Age-period-cohort analysis of stroke mortality attributable to high systolic blood pressure in China and Japan

Abstract Stroke is a principal cause of mortality in China and Japan. High systolic blood pressure (SBP) was considered a chief risk factor for stroke mortality. Herein, we evaluated temporal trends of high SBP-attributable stroke mortality in China and Japan between 1990 and 2017. Data on stroke mo...

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Autores principales:	Jinhong Cao, Ehab S. Eshak, Keyang Liu, Ahmed Arafa, Haytham A. Sheerah, Chuanhua Yu
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/cd8b34bae18548fda59a6666c2da8d85
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spelling	oai:doaj.org-article:cd8b34bae18548fda59a6666c2da8d852021-12-02T18:51:29ZAge-period-cohort analysis of stroke mortality attributable to high systolic blood pressure in China and Japan10.1038/s41598-021-98072-y2045-2322https://doaj.org/article/cd8b34bae18548fda59a6666c2da8d852021-09-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-98072-yhttps://doaj.org/toc/2045-2322Abstract Stroke is a principal cause of mortality in China and Japan. High systolic blood pressure (SBP) was considered a chief risk factor for stroke mortality. Herein, we evaluated temporal trends of high SBP-attributable stroke mortality in China and Japan between 1990 and 2017. Data on stroke mortality were retrieved from the Global Burden of Disease Study 2017 (GBD 2017). Using the age-period-cohort method, we computed overall net drifts, local drifts, longitudinal age curves, and cohort/period rate ratios (RRs) for high SBP-attributable stroke mortality. The age-standardized mortality rates (ASMRs) displayed decreasing trends for high SBP-attributable stroke mortality. The annual net drift values were − 1.4% and − 3.5% in Chinese men and women versus − 3.1% and − 4.9% in Japanese men and women. The local drift values in both countries were < 0 among all age groups but were lower in women than in men. The longitudinal age curves showed a greater high SBP-attributable stroke mortality in men than in women across all age groups. Similar decreasing patterns were shown in the period and cohort RRs in both sexes with women having a quicker decline than men. In China and Japan, the ASMRs, as well as the period and cohort RRs of high SBP-attributable stroke mortality, decreased between 1990 and 2017 in both sexes and across all age groups. Yet, the prevalence of high SBP remained worrisome in both countries. Thus, SBP control should be encouraged to prevent stroke mortality.Jinhong CaoEhab S. EshakKeyang LiuAhmed ArafaHaytham A. SheerahChuanhua YuNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-10 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Jinhong Cao Ehab S. Eshak Keyang Liu Ahmed Arafa Haytham A. Sheerah Chuanhua Yu Age-period-cohort analysis of stroke mortality attributable to high systolic blood pressure in China and Japan
description	Abstract Stroke is a principal cause of mortality in China and Japan. High systolic blood pressure (SBP) was considered a chief risk factor for stroke mortality. Herein, we evaluated temporal trends of high SBP-attributable stroke mortality in China and Japan between 1990 and 2017. Data on stroke mortality were retrieved from the Global Burden of Disease Study 2017 (GBD 2017). Using the age-period-cohort method, we computed overall net drifts, local drifts, longitudinal age curves, and cohort/period rate ratios (RRs) for high SBP-attributable stroke mortality. The age-standardized mortality rates (ASMRs) displayed decreasing trends for high SBP-attributable stroke mortality. The annual net drift values were − 1.4% and − 3.5% in Chinese men and women versus − 3.1% and − 4.9% in Japanese men and women. The local drift values in both countries were < 0 among all age groups but were lower in women than in men. The longitudinal age curves showed a greater high SBP-attributable stroke mortality in men than in women across all age groups. Similar decreasing patterns were shown in the period and cohort RRs in both sexes with women having a quicker decline than men. In China and Japan, the ASMRs, as well as the period and cohort RRs of high SBP-attributable stroke mortality, decreased between 1990 and 2017 in both sexes and across all age groups. Yet, the prevalence of high SBP remained worrisome in both countries. Thus, SBP control should be encouraged to prevent stroke mortality.
format	article
author	Jinhong Cao Ehab S. Eshak Keyang Liu Ahmed Arafa Haytham A. Sheerah Chuanhua Yu
author_facet	Jinhong Cao Ehab S. Eshak Keyang Liu Ahmed Arafa Haytham A. Sheerah Chuanhua Yu
author_sort	Jinhong Cao
title	Age-period-cohort analysis of stroke mortality attributable to high systolic blood pressure in China and Japan
title_short	Age-period-cohort analysis of stroke mortality attributable to high systolic blood pressure in China and Japan
title_full	Age-period-cohort analysis of stroke mortality attributable to high systolic blood pressure in China and Japan
title_fullStr	Age-period-cohort analysis of stroke mortality attributable to high systolic blood pressure in China and Japan
title_full_unstemmed	Age-period-cohort analysis of stroke mortality attributable to high systolic blood pressure in China and Japan
title_sort	age-period-cohort analysis of stroke mortality attributable to high systolic blood pressure in china and japan
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/cd8b34bae18548fda59a6666c2da8d85
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_version_	1718377412573528064

Age-period-cohort analysis of stroke mortality attributable to high systolic blood pressure in China and Japan

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