Sajith Kumar S, Sasidharan Akhil, Bagepally Bhavani Shankara
Health Technology Assessment Resource Centre, ICMR-National Institute of Epidemiology, Chennai, India.
Health Technology Assessment Resource Centre, ICMR-National Institute of Epidemiology, Chennai, India.
Heart Lung Circ. 2023 Jan;32(1):90-94. doi: 10.1016/j.hlc.2022.10.012. Epub 2022 Nov 28.
The link between air pollution-attributed cardiovascular disease (APACVD) burden and its contributing factors can aid in detecting vulnerabilities and providing forewarnings for India.
We examined the association between the status and trends of the APACVD burden obtained from the Global Burden of Diseases and Injuries study with the two development metrics in India; the human development index (HDI) and indirect indices of economic development, namely annual new motor vehicle registration and the number of functional factories for 10 years from 2009 to 2019. Lorenz curves and concentration index were used to estimate the inequalities in the state-APACVD burden and the burden per 100,000 population.
At the state level, APACVD burden was inversely related to the HDI value in India for the years 2009 (r=-0.48), 2014 (r=-0.47), and 2019 (r=-0.37), and the association was statistically significant (p<0.05). The correlation between state-level APACVD burden with the annual new motor vehicle registration and the number of functional factories in India for these years was also positive and significant (p<0.05). The APACVD was 53% unequally distributed across the states, with a concentration index of 0.53 in 2009.
We observed that at the state level, the APACVD burden was inversely related to HDI. But the APACVD burden increased with the country's economic development. Also, the excess APACVD burden appears to be attributable to the economically developed states.
At the state level, APACVD burden decreased as HDI rose over time, indicating that the burden increased with the country's economic development. It is noticeable that the economically developed states may be contributing a higher share of the APACVD burden in India.
空气污染所致心血管疾病（APACVD）负担与其影响因素之间的联系有助于发现印度的薄弱环节并发出预警。
我们研究了从全球疾病负担研究中获得的APACVD负担状况和趋势与印度的两个发展指标之间的关联；人类发展指数（HDI）以及经济发展间接指标，即2009年至2019年这10年期间的年度新机动车注册量和正常运营工厂数量。采用洛伦兹曲线和集中指数来估计各邦APACVD负担及每10万人口负担的不平等程度。
在邦一级，2009年（r = -0.48）、2014年（r = -0.47）和2019年（r = -0.37）印度的APACVD负担与HDI值呈负相关，且这种关联具有统计学意义（p < 0.05）。这些年份印度邦级APACVD负担与年度新机动车注册量和正常运营工厂数量之间的相关性也为正且具有统计学意义（p < 0.05）。2009年，APACVD在各邦的分布不平等率为53%，集中指数为0.53。
我们观察到，在邦一级，APACVD负担与HDI呈负相关。但APACVD负担随着国家经济发展而增加。此外，APACVD负担过高似乎归因于经济发达邦。
在邦一级，随着时间推移，APACVD负担随HDI上升而下降，这表明负担随着国家经济发展而增加。值得注意的是，经济发达邦在印度APACVD负担中所占份额可能更高。
