The Burden of Cardiovascular Diseases Among US States, 1990-2016.

Autor:	Roth GA; Institute for Health Metrics and Evaluation, University of Washington, Seattle.; Division of Cardiology, Department of Medicine, University of Washington, Seattle., Johnson CO; Institute for Health Metrics and Evaluation, University of Washington, Seattle., Abate KH; Jimma University, Jimma, Ethiopia., Abd-Allah F; Cairo University, Giza, Egypt., Ahmed M; Jimma University, Jimma, Ethiopia., Alam K; The University of Western Australia, Perth, Western Australia, Australia., Alam T; Institute for Health Metrics and Evaluation, University of Washington, Seattle., Alvis-Guzman N; Universidad de Cartagena, Cartagena, Bolívar, Columbia., Ansari H; Zahedan University of Medical Sciences, Zahedan, Iran., Ärnlöv J; Karolinska Institutet, Stockholm, Sweden., Atey TM; Mekelle University, Mekelle, Ethiopia., Awasthi A; Indian Institute of Public Health Gandhinagar, Public Health Foundation of India, Gandhinagar, Gujarat, India., Awoke T; University of Gondar, Gondar, Ethiopia., Barac A; University of Belgrade, Belgrade, Serbia., Bärnighausen T; Harvard University, Cambridge, Massachusetts., Bedi N; Jazan University, Jizan, Saudi Arabia., Bennett D; University of Oxford, Oxford, England., Bensenor I; University of São Paulo, São Paulo, São Paulo, Brazil., Biadgilign S; Independent Public Health Consultant, Addis Abbaba, Ethiopia., Castañeda-Orjuela C; Observatorio Nacional de Salud, Instituto Nacional de Salud, Bogotá, DC, Colombia., Catalá-López F; INCLIVA Health Research Institute, Centro de Investigación Biomédica en Red Salud Mental, University of Valencia, Valencia, Spain., Davletov K; Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan., Dharmaratne S; University of Peradeniya, Peradeniya, Sri Lanka., Ding EL; Harvard T. H. Chan School of Public Health, Boston, Massachusetts., Dubey M; International Institute for Population Sciences, Mumbai, India., Faraon EJA; University of the Philippines Manila, Manila, Philippines., Farid T; University of Louisville, Louisville, Kentucky., Farvid MS; Harvard T. H. Chan School of Public Health, Boston, Massachusetts., Feigin V; Auckland University of Technology, Auckland, New Zealand., Fernandes J; Catholic University of Portugal, Lisbon, Portugal., Frostad J; Institute for Health Metrics and Evaluation, University of Washington, Seattle., Gebru A; Mekelle University, Mekelle, Ethiopia., Geleijnse JM; Wageningen University, Wageningen, the Netherlands., Gona PN; University of Massachusetts Boston, Boston., Griswold M; Institute for Health Metrics and Evaluation, University of Washington, Seattle., Hailu GB; Mekelle University, Mekelle, Ethiopia., Hankey GJ; School of Medicine and Pharmacology, University of Western Australia, Perth, Western Australia, Australia., Hassen HY; Mizan Tepi University, Tepi, Ethiopia., Havmoeller R; Karolinska Institutet, Stockholm, Sweden., Hay S; Institute for Health Metrics and Evaluation, University of Washington, Seattle., Heckbert SR; Institute for Health Metrics and Evaluation, University of Washington, Seattle., Irvine CMS; Institute for Health Metrics and Evaluation, University of Washington, Seattle., James SL; Institute for Health Metrics and Evaluation, University of Washington, Seattle., Jara D; Debre Markos University, Debre Markos, Ethiopia., Kasaeian A; Hematology, Oncology, and Stem Cell Transplantation Research Center, Tehran University of Medical Sciences, Tehran, Iran., Khan AR; University of Louisville, Louisville, Kentucky., Khera S; New York Medical College, Valhalla., Khoja AT; Al Imam Mohammad Ibn Saud Islamic University, Riyadh, Saudi Arabia., Khubchandani J; Ball State University, Muncie, Indiana., Kim D; Northeastern University, Boston, Massachusetts., Kolte D; Brown University, Providence, Rhode Island., Lal D; Public Health Foundation