Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Apr 1;26(4):198-204.
doi: 10.34172/aim.2023.30.

Trend of Mortality Rate and Years of Life Lost due to Cerebrovascular Diseases in Fars Province, Iran (2004-2019)

Habibollah Azarbakhsh  1 , Najibullah Baeradeh  1 , Seyed Parsa Dehghani  2 , Jafar Hassanzadeh  3 , Maryam Janfada  4 , Ahmadreza Razeghi  2 , Alireza Mirahmadizadeh  5
Affiliations

Trend of Mortality Rate and Years of Life Lost due to Cerebrovascular Diseases in Fars Province, Iran (2004-2019)

Habibollah Azarbakhsh et al. Arch Iran Med. .

Abstract

Background: According to the Global Burden of Disease Study (GBD), cerebrovascular diseases are the second leading cause of death in the world. This is a cross-sectional study on deaths due to cerebrovascular diseases in southern Iran.

Methods: In this cross-sectional study, data on all deaths caused by cerebrovascular diseases in the Fars province between 2004 and 2019 was extracted from the Electronic Death Registry System (EDRS). To eliminate or minimize the influence of age composition, standardized mortality rate was used based on the 2013 Segi standard populations of low- and middle-income countries. In order to measure the years of life lost (YLL) from cerebrovascular diseases, the standardized life table was considered. The Joinpoint Regression method was used to examine the trend of the crude and standardized mortality rate and the YLL rate.

Results: Over the study period, 24,051 deaths occurred due to cerebrovascular diseases in Fars with 12,586 cases in men (52.3%). The trend of standardized mortality rate in males and females was decreasing (P value=0.001 and<0.001 for males and females, respectively). All YLL due to premature mortality from cerebrovascular disease during the 16-year study period were 119,436 (3.8 per 1000 persons) in men, and 111,172 (3.6 per 1000 persons) in women. Based on the joinpoint regression, the 16-year trend of YLL rate due to premature death was decreasing: annual percent change (APC) was -1.6% (95% CI -3.4 to 0.3, P=0.098) for males, and -2.0% (95% CI -3.6 to -0.4, P=0.017) for females.

Conclusion: The trend of mortality rate and YLL caused by cerebrovascular diseases has decreased in our study. Necessary measures, mainly primary and secondary prevention, should be taken to continue the diminishing trend of cerebrovascular diseases.

Keywords: Cerebrovascular diseases; Iran; Joinpoint regression; Mortality rate; Trend; Years of life lost.

PubMed Disclaimer

Conflict of interest statement

Competing Interests

The authors declare that they have no conflict of interest.

Figures

Figure 1
Figure 1
Figure 2
Figure 2
Figure 3
Figure 3
Figure 4
Figure 4
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Truelsen T, Begg S, Mathers C. The global burden of cerebrovascular disease. WHO; 2006. Available from: https://www.researchgate.net/profile/Stephen-Begg/publication/228551377_....
    1. Mirzaei M, Truswell AS, Arnett K, Page A, Taylor R, Leeder SR. Cerebrovascular disease in 48 countries: secular trends in mortality 1950-2005. J Neurol Neurosurg Psychiatry. 2012;83(2):138–45. doi: 10.1136/jnnp-2011-300408. - DOI - PubMed
    1. Ilic I, Ilic M, Sipetic Grujicic S. Trends in cerebrovascular diseases mortality in Serbia, 1997-2016: a nationwide descriptive study. BMJ Open. 2019;9(2):e024417. doi: 10.1136/bmjopen-2018-024417. - DOI - PMC - PubMed
    1. Boutayeb A, Derouich M, Boutayeb W, Lamlili ME. Cerebrovascular diseases and associated risk factors in WHO Eastern Mediterranean countries. Cardiol Angiol. 2014;2:62–75. doi: 10.9734/ca/2014/9731. - DOI
    1. Buergo MA, Fernández O, Coután G, Torres RM. Epidemiology of cerebrovascular diseases in Cuba, 1970 to 2006. MEDICC Rev. 2008;10(2):33–8. doi: 10.37757/mr2008.v10.n2.5. - DOI - PubMed