330677
Adult Mortality of Non-Communicable Disease and Injury Attributable to Metabolic, Lifestyle, Environmental, and Infectious Risk Factors in Taiwan: A Comparative Risk Assessment
Methods:We obtained data on risk factor exposure from nationally representative health surveys, cause-specific mortality from the National Death Registry, and relative risks from epidemiological studies and meta-analyses. We applied the comparative risk assessment framework to estimate mortality burden attributable to individual risk factor or risk factor clusters.
Results:In 2009, tobacco smoking accounted for 15,840 deaths (95% CI: 13,980–17,700), followed by high blood glucose (12,000 death, 95% CI: 9,940–14,070), high blood pressure (9,280 death, 95% CI: 7,290–11,260), physical inactivity (6,410 death, 95% CI: 5,980–6,830), and high body mass index (6,260 death, 95% CI: 5,180–7,340). For domestic risk factors, infections from hepatitis B virus (HBV) and hepatitis C virus (HCV) were responsible for 5,570 deaths (95% CI: 5,110–6,030) and 2,830 deaths (95% CI: 1,980–3,690), respectively, and betel nut use was associated with 1,670 deaths from oral, larynx, and esophagus cancer (95% CI: 1,120–2,230). HBV and HCV infections and alcohol use jointly accounted for 58.6% (2,830) deaths from chronic liver disease and 72.4% (5,590) deaths from liver cancer. Fine particle pollution accounted for 5,930 deaths (95% CI: 4,660–7,200) from cerebrovascular diseases, lung diseases, and lung cancer.
Conclusions: Tobacco smoking, high blood glucose, and high blood pressure are the major risk factors for deaths from non-communicable diseases among Taiwanese adults. A large number of years of life would be gained if the 11 modifiable risk factors can be removed or reduced to an optimal level.
Learning Areas:
EpidemiologyPublic health or related public policy
Public health or related research
Learning Objectives:
Identify the mortality burden attributable to 11 metabolic, lifestyle, infectious, and environmental risk factors in Taiwan.
Keyword(s): Public Health Policy
Qualified on the content I am responsible for because: I am a PhD candidate supervised by Dr. Hsien-Ho Lin and Dr. Mei-Shu Lia, who both are well-funded epidemiologist with amount of research experience in chronic disease prevention. My research focuses on studying national burden of disease and cancer prevention in Taiwan.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.