of India, New Delhi, India., Larsson A; Department of Medical Sciences, Uppsala University, Uppsala, Sweden., Linn S; University of Haifa, Haifa, Israel., Lotufo PA; Clinical Research Center, University Hospital, University of São Paulo, São Paulo, São Paulo, Brazil., Magdy Abd El Razek H; Faculty of Medicine, Mansoura University, Mansoura, Egypt., Mazidi M; State Key Laboratory of Molecular Developmental Biology, Institute of Genetics and Developmental Biology, Chinese Academy of Sciences, Chaoyang, Beijing., Meier T; Martin Luther University of Halle-Wittenberg, Halle, Germany., Mendoza W; United Nations Population Fund, New York, New York., Mensah GA; National Institutes of Health, Bethesda, Maryland., Meretoja A; University of Melbourne, Melbourne, Victoria, Australia., Mezgebe HB; Mekelle University, Mekelle, Ethiopia., Mirrakhimov E; Kyrgyz State Medical Academy, Bishkek, Kyrgyzstan., Mohammed S; Ahmadu Bello University, Zaria, Kaduna State, Nigeria., Moran AE; Columbia University, New York, New York., Nguyen G; Institute for Health Metrics and Evaluation, University of Washington, Seattle., Nguyen M; Institute for Health Metrics and Evaluation, University of Washington, Seattle., Ong KL; Institute for Health Metrics and Evaluation, University of Washington, Seattle., Owolabi M; Department of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria., Pletcher M; Institute for Health Metrics and Evaluation, University of Washington, Seattle., Pourmalek F; University of British Columbia, Vancouver, British Columbia, Canada., Purcell CA; Institute for Health Metrics and Evaluation, University of Washington, Seattle., Qorbani M; Noncommunicable Diseases Research Center, Alborz University of Medical Sciences, Hassan Abad, Karaj, Iran., Rahman M; BRAC, Dhaka, Bangladesh., Rai RK; Society for Health and Demographic Surveillance, West Bengal, India., Ram U; International Institute for Population Sciences, Mumbai, India., Reitsma MB; Institute for Health Metrics and Evaluation, University of Washington, Seattle., Renzaho AMN; Western Sydney University, Penrith, New South Wales, Australia., Rios-Blancas MJ; National Institute of Public Health, Wako, Japan., Safiri S; Maragheh University of Medical Sciences, East Azerbaijan Province, Iran., Salomon JA; Harvard University, Cambridge, Massachusetts., Sartorius B; University of KwaZulu-Natal, Durban, South Africa., Sepanlou SG; Tehran University of Medical Sciences, Tehran, Iran., Shaikh MA; Independent Consultant, Karachi, Pakistan., Silva D; Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil., Stranges S; Department of Epidemiology and Biostatistics, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada., Tabarés-Seisdedos R; INCLIVA Health Research Institute, Centro de Investigación Biomédica en Red Salud Mental, University of Valencia, Valencia, Spain., Tadele Atnafu N; Addis Ababa University, Addis Ababa, Ethiopia., Thakur JS; Postgraduate Institute of Medical Education and Research, Chandigarh, India., Topor-Madry R; Jagiellonian University Medical College, Krakow, Poland., Truelsen T; University of Copenhagen, Copenhagen, Denmark., Tuzcu EM; Cleveland Clinic, Cleveland, Ohio., Tyrovolas S; Hospital Sant Joan de Déu Barcelona, Sant Joan de Déu Research Foundation, Centro de Investigación Biomédica en Red Salud Mental, Universitat de Barcelona, Barcelona, Spain., Ukwaja KN; Department of Internal Medicine, Federal Teaching Hospital, Abakaliki, Ebonyi State, Nigeria., Vasankari T; UKK Institute for Health Promotion Research, Tampere, Finland., Vlassov V; National Research University Higher School of Economics, Moscow, Russia., Vollset SE; Norwegian Institute of Public Health, Oslo, Norway., Wakayo T; Jimma University, Jimma, Ethiopia., Weintraub R; Royal Children's Hospital, Melbourne, Victoria, Australia., Wolfe C; King's College London, London, England., Workicho