Burden of stroke in China and the different SDI regions over the world

Bibliographic Data

ID19550872
AuthorsYuqing Mi (0000-0002-2923-5618, Weifang Medical University), Lei Huai (Central Hospital of Zibo), Yanling Yin (0000-0003-1904-900X, Qingdao University), Jinbao Yuan (0009-0008-6300-6457, Weifang Medical University), Yuzhuo Liu (0009-0004-3768-030X, Weifang Medical University), Jingwen Huang (0000-0002-5233-9693), Jing-Wen Huang (0000-0003-2519-3227, Weifang Medical University), Wei Li (0000-0002-3581-849X, Weifang Medical University)
Year2023
Volume13
Pages04169-04169
Publication date2023-12-22
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueJournal of Global Health (JOURNAL)
Journal identifiersISSN: 2047-2978 • E-ISSN: 2047-2986
PublisherInternational Society of Global Health (PUBLISHER • GB)
DOI10.7189/jogh.13.04169
PMID38131457
OpenAlexW4390104870
LanguageEN
Citations received1
References cited41

Background: Stroke is a significant global health issue, ranking as the second leading cause of death and the third leading cause of death and disability combined. This study aimed to examine the changes and differences in stroke burden from 1990 to 2019 in China and various global socio-demographic index (SDI) regions. Methods: Data were obtained from the Global Burden of Diseases Study 2019, which included the incidence, prevalence, mortality, disability-adjusted life years (DALY), years of life with disability (YLD), and years of life lost (YLL) of stroke. The change trend of stroke burden was assessed based on age-standardised rates per 100 000 person-years and estimated annual percentage changes. The average annual rate of change in stroke burden was analysed using the average annual percentage change from 1990 to 2019. Pearson correlation analysis was used to explore the strength and direction of the correlation between stroke burden and SDI. Results: Regions with high SDI showed the largest decline in age-standardised incidence, death, DALY, YLD, and YLL rates of stroke from 1990 to 2019. China experienced the largest increase in age-standardised prevalence and YLD rates of stroke from 1990 to 2019. There were significant differences in the average annual percent change in stroke burden among the majority of SDI regions. The burden for stroke at the national level was inversely correlated with SDI, despite some exceptions (Incidence: R = -0.417, P < 0.001; prevalence: R = -0.297, P < 0.001; mortality: R = -0.510, P < 0.001; DALY: R = -0.550, P < 0.001; YLD: R = -0.125, P = 0.075; YLL: R = -0.569, P < 0.001). Conclusions: There were significant differences in the stroke burden across different regions with varying SDI levels from 1990 to 2019. The age-standardised prevalence rate and attributable disability burden of stroke remain substantial in different SDI regions, making it a major contributor to the overall disease burden. The severe burden of stroke highlights the importance of primary and secondary stroke-prevention strategies. Therefore, future strategies to prevent and reduce the burden of stroke should be formulated and implemented according to the SDI of each country

Burden of disease · Cause of death · China · Disability-adjusted life year · Disease · Environmental health · Geography · Life expectancy · Mortality rate · Population · Years of potential life lost · Acute Ischemic Stroke Management · Cardiovascular Health and Risk Factors · Demography · Medicine · Neurological Disease Mechanisms and Treatments · Gerontology · Internal Medicine · Surgery