年和 2021 年达到最高水平。2022 年，0 至 84 岁人群的 CMD 死亡率为 3.9，与 1998 年相比增加了 0.4。从 1998 年到 2022 年，心脏病、糖尿病和高血压的年龄标准化死亡率有所上升，但中风的死亡率有所下降：结论：在墨西哥，慢性阻塞性肺病导致的死亡率和年均寿命稳步上升，主要是由心脏病和糖尿病引起的。可以通过早期护理和健康预防政策来预防慢性阻塞性肺病导致的年死亡率。决策者应努力实施稳健而持久的卫生政策，重点关注这些疾病的共同风险因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Public Health Reports 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.00

自引率

6.10%

发文量

164

审稿时长

6-12 weeks

期刊介绍： Public Health Reports is the official journal of the Office of the U.S. Surgeon General and the U.S. Public Health Service and has been published since 1878. It is published bimonthly, plus supplement issues, through an official agreement with the Association of Schools and Programs of Public Health. The journal is peer-reviewed and publishes original research and commentaries in the areas of public health practice and methodology, original research, public health law, and public health schools and teaching. Issues contain regular commentaries by the U.S. Surgeon General and executives of the U.S. Department of Health and Human Services and the Office of the Assistant Secretary of Health. The journal focuses upon such topics as tobacco control, teenage violence, occupational disease and injury, immunization, drug policy, lead screening, health disparities, and many other key and emerging public health issues. In addition to the six regular issues, PHR produces supplemental issues approximately 2-5 times per year which focus on specific topics that are of particular interest to our readership. The journal''s contributors are on the front line of public health and they present their work in a readable and accessible format.