Department of Cardiology, The First People's Hospital of Xiaoshan District, Xiaoshan Affiliated Hospital of Wenzhou Medical University, Hangzhou, Zhejiang, People's Republic of China.
Department of Breast Surgery, Hangzhou TCM Hospital Affiliated to Zhejiang Chinese Medical University, Hangzhou Hospital of Traditional Chinese Medicine, Hangzhou, Zhejiang, People's Republic of China.
BMC Public Health. 2022 Apr 27;22(1):841. doi: 10.1186/s12889-022-13271-0.
Hypertensive heart disease (HHD) is a major public health issue worldwide. We analyzed the global, regional, and national burden of HHD between the years 1990 and 2019 in relation to age, gender, and socioeconomic factors.
The prevalence and death rates, the disability adjusted life-years (DALY), and the corresponding age-standardized rates of HHD were extracted from the Global Burden of Disease study 2019. The epidemiological trends were evaluated by calculating the estimated annual percentage changes (EAPC) of the above variates.
A total of 19.60 million HHD cases were documented in 2019 compared to 7.82 million in 1990, corresponding to an EAPC of 0.17. Contrarily, the global age-standardized death rate (ASDR) and age-standardized DALYs decreased with respective EAPCs of - 0.74 and - 1.02. HHD mostly occurred in people aged over 65. The disease burden of HHD varied considerably between countries, and univariate linear regression indicated that many socioeconomic variables had significantly negative correlations with age-standardized DALY rate.
HHD cases have increased over the last three decades; however the mortality rate has declined. Multi-faceted improvements in health, education and income could help to alleviate the disease burden of HHD, specially in some regions with lower socio-demographic index and higher ASDR.
高血压性心脏病（HHD）是全球范围内的一个主要公共卫生问题。我们分析了 1990 年至 2019 年期间与年龄、性别和社会经济因素相关的全球、区域和国家 HHD 负担。
从全球疾病负担研究 2019 年中提取了 HHD 的患病率和死亡率、残疾调整生命年（DALY）以及相应的年龄标准化率。通过计算上述变量的估计年百分比变化（EAPC）来评估流行病学趋势。
2019 年记录的 HHD 病例总数为 1960 万，而 1990 年为 782 万，对应的 EAPC 为 0.17。相比之下，全球年龄标准化死亡率（ASDR）和年龄标准化 DALY 呈下降趋势，相应的 EAPC 分别为-0.74 和-1.02。HHD 主要发生在 65 岁以上的人群中。各国之间 HHD 的疾病负担差异很大，单变量线性回归表明，许多社会经济变量与年龄标准化 DALY 率呈显著负相关。
在过去的三十年中，HHD 病例有所增加；然而，死亡率有所下降。多方面改善健康、教育和收入可以帮助减轻 HHD 的疾病负担，特别是在社会人口指数较低和 ASDR 较高的一些地区。
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