A; Jimma University, Jimma, Ethiopia., Xu G; Nanjing University School of Medicine, Nanjing, China., Yadgir S; Institute for Health Metrics and Evaluation, University of Washington, Seattle., Yano Y; The University of Mississippi Medical Center, Jackson., Yip P; University of Hong Kong, Pokfulam, Hong Kong., Yonemoto N; Kyoto University, Kyoto, Japan., Younis M; Jackson State University, Jackson, Mississippi., Yu C; Wuhan University, Wuhan, China., Zaidi Z; University Hospital of Setif, Setif, Algeria., Zaki MES; Faculty of Medicine, Mansoura University, Mansoura, Egypt., Zipkin B; Institute for Health Metrics and Evaluation, University of Washington, Seattle., Afshin A; Institute for Health Metrics and Evaluation, University of Washington, Seattle., Gakidou E; Institute for Health Metrics and Evaluation, University of Washington, Seattle., Lim SS; Institute for Health Metrics and Evaluation, University of Washington, Seattle., Mokdad AH; Institute for Health Metrics and Evaluation, University of Washington, Seattle., Naghavi M; Institute for Health Metrics and Evaluation, University of Washington, Seattle., Vos T; Institute for Health Metrics and Evaluation, University of Washington, Seattle., Murray CJL; Institute for Health Metrics and Evaluation, University of Washington, Seattle.
Jazyk:	angličtina
Zdroj:	JAMA cardiology [JAMA Cardiol] 2018 May 01; Vol. 3 (5), pp. 375-389.
DOI:	10.1001/jamacardio.2018.0385
Abstrakt:	Importance: Cardiovascular disease (CVD) is the leading cause of death in the United States, but regional variation within the United States is large. Comparable and consistent state-level measures of total CVD burden and risk factors have not been produced previously. Objective: To quantify and describe levels and trends of lost health due to CVD within the United States from 1990 to 2016 as well as risk factors driving these changes. Design, Setting, and Participants: Using the Global Burden of Disease methodology, cardiovascular disease mortality, nonfatal health outcomes, and associated risk factors were analyzed by age group, sex, and year from 1990 to 2016 for all residents in the United States using standardized approaches for data processing and statistical modeling. Burden of disease was estimated for 10 groupings of CVD, and comparative risk analysis was performed. Data were analyzed from August 2016 to July 2017. Exposures: Residing in the United States. Main Outcomes and Measures: Cardiovascular disease disability-adjusted life-years (DALYs). Results: Between 1990 and 2016, age-standardized CVD DALYs for all states decreased. Several states had large rises in their relative rank ordering for total CVD DALYs among states, including Arkansas, Oklahoma, Alabama, Kentucky, Missouri, Indiana, Kansas, Alaska, and Iowa. The rate of decline varied widely across states, and CVD burden increased for a small number of states in the most recent years. Cardiovascular disease DALYs remained twice as large among men compared with women. Ischemic heart disease was the leading cause of CVD DALYs in all states, but the second most common varied by state. Trends were driven by 12 groups of risk factors, with the largest attributable CVD burden due to dietary risk exposures followed by high systolic blood pressure, high body mass index, high total cholesterol level, high fasting plasma glucose level, tobacco smoking, and low levels of physical activity. Increases in risk-deleted CVD DALY rates between 2006 and 2016 in 16 states suggest additional unmeasured risks beyond these traditional factors. Conclusions and Relevance: Large disparities in total burden of CVD persist between US states despite marked improvements in CVD burden. Differences in CVD burden are largely attributable to modifiable risk exposures.
Databáze:	MEDLINE
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