Wang Tong, Ma Yudiyang, Li Ruiqing, Sun Jinyi, Huang Lihong, Wang Shuwen, Yu Chuanhua
Department of Epidemiology and Biostatistics, School of Public Health, Wuhan University, Wuhan, 430071, China.
Global Health Institute, Wuhan University, Wuhan, 430071, China.
Environ Sci Pollut Res Int. 2022 Dec;29(58):87478-87489. doi: 10.1007/s11356-022-21770-1. Epub 2022 Jul 9.
Cardiovascular diseases (CVD) caused by household air pollution (HAP) have sparked widespread concern globally in the recent decade. Meanwhile, increased ischemic heart disease (IHD) mortality has been the leading cause of worldwide CVD deaths. Both China and India experienced a high IHD burden and high exposure to HAP. The present study aimed to estimate and compare the long-term trends of HAP-attributable IHD mortality in the two countries. The data of this study were extracted from the Global Burden of Diseases (GBD) Study 2019. The age-period-cohort (APC) analysis was utilized to estimate the independent trends of the age, period, and cohort effects from 1990 to 2019. The age-standardized mortality rates (ASMRs) of HAP-attributable IHD have fallen faster in China than in India for both sexes. The local drift and net drift values were < 0 for all age groups in both countries. The age effects in both countries and sexes increased with time, suggesting age is a risk factor for IHD; conversely, period and cohort effects in China demonstrated a faster decline in both genders than in India. It indicated that China has been more successful than India in decreasing HAP-attributable IHD mortality.
近十年来，家庭空气污染（HAP）导致的心血管疾病（CVD）在全球引发了广泛关注。与此同时，缺血性心脏病（IHD）死亡率上升一直是全球CVD死亡的主要原因。中国和印度都面临着较高的IHD负担以及较高的HAP暴露水平。本研究旨在估计和比较两国HAP所致IHD死亡率的长期趋势。本研究的数据取自《2019年全球疾病负担（GBD）研究》。采用年龄-时期-队列（APC）分析来估计1990年至2019年期间年龄、时期和队列效应的独立趋势。两国男女HAP所致IHD的年龄标准化死亡率（ASMRs）下降速度在中国均快于印度。两国所有年龄组的局部漂移和净漂移值均<0。两国各性别中的年龄效应均随时间增加，表明年龄是IHD的一个风险因素；相反，中国各性别中的时期和队列效应下降速度均快于印度。这表明中国在降低HAP所致IHD死亡率方面比印度更为成功。
