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首页> 外文期刊>Iranian journal of public health. >Estimating the Contribution of Selected Eisk Factors in Attributable Burden to Stroke in Iran
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Estimating the Contribution of Selected Eisk Factors in Attributable Burden to Stroke in Iran

机译：估算伊朗可归因的中风负担中特定风险因素的贡献

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Background: Knowledge of the magnitude of avoidable burden by risk factors is needed for health policy, priority setting, and preventing stroke. The aim of this study was to estimate the contribution of selected risk factors including hypertension, overweight, obesity, tobacco use, and physical inactivity to the attributable burden of stroke in Iran. Methods: The World Health Organization Comparative Risk Assessment (CRA) methodology was employed to calculate the Potential Impact Fraction (PIF) and percentage of avoidable burden of stroke, which attributed to its risk factors among Iranian adults in 2009. Prevalence of risk factors was obtained from the 5th STEPS survey of chronic disease risk factors which conducted in 2009. PIF was estimated on both theoretical minimum and feasible minimum risk. A simulation procedure incorporating sources of uncertainty was used to estimate the uncertainties for the attributable burden. Results: About 15.7% (95% uncertainty intervals: 5.8- 23.5) of attributable Disability Adjusted Life Years (DA-LYs) to stroke in adult males and 15.8% (95% uncertainty intervals: 5.8- 23.5) in adult females are avoidable after changing the current prevalence (16.0% and 16.1% for males and females, respectively) of hypertension to 10% in both sexes. Conclusion; This work highlighted the important role of hypertension and overweight. Accordingly, policy makers are advised to consider these risk factors once implementing interventional program in Iran.
机译：背景：需要通过风险因素了解可避免负担的严重程度，以制定卫生政策，确定优先重点和预防中风。这项研究的目的是估计包括伊朗高血压，超重，肥胖，吸烟和缺乏体育锻炼在内的某些危险因素的贡献。方法：采用世界卫生组织比较风险评估（CRA）方法来计算潜在影响分数（PIF）和可避免的中风负担百分比，这归因于其在2009年伊朗成年人中的危险因素。获得了危险因素的普遍性根据2009年进行的第5步STEPS慢性疾病风险因素调查。PIF是在理论最低风险和可行最低风险上进行估算的。使用包含不确定性来源的模拟程序来估计可归因负担的不确定性。结果：成年男性中风后卒中可归因的残疾调整生命年（DA-LYs）约为15.7％（95％不确定区间：5.8-23.5），成年女性可避免约15.8％（95％不确定区间：5.8-23.5）。将目前的高血压患病率（男性和女性分别为16.0％和16.1％）改变为男女的10％。结论;这项工作突出了高血压和超重的重要作用。因此，建议政策制定者在伊朗实施干预计划后考虑这些风险因素。

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