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Burden of Ischemic Heart Disease in Central Asian Countries, 1990–2017

Michelle LuiSchool of Population & Public Health, University of British Columbia, Vancouver, CanadaSaeid SafiriAging Research Institute, Tabriz University of Medical Sciences, Tabriz, IranAlibek MerekeHealth Research Institute, The Faculty of Medicine, Al-Farabi Kazakh National University, Almaty, KazakhstanKairat DavletovHealth Research Institute, The Faculty of Medicine, Al-Farabi Kazakh National University, Almaty, KazakhstanNana MeboniaDepartment of Epidemiology and Biostatistics, Tbilisi State Medical University, Tbilisi, GeorgiaAkbope MyrkassymovaSchool of Public Health, Asfendiyarov Kazakh National Medical University, Almaty, KazakhstanTimur AripovDepartment of Public Health and Healthcare Management, Tashkent Institute of Postgraduate Medical Education, Tashkent, UzbekistanErkin М МirrakhimovKyrgyz State Medical Academy, Bishkek, KyrgyzstanSargis A. AghayanFaculty of Biology, Yerevan State University, Yerevan, ArmeniaAmiran GamkrelidzeNational Center for Disease Control and Public Health, Tbilisi, GeorgiaMohsen NaghaviDepartment of Health Metrics Sciences, Institute for Health Metrics and Evaluation, School of Medicine, University of Washington, Washington, USAJacek A KopecSchool of Population & Public Health, University of British Columbia, Vancouver, CanadaNizal SarrafzadeganIsfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
IJC Heart & Vasculaturejournal2021en
ABI

Аннотация

BACKGROUND: The burden of ischemic heart disease (IHD) is high. There is limited information on the burden of IHD in identified high risk areas like Central Asia (CA) which is comprised of Armenia, Azerbaijan, Georgia, Kazakhstan, Kyrgyzstan, Turkmenistan, Mongolia, Uzbekistan and Tajikistan. This study addresses the burden of IHD in CA at the regional and country levels. METHODS: Using data from the latest iteration of the Global Burden of Disease Study (GBD), this study provides age-adjusted mortality, prevalence, and Disability Adjusted Life Years (DALYs) of IHD by sex in the CA region, and national levels for countries in this region from 1990 to 2017. RESULTS: The CA region has a higher IHD burden than the rest of the world over the studied period. Amongst the countries within this region, age-standardized mortality and DALY rates in Uzbekistan are the highest not only in CA but worldwide, while Armenia consistently has the lowest IHD burden in CA. Unhealthy diet, high systolic blood pressure and LDL-cholesterol are the risk factors with the highest attributable IHD DALYs. CONCLUSION: There is considerable variation in IHD DALY rates among countries in the CA region. The reasons for such differences are likely multifactorial such as differences in risk factors distribution, health care effectiveness, political, social and economic factors.

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