ArticleBMC public health2024
Global, regional, and national impact of air pollution on stroke burden: changing landscape from 1990 to 2021.
Article in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Ambient particulate matter pollution and stroke burden.Medical gas research · 2027Article
- Heterogeneous Risks of Chemical Components and Sources in Size-Resolved Particulate Matter on Ischemic and Hemorrhagic Stroke.Environment & health (Washington, D.C.) · 2026Article
- Integrated spatial analysis and Gaussian dispersion modelling of airborne particulate matter from rice processing mill hubs in rural Bangladesh and associated public health risks.Environmental science and pollution research international · 2026Article
- Pre-pandemic sub-national disparities in the disease burden of ischemic heart disease and stroke in France.BMC cardiovascular disorders · 2026Article
- Trends and Projections in Hemorrhagic Stroke-Related Mortality in the United States: A 1968-2030 CDC WONDER Analysis.Brain and behavior · 2026Article
- Cerebral Infarction: Epidemiology, Classification, Mechanisms, Diagnosis, and Management.MedComm · 2026Review
- Global burden of disease analysis of stroke due to high systolic blood pressure in different regions, 1990-2021.BMC public health · 2025Article
- Epidemiological and Clinical Characteristics of Acute Stroke in a Multi-Ethnic South Asian Population.Neurology international · 2025Article
- Stroke burden analysis attributable to ambient and household PMScientific reports · 2025Article
- The burden of intracerebral hemorrhage attributable to ambient particulate matter pollution in five Asian countries: a 32-year comparative analysis.BMC public health · 2025Article
- Article
- Global burden of subarachnoid hemorrhage attributable to ambient PMFrontiers in public health · 2025Article
- Echocardiographic predictors of futile recanalization in acute ischemic stroke.Revista da Associacao Medica Brasileira (1992) · 2025Article
- Environmental determinants of cerebral haemorrhage in older adults: behavioural pathways and population health implications.Frontiers in public health · 2025Review
- The trends of lung cancer burden in BRICS from 1990 to 2021 and its projection to 2035.Frontiers in oncology · 2024Article
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5 authors.
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Abstract
backgroundExposure to air pollution contributes to cardiovascular disease-related deaths and morbidity, including stroke. However, few studies have examined the global stroke burden linked to air pollution. This study aimed to evaluate the global stroke morbidity and mortality associated with air pollution from 1990 to 2021.
methodWith the Global Burden of Disease Study (GBD) 2021, the numbers, and age-standardized rates (ASRs) of deaths and disability-adjusted life years (DALYs) for air pollution-related stroke were reported globally. Further subgroup analyses were conducted by age, sex, region and country, and stroke subtypes. A linear regression model explored global temporal trends and a cluster analysis examined temporal trends across GBD regions. To predict trends until 2040, the age-period-cohort (APC) model and the Bayesian age-period-cohort (BAPC) model were applied.
resultsIn 2021, there were 1,989,686 (95% uncertainty interval [95% UI], 1,530,479-2,493,238) deaths and 44,962,167 (95% UI, 35,020,339 - 55,467,024) DALYs due to air pollution-related stroke. The ASRs increased with age, peaking generally over 85 years. Males, the Central African region, and Guinea-Bissau showed higher stroke burdens Intracerebral hemorrhage was the most lethal subtype, with an ASR of 11.69 (95% UI 8.94-14.69) for deaths and 276.93 (95% UI 212.21-344.36) for DALYs. From 1990 to 2021, the crude number of deaths and DALYs increased by 13.4% and 6.3%, respectively, for the global stroke burden but showed a declining trend when age-standardized. Most GBD regions in Asia and Africa experienced an increasing stroke burden linked to air pollution, while Europe and America showed a decreasing trend. Predictions indicated a gradual reduction in ASRs, with higher rates in males from 2020 to 2040.
conclusionsThe global stroke burden associated with air pollution remained significant despite a decreasing trend until 2021. Although future predictions suggested a reduction, the crude counts for stroke burden remained substantial, with significant regional disparities. This warranted the implementation of public health policies and ongoing efforts.
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