Global, regional, and national burden of ischemic heart disease attributable to secondhand smoke from 1990 to 2019
Introduction Assessing the burden of ischemic heart disease (IHD) attributable to secondhand smoke (SHS) exposure is crucial for informing evidence-based healthcare practices, prevention strategies, and resource allocation planning. Methods The burden of IHD attributable to SHS from 1990 to 2019 wa...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
European Publishing
2024-07-01
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| Series: | Tobacco Induced Diseases |
| Subjects: | |
| Online Access: | https://www.tobaccoinduceddiseases.org/Global-regional-and-national-burden-of-ischemic-heart-disease-attributable-to-secondhand,189771,0,2.html |
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| Summary: | Introduction
Assessing the burden of ischemic heart disease (IHD) attributable
to secondhand smoke (SHS) exposure is crucial for informing evidence-based
healthcare practices, prevention strategies, and resource allocation planning.
Methods
The burden of IHD attributable to SHS from 1990 to 2019 was assessed
using the comparative risk assessment method as part of the Global Burden of
Disease (GBD) study 2019.
Results
Globally, the absolute number of deaths and disability-adjusted life-years
(DALYs) from IHD due to SHS increased substantially from 270.0 thousand and
6971.3 thousand in 1990 to 397.4 thousand and 9566.1 thousand in 2019. The
corresponding age-standardized mortality rates (ASMR) and age-standardized
DALYs rates (ASDR) were both in a decreasing trend with estimate of the annual
percentage change (EAPC) of -1.38 (-1.42 – -1.34) and -1.43 (-1.47 – -1.38).
Central Asia has the highest ASMR (16 per 100000, 95% uncertainty interval,
UI: 12.8–19.4), and Oceania has the highest ASDR (323.2 per 100000, 95% UI:
228.9–443.1 per 100000) in 2019. All sociodemographic index (SDI) category
regions showed a decreasing trend in ASMR and ASDR, with the decrease being
more obvious in high and high-middle SDI regions. Our analysis identified an
escalating trend concerning ASMR and ASDR in Oceania from 1990 to 2019. In
2019, the most significant number of deaths and DALYs occurred in the age group
of 80–84 years (5.4 thousand, 95% UI: 3.7–7.3 in thousands) and the age group
of 55–59 years (1140.8 thousand, 95% UI: 876.1–1435 in thousands).
Conclusions
Our study reveals an absolute global increase in deaths and DALYs
from IHD due to SHS from 1990 to 2019. Despite a declining trend in ASMR
and ASDR, regional disparities persist. The elderly and middle-aged populations
bore the most significant burden. These findings highlight the ongoing global
health impact of SHS on IHD and emphasize the need for targeted interventions
in regions with rising trends and vulnerable age groups. |
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| ISSN: | 1617-9625 |