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CN 34-1304/RISSN 1674-3679

Volume 25 Issue 1
Jan.  2021
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LIU Yuan, XU Qiao-hua, YIN Lei, JIN Dong-hui. Disease burden of stroke from 1990 to 2017 in Hunan Province[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(1): 101-107. doi: 10.16462/j.cnki.zhjbkz.2021.01.019
Citation: LIU Yuan, XU Qiao-hua, YIN Lei, JIN Dong-hui. Disease burden of stroke from 1990 to 2017 in Hunan Province[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(1): 101-107. doi: 10.16462/j.cnki.zhjbkz.2021.01.019

Disease burden of stroke from 1990 to 2017 in Hunan Province

doi: 10.16462/j.cnki.zhjbkz.2021.01.019
Funds:

Hunan Health Committee in 2020 20201255

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  • Corresponding author: JIN Dong-hui, E-mail:942019814@qq.com
  • Received Date: 2020-03-19
  • Rev Recd Date: 2020-09-13
  • Publish Date: 2021-01-10
  •   Objective  The objective of this study is to investigate the disease burden of stroke in Hunan Province, which may help to guide priority in control and prevention of stroke.  Methods  Data were extracted from Global Burden of Diseases Study 2017 (GBD 2017). Mortality, years of life lost (YLLs), years lived with disability (YLDs), disability adjusted life years (DALYs) associated with stroke, together with the age-standardized rates and change of the indexes mentioned above between 1990 and 2017 in Hunan were selected and described.  Results  From 1990-2017, death number of stroke in Hunan witnessed an increase of 85.84% (1990 vs 2017: 76 900 vs 114 300), and death number of male increased by 122.56%, while that of females increased only by 2.12%. Age-standardized mortality rate of stroke decreased by 37.58% (1990 vs 2017: 218.55/100 000 vs 136.41/100 000). Males' age-standardized mortality of stroke decreased only by 4.16%, while that of female decreased sharply by 58.18%. YLLs of stoke increased by 84.79% (1990 vs 2017: 1 637 400 vs 2 035 700 person years); Males' YLLs of stroke increased largely by 94.94%, while that of females decreased by 22.62%. Age-standardized rate of YLL of stoke decreased by 41.67% (1990 vs 2017: 3 742.85/100 000 vs 2 183.06/100 000), while females' age-standardized rate of YLL decreased by 64.45%, ahead of that of male's 6.62%. YLDs of stroke increased by 171.63% (1990 vs 2017: 113 500 vs 308 300 person years). Males' YLDs of stroke increased by 197.58%, and that of females also increased by 151.72%. Age-standardized rate of YLD also witnessed an increase of 41.74%(1990 vs 2017: 235.13/100 000 vs 333.28 /100 000); Males' age-standardized rate of YLD increased by 58.89%, while that of females increased by 28.22%. DALYs increased by 33.88% (1990 vs 2017: 1 750 900 vs 2 344 100 person years), while age-standardized rate of DALY decreased by 36.74% (1990 vs 2017: 3 977.98/100 000 vs 2 516.34/100 000). Hemorrhagic stroke contributed the most part for DALYs among different kinds of stroke, while DALYs of ischemic stroke increased rapidest by 142.64%.  Conclusions  Disease burden of stroke from 1990-2017 in Hunan witnessed an increase, with an obvious gender difference. Hemorrhagic stroke contributed the most part for disease burden compared with other strokes, while ischemic stroke increased most rapidly.
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