Cardiovascular Diseases in India Compared With the United States

This review describes trends in the burden of cardiovascular diseases (CVDs) and risk factors in India compared with the United States; provides potential explanations for these differences; and describes strategies to improve cardiovascular health behaviors, systems, and policies in India. The prev...

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Vydané v:Journal of the American College of Cardiology Ročník 72; číslo 1; s. 79
Hlavní autori: Prabhakaran, Dorairaj, Singh, Kavita, Roth, Gregory A, Banerjee, Amitava, Pagidipati, Neha J, Huffman, Mark D
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: United States 03.07.2018
Predmet:
Cardiovascular Diseases - mortality
Cardiovascular Diseases - prevention & control
Health Promotion
Humans
India - epidemiology
Mortality - trends
Risk Factors
United States - epidemiology
United States
India
epidemiology
health systems
health policy
review
ISSN:1558-3597, 1558-3597
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Abstract This review describes trends in the burden of cardiovascular diseases (CVDs) and risk factors in India compared with the United States; provides potential explanations for these differences; and describes strategies to improve cardiovascular health behaviors, systems, and policies in India. The prevalence of CVD in India has risen over the past 2 decades due to population growth, aging, and a stable age-adjusted CVD mortality rate. Over the same time period, the United States has experienced an overall decline in age-adjusted CVD mortality, although the trend has begun to plateau. These improvements in CVD mortality in the United States are largely due to favorable population-level risk factor trends, specifically with regard to tobacco use, cholesterol, and blood pressure, although improvements in secondary prevention and acute care have also contributed. To realize similar gains in reducing premature death and disability from CVD, India needs to implement population-level policies while strengthening and integrating its local, regional, and national health systems. Achieving universal health coverage that includes financial risk protection should remain a goal to help all Indians realize their right to health.
AbstractList This review describes trends in the burden of cardiovascular diseases (CVDs) and risk factors in India compared with the United States; provides potential explanations for these differences; and describes strategies to improve cardiovascular health behaviors, systems, and policies in India. The prevalence of CVD in India has risen over the past 2 decades due to population growth, aging, and a stable age-adjusted CVD mortality rate. Over the same time period, the United States has experienced an overall decline in age-adjusted CVD mortality, although the trend has begun to plateau. These improvements in CVD mortality in the United States are largely due to favorable population-level risk factor trends, specifically with regard to tobacco use, cholesterol, and blood pressure, although improvements in secondary prevention and acute care have also contributed. To realize similar gains in reducing premature death and disability from CVD, India needs to implement population-level policies while strengthening and integrating its local, regional, and national health systems. Achieving universal health coverage that includes financial risk protection should remain a goal to help all Indians realize their right to health.
This review describes trends in the burden of cardiovascular diseases (CVDs) and risk factors in India compared with the United States; provides potential explanations for these differences; and describes strategies to improve cardiovascular health behaviors, systems, and policies in India. The prevalence of CVD in India has risen over the past 2 decades due to population growth, aging, and a stable age-adjusted CVD mortality rate. Over the same time period, the United States has experienced an overall decline in age-adjusted CVD mortality, although the trend has begun to plateau. These improvements in CVD mortality in the United States are largely due to favorable population-level risk factor trends, specifically with regard to tobacco use, cholesterol, and blood pressure, although improvements in secondary prevention and acute care have also contributed. To realize similar gains in reducing premature death and disability from CVD, India needs to implement population-level policies while strengthening and integrating its local, regional, and national health systems. Achieving universal health coverage that includes financial risk protection should remain a goal to help all Indians realize their right to health.This review describes trends in the burden of cardiovascular diseases (CVDs) and risk factors in India compared with the United States; provides potential explanations for these differences; and describes strategies to improve cardiovascular health behaviors, systems, and policies in India. The prevalence of CVD in India has risen over the past 2 decades due to population growth, aging, and a stable age-adjusted CVD mortality rate. Over the same time period, the United States has experienced an overall decline in age-adjusted CVD mortality, although the trend has begun to plateau. These improvements in CVD mortality in the United States are largely due to favorable population-level risk factor trends, specifically with regard to tobacco use, cholesterol, and blood pressure, although improvements in secondary prevention and acute care have also contributed. To realize similar gains in reducing premature death and disability from CVD, India needs to implement population-level policies while strengthening and integrating its local, regional, and national health systems. Achieving universal health coverage that includes financial risk protection should remain a goal to help all Indians realize their right to health.
Author Singh, Kavita
Roth, Gregory A
Banerjee, Amitava
Huffman, Mark D
Pagidipati, Neha J
Prabhakaran, Dorairaj
Author_xml – sequence: 1
  givenname: Dorairaj
  surname: Prabhakaran
  fullname: Prabhakaran, Dorairaj
  email: dprabhakaran@phfi.org
  organization: Public Health Foundation of India and Centre for Chronic Disease Control, Gurgaon, India; London School of Hygiene and Tropical Medicine, London, United Kingdom. Electronic address: dprabhakaran@phfi.org
– sequence: 2
  givenname: Kavita
  surname: Singh
  fullname: Singh, Kavita
  organization: Public Health Foundation of India and Centre for Chronic Disease Control, Gurgaon, India
– sequence: 3
  givenname: Gregory A
  surname: Roth
  fullname: Roth, Gregory A
  organization: Institute for Health Metrics and Evaluation and the Division of Cardiology at the University of Washington School of Medicine, Seattle, Washington
– sequence: 4
  givenname: Amitava
  surname: Banerjee
  fullname: Banerjee, Amitava
  organization: Farr Institute of Health Informatics, University College London, London, United Kingdom
– sequence: 5
  givenname: Neha J
  surname: Pagidipati
  fullname: Pagidipati, Neha J
  organization: Department of Medicine, Duke University School of Medicine, Durham, North Carolina
– sequence: 6
  givenname: Mark D
  surname: Huffman
  fullname: Huffman, Mark D
  organization: Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois
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Snippet This review describes trends in the burden of cardiovascular diseases (CVDs) and risk factors in India compared with the United States; provides potential...
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SubjectTerms Cardiovascular Diseases - mortality
Cardiovascular Diseases - prevention & control
Health Promotion
Humans
India - epidemiology
Mortality - trends
Risk Factors
United States - epidemiology
Title Cardiovascular Diseases in India Compared With the United States
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