Şahin Bayram, İlgün Gülnur
Department of Health Care Management, Faculty of Economics and Administrative Sciences, Hacettepe University, Ankara, Turkey.
Aksaray University, Faculty of Health Sciences, Department of Health Care Management, Aksaray, Turkey.
Health Soc Care Community. 2022 Jan;30(1):73-80. doi: 10.1111/hsc.13156. Epub 2020 Sep 9.
This study aims to identify the risk factors affecting deaths related to cardiovascular diseases. The research population comprised of 194 World Health Organization (WHO) member countries, but the data analysis was conducted with the data from 152 countries as 42 of them do not have any data on study variables. Multivariable regression analysis was utilised for this study to analyse the effect of factors regarding metabolism, lifestyle, economic, socio-demographic and health system on the cardiovascular diseases related to deaths. As a result of regression analysis, the number of deaths related to cardiovascular diseases increases with the increase in blood pressure (p < .001), blood glucose (p = .032), obesity rate (p < .001), salt consumption (p < .001), GINI index (p = .002) and dependent age ratio (p < .001); the frequency of cardiovascular disease-related deaths is higher in the countries within low (p < .001) and high (p < .001) middle-income levels; yet, the number of deaths based on cardiovascular diseases diminishes with the increase in the number of doctors (p = .005) and health expenditures per capita (p = .044). The research findings are considered to guide the countries in the determination of their steps towards the prevention of deaths related to cardiovascular diseases.
本研究旨在确定影响心血管疾病相关死亡的风险因素。研究人群包括194个世界卫生组织(WHO)成员国,但由于其中42个国家没有任何关于研究变量的数据,因此数据分析是基于152个国家的数据进行的。本研究采用多变量回归分析来分析代谢、生活方式、经济、社会人口统计学和卫生系统等因素对心血管疾病相关死亡的影响。回归分析结果显示,心血管疾病相关死亡人数随着血压升高(p < .001)、血糖升高(p = .032)、肥胖率升高(p < .001)、盐摄入量增加(p < .001)、基尼系数升高(p = .002)和抚养比升高(p < .001)而增加;在低收入(p < .001)和高收入(p < .001)中等收入水平国家,心血管疾病相关死亡频率更高;然而,心血管疾病导致的死亡人数随着医生数量增加(p = .005)和人均卫生支出增加(p = .044)而减少。研究结果被认为可为各国在确定预防心血管疾病相关死亡的措施方面提供指导。