Changes in ischemic heart disease mortality at the global level and their associations with natural disasters: A 28-year ecological trend study in 193 countries.

<h4>Background</h4>Natural disasters are believed to be associated with cardiovascular disease. This study aimed to explore the changes in mortality due to ischemic heart disease (IHD) and their associations with natural disasters at the global level.<h4>Methods</h4>Country-s...

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Autores principales: Kai-Sen Huang, Ding-Xiu He, De-Jia Huang, Qian-Lan Tao, Xiao-Jian Deng, Biao Zhang, Gang Mai, Debarati Guha-Sapir
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spelling oai:doaj.org-article:b08c5825168c4db6a7608f80aaf6f3392021-12-02T20:15:30ZChanges in ischemic heart disease mortality at the global level and their associations with natural disasters: A 28-year ecological trend study in 193 countries.1932-620310.1371/journal.pone.0254459https://doaj.org/article/b08c5825168c4db6a7608f80aaf6f3392021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0254459https://doaj.org/toc/1932-6203<h4>Background</h4>Natural disasters are believed to be associated with cardiovascular disease. This study aimed to explore the changes in mortality due to ischemic heart disease (IHD) and their associations with natural disasters at the global level.<h4>Methods</h4>Country-specific data on the impact of natural disasters, rates of mortality due to IHD and years of life lost (YLL) and socioeconomic variables were obtained for 193 countries for the period from 1990 to 2017. An ecological trend study was conducted to estimate the changes in the IHD mortality and YLL rates and their associations with natural disasters (occurrence, casualties and total damage). Correlation analyses and multivariate linear regression were used.<h4>Results</h4>Significant changes were found in the IHD mortality and YLL rates and the occurrence of disasters between the two equal periods (1990 to 2003 and 2004 to 2017) (p<0.001). The bivariate Pearson correlation test revealed that the trend in the occurrence of natural disasters was positively correlated with trends in the IHD mortality and YLL rates among females and all individuals (p<0.05) and was marginally correlated among males. Multiple linear regression revealed an independent association between the occurrence of natural disasters and the IHD mortality rate among males, females and all individuals (standardized coefficients = 0.163, 0.357 and 0.241, p<0.05), and similar associations were found for the YLL rate (standardized coefficients = 0.194, 0.233 and 0.189, p<0.05).<h4>Conclusions</h4>Our study demonstrated significant changes in the IHD mortality and YLL rates at the global level and their independent associations with natural disasters. Both males and females were vulnerable to natural disasters. These results provide evidence that can be used to support policy making and resource allocation when responding to disasters and developing strategies to reduce the burden of IHD.Kai-Sen HuangDing-Xiu HeDe-Jia HuangQian-Lan TaoXiao-Jian DengBiao ZhangGang MaiDebarati Guha-SapirPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 7, p e0254459 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Kai-Sen Huang
Ding-Xiu He
De-Jia Huang
Qian-Lan Tao
Xiao-Jian Deng
Biao Zhang
Gang Mai
Debarati Guha-Sapir
Changes in ischemic heart disease mortality at the global level and their associations with natural disasters: A 28-year ecological trend study in 193 countries.
description <h4>Background</h4>Natural disasters are believed to be associated with cardiovascular disease. This study aimed to explore the changes in mortality due to ischemic heart disease (IHD) and their associations with natural disasters at the global level.<h4>Methods</h4>Country-specific data on the impact of natural disasters, rates of mortality due to IHD and years of life lost (YLL) and socioeconomic variables were obtained for 193 countries for the period from 1990 to 2017. An ecological trend study was conducted to estimate the changes in the IHD mortality and YLL rates and their associations with natural disasters (occurrence, casualties and total damage). Correlation analyses and multivariate linear regression were used.<h4>Results</h4>Significant changes were found in the IHD mortality and YLL rates and the occurrence of disasters between the two equal periods (1990 to 2003 and 2004 to 2017) (p<0.001). The bivariate Pearson correlation test revealed that the trend in the occurrence of natural disasters was positively correlated with trends in the IHD mortality and YLL rates among females and all individuals (p<0.05) and was marginally correlated among males. Multiple linear regression revealed an independent association between the occurrence of natural disasters and the IHD mortality rate among males, females and all individuals (standardized coefficients = 0.163, 0.357 and 0.241, p<0.05), and similar associations were found for the YLL rate (standardized coefficients = 0.194, 0.233 and 0.189, p<0.05).<h4>Conclusions</h4>Our study demonstrated significant changes in the IHD mortality and YLL rates at the global level and their independent associations with natural disasters. Both males and females were vulnerable to natural disasters. These results provide evidence that can be used to support policy making and resource allocation when responding to disasters and developing strategies to reduce the burden of IHD.
format article
author Kai-Sen Huang
Ding-Xiu He
De-Jia Huang
Qian-Lan Tao
Xiao-Jian Deng
Biao Zhang
Gang Mai
Debarati Guha-Sapir
author_facet Kai-Sen Huang
Ding-Xiu He
De-Jia Huang
Qian-Lan Tao
Xiao-Jian Deng
Biao Zhang
Gang Mai
Debarati Guha-Sapir
author_sort Kai-Sen Huang
title Changes in ischemic heart disease mortality at the global level and their associations with natural disasters: A 28-year ecological trend study in 193 countries.
title_short Changes in ischemic heart disease mortality at the global level and their associations with natural disasters: A 28-year ecological trend study in 193 countries.
title_full Changes in ischemic heart disease mortality at the global level and their associations with natural disasters: A 28-year ecological trend study in 193 countries.
title_fullStr Changes in ischemic heart disease mortality at the global level and their associations with natural disasters: A 28-year ecological trend study in 193 countries.
title_full_unstemmed Changes in ischemic heart disease mortality at the global level and their associations with natural disasters: A 28-year ecological trend study in 193 countries.
title_sort changes in ischemic heart disease mortality at the global level and their associations with natural disasters: a 28-year ecological trend study in 193 countries.
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/b08c5825168c4db6a7608f80aaf6f339
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