Department of Dermatology, Shenzhen People's Hospital, The Second Clinical Medical College, Jinan University, The first Affiliated Hospital, Southern University of Science and Technology, Shenzhen, China.
Candidate Branch of National Clinical Research Center for Skin Diseases, Shenzhen, China.
Int J Public Health. 2022 Apr 29;67:1604599. doi: 10.3389/ijph.2022.1604599. eCollection 2022.
This study aims to investigate the impact of hypertension, diabetes, and high blood cholesterol on increased mortality from cardiovascular diseases such as coronary heart disease, stroke, and pulmonary heart disease in a multi-dimensional way. The grey relational analysis methodology is adopted to assess the connection between cardiac risk factors and related mortality. The Hurwicz and the Conservative (Min-Max) criterion approach are also utilized to identify the prospective risk factor that contributes the most to increased cardiac mortality. The findings reveal that hypertension has a more grounded relationship with stroke and pulmonary heart disease mortality, whereas high blood cholesterol appears to be the leading contributor to deaths from coronary heart disease. The results based on the Hurwicz and the Min-Max criterion show a robust connection between dyslipidemia, coronary heart disease, and cardiovascular disease mortality. Combating uncontrolled blood cholesterol and blood pressure levels would necessitate a multi-pronged strategy at both the national and local levels. Besides, the suggested methodologies provide a valuable tool and additional practical knowledge for public health policymakers and decision-makers in drawing rational decisions to combat China's rising CVD burden.
本研究旨在多维探讨高血压、糖尿病和高胆固醇血症对冠心病、中风和肺心病等心血管疾病死亡率增加的影响。采用灰色关联分析方法评估心脏风险因素与相关死亡率之间的关系。还利用 Hurwicz 和保守(最小-最大)准则方法来确定对心脏死亡率增加贡献最大的潜在风险因素。研究结果表明,高血压与中风和肺心病死亡率的关系更为密切,而高胆固醇血症似乎是导致冠心病死亡的主要因素。基于 Hurwicz 和 Min-Max 准则的结果显示,血脂异常、冠心病和心血管疾病死亡率之间存在稳健的关联。需要在国家和地方层面采取多管齐下的策略来控制不受控制的胆固醇和血压水平。此外,所提出的方法为公共卫生政策制定者和决策者提供了一个有价值的工具和额外的实践知识,以做出合理决策来应对中国不断上升的 CVD 负担。