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Disease burden of stroke attributed to indoor solid fuel in China from 1990 to 2019 |
SHI Yu-jing, XUE Yuan, LI Meng, CHENG Xiao-ou, DENG Qi-hong |
School of Public Health, Zhengzhou University, Zhengzhou 450001, China |
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Abstract Based on the Global Burden of Disease Study 2019, we used standardized mortality rates and Disability-Adjusted Life Years (DALY) rates to analyze the disease burden of stroke. This study utilized Joinpoint regression analysis to examine the temporal trends of stroke burden attributed to Household Air Pollution from Solid Fuels (HAPSF) in China from 1990 to 2019. Autoregressive Integrated Moving Average (ARIMA) model was applied to forecast the trend in the upcoming five years. The results indicated that, from 1990 to 2019, the standardized mortality rate and DALY rate attributed to HAPSF exhibited a declining trend in China, with Average Annual Percent Changes (AAPC) of -6.56 and -6.53 respectively (P<0.05). In 2019, the standardized mortality rates and DALY rates for stroke attributable to HAPSF in China were respectively 7.41 and 163.08 per 100,000. The peak disease burden was observed in the age group of 85to 89years, with males exhibiting a higher disease burden than females. Projections from the ARIMA model suggested that the standardized mortality rates and DALY rates for stroke attributed to HAPSF will continue to decrease from 2020 to 2024. Despite the reduction in stroke disease burden caused by HAPSF over the past 30years and the expected decline in the next five years, males and the elderly were at higher risk. Effective intervention strategies targeting these high-risk populations are recommended to ameliorate the disease burden associated with strokes caused by HAPSF.
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Received: 03 July 2023
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